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The current El Nino could cause 451,000 excess heat deaths. Researchers warn it offers a glimpse of temperatures that may become normal within 20 years.
The super El Niño could cause 31,400 extra heat deaths in Nigeria alone. Heat warnings, cooling centres and worker protections could help save lives.
El Niño has strengthened further, with temperatures in a region of the Pacific Ocean reaching about 3°C above average in mid-September, as forecasters warn it could become one of the strongest on record.