The growing inadequacy of an open-ended Saffir-Simpson hurricane wind scale in a warming world.

Global warming increases available sensible and latent heat energy, increasing the thermodynamic potential wind intensity of tropical cyclones (TCs). Supported by theory, observations, and modeling, this causes a shift in mean TC intensity, which tends to manifest most clearly at the greatest intensities. The Saffir-Simpson scale for categorizing damage based on the wind intensity of TCs was introduced in the early 1970s and remains the most commonly used metric for public communication of the level of wind hazard that a TC poses. Because the scale is open-ended and does not extend beyond category 5 (70 m/s windspeed or greater), the level of wind hazard conveyed by the scale remains constant regardless of how far the intensity extends beyond 70 m/s. This may be considered a weakness of the scale, particularly considering that the destructive potential of the wind increases exponentially. Here, we consider how this weakness becomes amplified in a warming world by elucidating the past and future increases of peak wind speeds in the most intense TCs. A simple extrapolation of the Saffir-Simpson scale is used to define a hypothetical category 6, and we describe the frequency of TCs, both past and projected under global warming, that would fall under this category. We find that a number of recent storms have already achieved this hypothetical category 6 intensity and based on multiple independent lines of evidence examining the highest simulated and potential peak wind speeds, more such storms are projected as the climate continues to warm.

Increased U.S. coastal hurricane risk under climate change.

Several pathways for how climate change may influence the U.S. coastal hurricane risk have been proposed, but the physical mechanisms and possible connections between various pathways remain unclear. Here, future projections of hurricane activity (1980-2100), downscaled from multiple climate models using a synthetic hurricane model, show an enhanced hurricane frequency for the Gulf and lower East coast regions. The increase in coastal hurricane frequency is driven primarily by changes in steering flow, which can be attributed to the development of an upper-level cyclonic circulation over the western Atlantic. The latter is part of the baroclinic stationary Rossby waves forced mainly by increased diabatic heating in the eastern tropical Pacific, a robust signal across the multimodel ensemble. Last, these heating changes also play a key role in decreasing wind shear near the U.S. coast, further aggravating coastal hurricane risk enhanced by the physically connected steering flow changes.

Convergence of climate-driven hurricanes and COVID-19: The impact of 2020 hurricanes Eta and Iota on Nicaragua.

The 2020 Atlantic hurricane season was notable for a record-setting 30 named storms while, contemporaneously, the COVID-19 pandemic was circumnavigating the globe. The active spread of COVID-19 complicated disaster preparedness and response actions to safeguard coastal and island populations from hurricane hazards. Major hurricanes Eta and Iota, the most powerful storms of the 2020 Atlantic season, made November landfalls just two weeks apart, both coming ashore along the Miskito Coast in Nicaragua's North Caribbean Coast Autonomous Region. Eta and Iota bore the hallmarks of climate-driven storms, including rapid intensification, high peak wind speeds, and decelerating forward motion prior to landfall. Hurricane warning systems, combined with timely evacuation and sheltering procedures, minimized loss of life during hurricane impact. Yet these protective actions potentially elevated risks for COVID-19 transmission for citizens sharing congregate shelters during the storms and for survivors who were displaced post-impact due to severe damage to their homes and communities. International border closures and travel restrictions that were in force to slow the spread of COVID-19 diminished the scope, timeliness, and effectiveness of the humanitarian response for survivors of Eta and Iota. Taken together, the extreme impacts from hurricanes Eta and Iota, compounded by the ubiquitous threat of COVID-19 transmission, and the impediments to international humanitarian response associated with movement restrictions during the pandemic, acted to exacerbate harms to population health for the citizens of Nicaragua.

Scrambling For Safety In The Eye Of Dorian: Mental Health Consequences Of Exposure To A Climate-Driven Hurricane.

