This document contains the full text of a presentation given by Nicole Hoo-Fatt to the Rotary Club of Downtown Kingston on sustainable development challenges facing small island developing states (SIDS). The presentation defines SIDS and sustainable development, noting the new challenges facing developing countries around issues like energy security, climate change, and technology access. It argues that international perceptions of SIDS often overlook the serious economic vulnerabilities they face. While SIDS have made progress in influencing international organizations to consider their needs, more work remains to be done to address challenges like debt relief and promote new opportunities in areas like financial services, training, and retirement communities.