Climate change refers to change over time due to natural variability or as a result of human activity (IPCC, 2008). Alaska is experiencing a wide range of impacts from climate change and communities seek adaptive strategies that encourage wellness and sustainability. This report documents climate change impacts as described by local people and climate change effects or potential effects as interpreted through the lens of public health. It is the seventh report in a series describing climate change across Alaska, and the second report to focus on the Bristol Bay region, the first being in the community of Pilot Point. In the Denaina community of Nondalton, residents report changes to the weather, the landscape, plants and wildlife with important implications for public health. Weather events with extreme precipitation, wind and temperatures have been observed in recent years and there is a perception that these are occurring more intensely and more frequently. Understanding community impact of climate change is important for assessing negative and positive effects on health.