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The study identifies a positive association between dengue fever occurrence in the Belize District and both precipitation and minimum temperature. Projections for the 2050s suggest a general warming trend with an increase in the frequency of days where minimum temperatures exceed 18°C, which may increase DF occurrence. Conversely, a projected increase in days where maximum temperatures exceed 32°C may create less favourable conditions for the disease. The report emphasizes that non-climate factors, including changes in health reporting structures and socio-economic drivers, also influence DF trends.

The report identifies high-risk hotspots in Belize's coastal tourism sector, particularly Ambergris Caye, Caye Caulker, and the Central and South Central regions, which face significant threats from sea-level rise, thermal stress on coral reefs, and hurricane intensity. It highlights that 86% of tourism facilities are highly vulnerable to sea-level rise, with potential GDP losses of over US $61 million from a 1m rise. While some regions like the Northern and Southern areas show medium vulnerability, the overall outlook suggests a high potential impact on the industry's future viability.

The document assesses future climate projections for Belize City using a Weather Generator tool, finding that while June, July, and August may see decreased rainfall and increased temperatures, October and November are projected to experience higher intensity and more variable rainfall. These changes, combined with the city's flat elevation and poor drainage infrastructure, increase the risk of severe flooding and associated health hazards. The study emphasizes the need for updated building codes, better land-use planning, and integrated climate change considerations in infrastructure design to mitigate these risks.