Plate Nº 23 · recorded November 10, 2026

Earth & ClimateReported finding

NOAA Puts Odds of a Strong El Niño at 83% — and Two Systems May Fail Together

NOAA gives a greater than 83% chance of strong El Niño conditions by January 2027. Researchers warn health care and the power grid could fail together.

By James Calloway4 min read748 words

In brief

  1. NOAA puts probability of strong to very strong El Niño conditions in January–March 2027 at greater than 83%.
  2. Wildfire smoke contributes to about 1,900 premature deaths and $18 billion in costs annually in Canada.
  3. During the 2023 wildfires, Ontario asthma-related emergency visits rose 23.6%.
  4. British Columbia's 2021 heat dome caused more than 619 deaths, mostly among the elderly.
  5. Solar output drops roughly 0.4% for every degree above 25°C, and dims further under wildfire smoke.
El Niño 2026–27 as a polycrisis: What happens when health and energy systems fail simultaneously?
Plate Nº 23El Niño 2026–27 as a polycrisis: What happens when health and energy systems fail simultaneously? — AI-generated

The U.S. National Oceanic and Atmospheric Administration puts the probability of strong to very strong El Niño conditions between January and March 2027 at greater than 83%. Against that number, a group of researchers is raising an uncomfortable question: what happens when an overloaded health system and a strained electricity grid take the same hit at the same moment?

They call it a polycrisis. Multiple connected failures, arriving together. And every ingredient, they argue, has already shown up in Canada — just never all at once.

What is driving the warning?

El Niño is a natural climate phenomenon that shifts weather patterns worldwide, bringing extreme heat, drought and flooding to different regions. Scientists' concern isn't the phenomenon itself. It's the pace of surface warming, which they describe as unprecedented, layered on top of an already destabilized climate.

The historical record is sobering. The major El Niño events of 1982–83, 1997–98 and 2015–16 each brought severe flooding to some regions, drought to others, and widespread disruption to ecosystems and economies.

How bad is the health-care starting point?

Bad, by the numbers. Canada's health system runs over capacity on an ordinary day — hallway medicine, long waits, surgical delays, understaffing. A 2025 study ranked Canadian access to care ninth among 10 peer countries, ahead of only the United States.

Wildfire smoke alone contributes to roughly 1,900 premature deaths and $18 billion in costs annually in Canada. The evidence links smoke to increased all-cause mortality, worsened cardiovascular and respiratory disease, neurological conditions such as multiple sclerosis and migraines, stroke, delirium, harm to fetal health, and an association with developing dementia. During the 2023 wildfires, asthma-related emergency visits in Ontario jumped 23.6%.

Floods disrupt transport, supplies and patient discharge. Evacuations overwhelm communities — 20,000 Northwest Territories residents fled to Alberta in 2023. Supply-chain breaks threaten medications and equipment, as COVID-19 showed. The burden lands hardest on underhoused people, people with disabilities, lower-income households and Indigenous communities.

Why does El Niño stress the grid?

The trouble starts months before summer. Milder winters and reduced mountain snowpack cut spring runoff and hydroelectric inflows, leaving reservoirs low just as demand peaks. Extreme heat often coincides with low wind output — Europe's June 2026 heat dome arrived alongside a wind drought, cutting generation while cooling demand soared.

Heat also degrades supply directly. Solar capacity loses roughly 0.4% for every degree above 25°C (77°F), a process called derating, and dims further under smoke. Gas turbines lose capacity on the hottest afternoons for the same reason. The core problem is convergence: demand rises exactly when supply is most constrained, leaving no slack for the next shock.

Who is the shared patient?

Hospitals have backup power. The community mostly doesn't. The households least able to afford cooling, air filtration or backup power are the same populations overrepresented in heat and smoke illness. British Columbia's 2021 heat dome killed more than 619 people, primarily elderly residents of under-resourced communities.

The connections get uncomfortably specific. The heat dome filling emergency departments with heatstroke is the same weather derating the gas turbines powering hospital wards. The smoke triggering asthma attacks also cuts solar output. Insulin refrigeration, elevators in seniors' residences, home oxygen concentrators — all depend on electricity precisely when demand peaks.

That, the researchers argue, is the defining property of a polycrisis: failures neither system can prepare for alone.

What does this change for preparedness?

Here's the practical question — and, to be fair, the answer is where the argument shifts from evidence to advocacy. The researchers say the two systems share defenses as surely as failures: storage, demand flexibility, interties (transmission links letting grids share electricity), backup power at critical facilities, cooling centers with assured power. One system's resilience budget, they write, is the other's prevention budget. Energy-affordability support, in their framing, is preventive medicine delivered through a utility bill.

The forecast's real value, they argue, is lead time. Secure backup power, fund cooling centers, bolster supply chains, identify grid-dependent patients — before the emergency reaches the doorstep.

A caveat worth keeping in view. These are projections built on probability, not certainty, and the polycrisis scenario is a synthesis of past events rather than a single observed catastrophe. The 83% figure covers El Niño strength, not the compound failures themselves. Still, each component of the scenario has happened. The bet is that they won't all arrive together.

via phys.org/rss-feed/ (Source)

Filed under

  • el-nino
  • climate-change
  • health-care-resilience
  • electric-grid-resilience
  • polycrisis
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James Calloway

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Staff writer covering regulation, policy and their impact on general science news at SciBeat.

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