Climate change will increase difficulties for people with disabilities (PWDs) by making impairments more prevalent, exacerbating accessibility issues, and reducing critical resources. PWDs are often invisible in disaster risk reduction and climate change adaptation planning, becoming separated from support systems. Effective inclusion of PWDs requires recognizing their vulnerabilities and capacities for adaptation. It also requires ensuring their participation in development through advocacy, accessible infrastructure and relief efforts, and including PWDs in interventions for food, water and sanitation.