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“Women from the periphery also tend to get pregnant more easily,” Rocha said. “The weather is hot and they wear shorts so they are more exposed [to insect bites].”

Most of the women whose babies she has been treating are from the poorer parts of the city or the state, where rubbish collection is sporadic and the lack of running water means residents have to store their own, creating potential mosquito breeding sites.

“Previously, people didn’t always want to let us into their homes,” she said. “But the army is respected and so residents are more likely to let us in.”

In fact, it’s probably the strongest that’s ever been measured. I

In fact, due to an atmospheric lag, extreme weather will likely keep getting worse for several more months. Though El Niño is typically the most powerful player among the world’s constantly feuding meteorological morphologies, it takes months for its burst of heat to filter around the globe from the tropical Pacific. Ocean temperatures in the El Niño regions of the Pacific usually peak in November or December, but globally-averaged temperatures don’t typically peak until between February and July of the following year.

Though El Niño is the proximate cause of many of this year’s weather records, its effects are an upward wiggle on top of the slow-rolling steamroller of climate change.