This document discusses climate change impacts and vulnerability in African cities. It identifies factors that make cities vulnerable, including their location, physical/social sensitivity, and adaptive capacity. Case studies show cities are vulnerable to direct climate impacts as well as secondary effects on infrastructure, health, and livelihoods. Vulnerability is uneven, disproportionately affecting the poor, women, children and elderly. Adaptation requires improving infrastructure, supporting coping strategies, and community-based approaches. Key responses involve building adaptive capacity, strengthening institutions/governance, and encouraging contributions from all levels of society.