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The June 2021 heat wave in British Columbia was the deadliest disaster in the province's history, resulting in 619 direct heat-related deaths. The report estimates the societal cost of these lives lost at $5.5 billion using the Value of a Statistical Life (VSL) metric. Beyond mortality, the event caused $12 million in healthcare costs, significant agricultural revenue losses (at least $25 million), and disruptions to electricity and transportation infrastructure. Vulnerabilities were exacerbated by a lack of mechanical cooling in homes, inadequate urban greening, and institutional failures in disaster response and communication. The report argues that without adaptation, heat-related hospitalizations could double by 2030 and annual deaths could average 1,370 by 2030. Key recommendations include updating building codes for mechanical cooling, increasing urban forest canopies, improving weather warning lead times to three days, and implementing independent public reviews of disaster responses.

The study finds that the extreme two-day rainfall during Tropical Storm Imelda in September 2019 was made more likely and more intense by anthropogenic climate change. Observational data suggests the probability of such an event has increased by a factor of 2.6 since 1900, while climate model synthesis indicates a probability increase of 1.5 to 3.1 times and an intensity increase of 9% to 21%. The report also notes that rapid urban expansion and loss of impervious cover in Southeast Texas have exacerbated flooding risks for approximately 6.6 million people in the impacted counties.

The study investigates the 2014/15 drought in southeast Brazil, specifically focusing on the impacts in São Paulo. Using a multi-method approach including historical observations and climate model simulations, the researchers found limited evidence that human-induced greenhouse gas emissions increased the hydrometeorological hazard. Instead, the severe impacts on water supply were primarily attributed to rapid population growth and increased water consumption.