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The report finds that dangerously hot summer days and heat waves have become more common in the US Midwest since the 1940s and 1950s. It highlights that nighttime temperatures have risen, reducing the cooling relief necessary to prevent heat-related illness. The analysis, covering 10 cities, indicates that these trends are not solely due to urban heat island effects, as smaller cities showed similar increases. Future projections suggest a significant increase in days over 90°F and 100°F by the end of the century if high carbon emissions continue.