
While the El Niño climate pattern from the second-half of 2023 is winding down, its effects are expected to persist in the form of elevated temperatures during the upcoming peak warm season in Singapore. Healthcare facilities should prepare for the potential health implications of this lingering heat over the next couple of months.
What is El Niño?
El Niño refers to the warm phase of the El Niño-Southern Oscillation (ENSO) cycle, one of the primary drivers of climate variability worldwide. During an El Niño, weakened trade winds allow a massive pool of warm ocean water to shift eastward across the tropical Pacific instead of being confined to the western regions near Asia. This displaced warm water leads to drier, warmer conditions in Southeast Asia.

Temperature Lag
Though ocean temperatures and atmospheric conditions associated with El Niño have started returning to normal, air temperatures tend to peak a few months after the event itself due to the delayed transfer of heat from the ocean’s surface. Meteorologists point out that it can take several months for excess warmth from El Niño to dissipate completely from the atmosphere.
Overlap with Warm Season
This temperature lag will likely overlap with Singapore’s warmest months of April through June, potentially amplifying heat levels further. May typically sees average daily temperatures around 28.6°C, already representing a warm environment. Additional residual warmth from the fading El Niño could push temperatures even higher in certain periods.
Heat Stress Concerns
The combination of high temperatures and Singapore’s naturally humid, tropical climate raises concerns about increased risk of heat stress and related illnesses like heat stroke, heat exhaustion, and muscle cramps. While temperature spikes alone don’t necessarily indicate dangerous heat stress levels, other factors like sun exposure, wind conditions, and physical activity need to be accounted for.

Healthcare providers should ensure readiness to triage and treat any influx of heat illness cases over this high risk period. Community outreach on prevention tips, identifying symptoms, and cooling measure guidance would also be advisable. Vulnerable groups like outdoor workers, the elderly, and those with chronic conditions may require extra precautions.
Respiratory Impacts
Another potential health issue could be air quality degradation from any smoke haze events that develop in the broader Southeast Asian region. While climate models don’t foresee the onset of another El Niño in 2024, fire risks can still increase during dry spells in parts of Indonesia and Malaysia aligned with the Southwest monsoon season from June-October.
Atmospheric transport of smoke from agricultural burning or wildland fires could reduce air quality in Singapore depending on wind patterns, despite transboundary haze risks being lower than during the 2023 El Niño year.

Healthcare facilities may need to prepare for managing respiratory complications from any dense haze episodes through increased admissions, providing N95 masks, and staffing adjustments. Recent experiences from past haze events can guide readiness.
Surveillance and Communication
Close monitoring of meteorological data, early warning systems, and interagency communication will be critical for healthcare authorities to anticipate potential heat or air quality related patient surges. Coordination with environmental agencies can facilitate prompt alerting, preventive guidance, and resource planning.
While the presence of El Niño itself is diminishing, its climatological effects may continue impacting health risks over the next few months during Singapore’s warmest time of year. Proactive preparation within the healthcare sector will help ensure readiness to handle any heat or air quality-related public health concerns.
ENSO: El Niño-Southern Oscillation
Adapted from: https://www.straitstimes.com/singapore/when-hot-gets-hotter-el-nino-expected-to-turn-up-the-heat-in-april-and-may-say-experts

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