As climate change alters the behavior of Atlantic hurricanes, these storms are trending stronger, wetter, and slower moving over coastal and island populations. Hurricane Dorian exemplified all three attributes. Dorian's destructive passage over the Abaco Islands, Bahamas, on September 1, 2019, exposed residents of its capital, Marsh Harbour, to a prolonged encounter with the storm's core. After Dorian's fierce front eyewall and towering storm surge tore apart shanty town habitats and eviscerated concrete homesites, residents desperately sought refuge during the brief respite when Dorian's eye passed directly overhead. The category 5 winds then resumed abruptly and Dorian continued its relentless destruction. This article focuses on the storm's mental health consequences, drawing on observations of on-site clinicians as well as findings from previous research on the mental health effects of Atlantic hurricanes and the transformation of hurricane hazards resulting from climate change. To protect island and coastal populations against climate-driven storms, disaster planning policy should emphasize resilience-focused prevention and mitigation strategies. In the aftermath of these events, health system response should include community outreach, case finding, and evidence-based interventions that optimize the use of mental health professionals.

Mitigating the Twin Threats of Climate-Driven Atlantic Hurricanes and COVID-19 Transmission.

The co-occurrence of the 2020 Atlantic hurricane season and the ongoing coronavirus disease 2019 (COVID-19) pandemic creates complex dilemmas for protecting populations from these intersecting threats. Climate change is likely contributing to stronger, wetter, slower-moving, and more dangerous hurricanes. Climate-driven hazards underscore the imperative for timely warning, evacuation, and sheltering of storm-threatened populations - proven life-saving protective measures that gather evacuees together inside durable, enclosed spaces when a hurricane approaches. Meanwhile, the rapid acquisition of scientific knowledge regarding how COVID-19 spreads has guided mass anti-contagion strategies, including lockdowns, sheltering at home, physical distancing, donning personal protective equipment, conscientious handwashing, and hygiene practices. These life-saving strategies, credited with preventing millions of COVID-19 cases, separate and move people apart. Enforcement coupled with fear of contracting COVID-19 have motivated high levels of adherence to these stringent regulations. How will populations react when warned to shelter from an oncoming Atlantic hurricane while COVID-19 is actively circulating in the community? Emergency managers, health care providers, and public health preparedness professionals must create viable solutions to confront these potential scenarios: elevated rates of hurricane-related injury and mortality among persons who refuse to evacuate due to fear of COVID-19, and the resurgence of COVID-19 cases among hurricane evacuees who shelter together.

Global increase in major tropical cyclone exceedance probability over the past four decades.

Theoretical understanding of the thermodynamic controls on tropical cyclone (TC) wind intensity, as well as numerical simulations, implies a positive trend in TC intensity in a warming world. The global instrumental record of TC intensity, however, is known to be heterogeneous in both space and time and is generally unsuitable for global trend analysis. To address this, a homogenized data record based on satellite data was previously created for the period 1982-2009. The 28-y homogenized record exhibited increasing global TC intensity trends, but they were not statistically significant at the 95% confidence level. Based on observed trends in the thermodynamic mean state of the tropical environment during this period, however, it was argued that the 28-y period was likely close to, but shorter than, the time required for a statistically significant positive global TC intensity trend to appear. Here the homogenized global TC intensity record is extended to the 39-y period 1979-2017, and statistically significant (at the 95% confidence level) increases are identified. Increases and trends are found in the exceedance probability and proportion of major (Saffir-Simpson categories 3 to 5) TC intensities, which is consistent with expectations based on theoretical understanding and trends identified in numerical simulations in warming scenarios. Major TCs pose, by far, the greatest threat to lives and property. Between the early and latter halves of the time period, the major TC exceedance probability increases by about 8% per decade, with a 95% CI of 2 to 15% per decade.

Forecast: Increasing Mental Health Consequences From Atlantic Hurricanes Throughout the 21st Century.

