ABSTRACT
Saharan dust intrusions strongly impact Atlantic and Mediterranean coastal regions. Today, most operational dust forecasts extend only 2-5 days. Here we show that on timescales of weeks to months, North African dust emission and transport are impacted by sudden stratospheric warmings (SSWs), which establish a negative North Atlantic Oscillation-like surface signal. Chemical transport models show a large-scale dipolar dust response to SSWs, with the burden in the Eastern Mediterranean enhanced up to 30% and a corresponding reduction in West Africa. Observations of inhalable particulate (PM10) concentrations and aerosol optical depth confirm this dipole. On average, a single SSW causes 680-2460 additional premature deaths in the Eastern Mediterranean and prevents 1180-2040 premature deaths in West Africa from exposure to dust-source fine particulate (PM2.5). Currently, SSWs are predictable 1-2 weeks in advance. Altogether, the stratosphere represents an important source of subseasonal predictability for air quality over West Africa and the Eastern Mediterranean.