From a few days ago: locally acquired dengue in Northern Virginia. Limited local spread has been reported elsewhere in (southern) USA. We expect diseases to shift as climate change progresses, including insect-borne diseases as disease-carrying insects become established in new regions.

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This is now indeed shaping up to be a mega El Niño event:

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See Li et al's Review Article: Updates on endothelial injury in dermatomyositis: Clinical correlations and potential mechanisms doi.org/10.1016/j.ji... #DermatologyJournal #dermatology #dermsky #dermatologists #dermresearch #dermscience #dermatologyresearch

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We didn't previously integrate wildfire-smoke costs into the supposed cost of climate change for the US, and it turns out to be bigger than all those other costs combined. Oops! Gosh I wonder if we're underestimating anything else. Probably shoulda done something about this. Ah well.

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Let's do some Canadian pipeline-wildfire math. The Canadian Energy Center says growing oil exports by 1.5M barrels/day **could** boost GDP by ~31B annually. Meanwhile, wildfire smoke health costs alone - just the health costs, nothing else - averaged 23B/year, past tense. And they're growing fast.

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