Global environmental climate change is altering the behavior of hurricanes. Hurricane seasons are becoming more active, generating storms that are ever more damaging to coastal and island communities. Exposure to hurricane hazards and experiencing resultant losses and life changes can lead to new-onset mental disorders among previously healthy survivors and jeopardize the health of persons with preexisting mental illness. High rates of common mental disorders have been documented after recent hurricanes. As hurricanes become increasingly severe, health care systems may expect to see more mental illness related to these extreme storms. Psychiatrists and allied health professionals can play vital roles in several areas: educating and preparing current caseloads of patients for possible storm impacts; intervening with persons who develop new-onset disorders after storm exposure; providing consultation to public health and community preparedness leadership about the mental health consequences of hurricanes; participating actively in community emergency response; and championing the integration of psychiatry with climate science and advocacy.

Past and Future Hurricane Intensity Change along the U.S. East Coast.

The ocean and atmosphere in the North Atlantic are coupled through a feedback mechanism that excites a dipole pattern in vertical wind shear (VWS), a metric that strongly controls Atlantic hurricanes. In particular, when tropical VWS is under the weakening phase and thus favorable for increased hurricane activity in the Main Development Region (MDR), a protective barrier of high VWS inhibits hurricane intensification along the U.S. East Coast. Here we show that this pattern is driven mostly by natural decadal variability, but that greenhouse gas (GHG) forcing erodes the pattern and degrades the natural barrier along the U.S. coast. Twenty-first century climate model projections show that the increased VWS along the U.S. East Coast during decadal periods of enhanced hurricane activity is substantially reduced by GHG forcing, which allows hurricanes approaching the U.S. coast to intensify more rapidly. The erosion of this natural intensification barrier is especially large following the Representative Concentration Pathway 8.5 (rcp8.5) emission scenario.

Risks, Health Consequences, and Response Challenges for Small-Island-Based Populations: Observations From the 2017 Atlantic Hurricane Season.

ABSTRACTThe intensely active 2017 Atlantic basin hurricane season provided an opportunity to examine how climate drivers, including warming oceans and rising seas, exacerbated tropical cyclone hazards. The season also highlighted the unique vulnerabilities of populations residing on Small Island Developing States (SIDS) to the catastrophic potential of these storms. During 2017, 22 of the 29 Caribbean SIDS were affected by at least one named storm, and multiple SIDS experienced extreme damage. This paper aims to review the multiplicity of storm impacts on Caribbean SIDS throughout the 2017 season, to explicate the influences of climate drivers on storm formation and intensity, to explore the propensity of SIDS to sustain severe damage and prolonged disruption of essential services, to document the spectrum of public health consequences, and to delineate the daunting hurdles that challenged emergency response and recovery operations for island-based, disaster-affected populations. (Disaster Med Public Health Preparedness. 2019;13:5-17).

Hurricane Maria's Impact on Punta Santiago, Puerto Rico: Community Needs and Mental Health Assessment Six Months Postimpact.

OBJECTIVES: This pilot study aimed to assess the community needs and population health status for the low-income town of Punta Santiago, situated on the southeastern coast of Puerto Rico at the point where Hurricane Maria made landfall on September 20, 2017. METHODS: A cross-sectional, interviewer-administered survey was conducted 6 months after the storm with a representative random sample of 74 households. The survey characterized population demographics and resident needs in relation to storm damage and disruption. The survey also assessed prevalence and symptom severity of major depression, generalized anxiety, and posttraumatic stress disorder. RESULTS: Most of Punta Santiago was without electrical power and more than half of households sustained severe damage. Residents reported loss of jobs, decreased productivity, school closures, dependency on aid for basic necessities, increased risk for vector-borne diseases, unrelenting exposure to heat and humidity, and diminished health status. Two-thirds (66.2%) of the respondents had clinically significant symptom elevations for at least 1 of the 3 common mental disorders assessed: major depression, generalized anxiety, or posttraumatic stress disorder. CONCLUSIONS: Pilot survey results, along with other studies conducted in Punta Santiago, can be used to provide guidance for interventions with this community as well as with other low-income, storm-affected areas. (Disaster Med Public Health Preparedness. 2019;13:18-23).

Author Correction: A global slowdown of tropical-cyclone translation speed.

In this Letter, two errors in the methodology are corrected, leading to changes in Figs. 1-3 and Extended Data Figs. 1 and 2, although the essential results are not affected. The original Letter has been corrected online.