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El Niño and hydrometeorological disasters cause significant health impacts including infections and food insecurityEl Niño Weather Patterns Linked to Health Risks in Latin America

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Key Takeaway
Recognize El Niño as a driver of waterborne infections, food insecurity, and chronic disease care disruption.

This narrative review explores the health consequences of El Niño (ENSO) and associated hydrometeorological disasters, such as floods, droughts, and wildfires, specifically within the context of Latin America and the Caribbean. The review synthesizes potential impacts including immediate mortality, injury, and the spread of waterborne and vector-borne infections. Additionally, it highlights broader systemic issues such as food insecurity, undernutrition, and toxic exposures.

Beyond immediate physical impacts, the review identifies significant secondary consequences, including the disruption of chronic disease care, psychological distress, and a prolonged burden on health systems. It also notes the potential for food-system disruption and health-service interruptions during these events. The authors note a specific limitation in the evidence: the difficulty in distinguishing between health outcomes directly linked to ENSO versus those resulting from hydrometeorological disasters without formal attribution to ENSO.

For clinical practice, the review advocates for anticipatory preparedness. This includes early warning systems, flood-risk mapping, and water, sanitation, and hygiene (WASH) interventions. It also emphasizes the need for robust surveillance and risk communication tailored to local forecasts to mitigate the impact of these recurring environmental events.

How this fits prior evidence

This narrative review addresses a gap in understanding the impact of environmental factors on public health. It specifically addresses the risk of undernutrition, which was previously linked to higher risk in post-TB lung disease. While the review identifies food insecurity and undernutrition as consequences of El Niño, it does not provide specific data on the prevalence of these conditions in the population.

This review looks at how El Niño and related weather events, such as floods and droughts, impact health in Latin America and the Caribbean. These weather patterns can lead to immediate dangers like injuries and death. They also increase the risk of waterborne and vector-borne infections, which spread through water or insects.

Beyond immediate illness, these events can cause long-term problems. They may disrupt food supplies, leading to undernutrition, and can interfere with the care of people with chronic diseases. The review also notes that these events can cause psychological distress and put a heavy burden on local health systems.

Because it is hard to tell which health issues are caused directly by El Niño versus general weather disasters, experts suggest better preparation. This includes early warning systems, flood mapping, and better water and sanitation. These steps help communities prepare for the risks that come with changing weather patterns.

What this means for you:
El Niño weather patterns can lead to infectious diseases, food insecurity, and disrupted healthcare services.

Common questions

What health risks are linked to El Niño weather?

El Niño and related disasters like floods and droughts can lead to immediate risks such as injury and death. They also increase the risk of waterborne and vector-borne infections. Additionally, these events can cause food insecurity, undernutrition, and psychological distress for those affected by the changing weather.

How does El Niño affect people with chronic diseases?

Extreme weather events associated with El Niño can cause a disruption in care for people with chronic diseases. These events can also put a heavy burden on the local health system, making it harder for medical facilities to provide consistent care during periods of flooding or drought.

How can communities prepare for these health risks?

Experts suggest several ways to prepare, including using early warning systems and mapping flood risks. They also recommend improving water and sanitation interventions, increasing surveillance, and providing clear risk communication based on local weather forecasts to help communities stay safe.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
El Niño is a recurrent mode of tropical Pacific climate variability with major public health implications for Latin America and the Caribbean. Its development is partly driven by the Bjerknes feedback, a coupled ocean–atmosphere process in which weakened equatorial trade winds reduce coastal upwelling and allow warm surface waters to shift eastward. Warming of the central and eastern tropical Pacific can reshape regional rainfall and temperature patterns, increasing the likelihood of floods, droughts, wildfires, food-system disruption, and health-service interruption in locations with established ENSO teleconnections. This narrative review synthesizes evidence on the environmental and health pathways through which El Niño may affect populations in Latin America and the Caribbean. We distinguish evidence directly linking health outcomes to ENSO or Coastal El Niño from evidence derived from floods, droughts, wildfires, and other hydrometeorological disasters without formal attribution to ENSO. The latter is used to characterize plausible health pathways and preparedness needs rather than ENSO-specific causal effects. Potential consequences include immediate mortality and injury, waterborne and vector-borne infections, disruption of chronic disease care, food insecurity, undernutrition, toxic exposures, psychological distress, and prolonged health-system burden. The timing and persistence of these effects are context-dependent; preparedness and response priorities are therefore organized by operational needs rather than fixed post-event intervals. As of August 2026, authoritative forecasts indicated that El Niño was present and strengthening, providing a current illustration of why anticipatory preparedness is necessary while not guaranteeing any specific regional impact. Early warning, flood-risk mapping, water, sanitation, and hygiene interventions, epidemiological and entomological surveillance, continuity of health services, and community-centered risk communication should therefore be adapted to local forecasts, vulnerabilities, and surveillance data.
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