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Using updated CoastalDEM elevation data and IPCC medium-to-high emissions scenarios, Climate Central projects that by 2100, annual coastal flood risk zones will expand to include areas where an additional 93 million people currently live. The report highlights severe population impacts in Asia, particularly in China, Bangladesh, and Vietnam, and provides the first full assessment of population exposure in Arctic nations.

The assessment identifies the Cape Coast Municipal Assembly (CCMA) as highly vulnerable to climate change, particularly through flooding and rising temperatures. Agriculture is ranked as the most vulnerable sector due to a total reliance on rainfed systems. The report highlights that coastal communities face severe risks from sea-level rise and erosion, exacerbated by illegal sand mining. Future projections indicate steadily rising temperatures and variable rainfall, necessitating adaptation strategies such as nature-based solutions, improved drainage, and the introduction of irrigation.

The report analyzes the flood and heat risks in Durán, Ecuador, finding that 60% of the canton faces medium to very high flood risk. It identifies a strong correlation between informal settlements, low socioeconomic status, and high vulnerability. The study recommends a master plan for storm drainage, the restoration of mangroves to mitigate tidal effects, and the implementation of urban green structures to increase resilience.