Extreme positive Indian Ocean Dipole (pIOD) affects weather, agriculture, ecosystems, and public health worldwide, particularly when exacerbated by an extreme El Niño. The Paris Agreement aims to limit warming below 2 °C and ideally below 1.5 °C in global mean temperature (GMT), but how extreme pIOD will respond to this target is unclear.

Emergency risk communication (ERC) programs that activate when the ambient temperature is expected to cross certain extreme thresholds are widely used to manage relevant public health risks. In practice, however, the effectiveness of these thresholds has rarely been examined. The goal of this study is to test if the activation criteria based on extreme temperature thresholds, both cold and heat, capture elevated health risks for all‐cause and cause‐specific mortality and morbidity in the Minneapolis‐St. Paul Metropolitan Area.

Event attribution in the context of climate change seeks to understand the role of anthropogenic greenhouse gas emissions on extreme weather events, either specific events or classes of events. A common approach to event attribution uses climate model output under factual (real-world) and counterfactual (world that might have been without anthropogenic greenhouse gas emissions) scenarios to estimate the probabilities of the event of interest under the two scenarios.