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Very Strong El Niño Episodes Are Associated with over 100,000 Additional Heat-Related Deaths Worldwide per Year
The study says tropical and lower-income regions face the largest heat-death increases, while cold-death declines partly offset the global total.
A study in the medical journal Nature Medicine links very strong El-Nino Southern Oscillation episodes to 107,035 additional annual heat-related deaths. These increases are offset by a similar reduction in cold-related deaths per year compared with neutral conditions.
Countries with a Human Development Index account for 61,863 of additional annual heat-related deaths, representing 58% of the Global increase. These nations face greater risks due to limited resources for climate-driven health impacts.
Scientists analyzed mortality data from 3,331 regions across 189 countries, covering more than 8 billion people. This data examined trends between 1980 and 2023 to model temperature-related mortality linked to El-Nino Southern Oscillation intensity.
Health preparedness could be improved through "coordinated action plans involving health authorities," ISGlobal researcher Joan Ballester Claramunt noted. He added that El-Nino Southern Oscillation effects extend beyond temperature anomalies to include extreme weather events like floods.
While the study uses retrospective data, the Climate Impact Lab projects 451,000 additional global deaths for the ongoing 2026 El-Nino Southern Oscillation. Scientists emphasize that these results cannot directly predict specific outcomes.
The impact of this climate phenomenon is due to the least developed countries, which account for 67.65% of the increase in deaths due to extreme temperatures.