The Global South is expected to face the most severe consequences, with Nigeria projected to experience 31,400 excess deaths, followed by Indonesia with 19,300 and Sudan with 17,600. The Sahel region in Africa, Southeast Asia, and parts of Central and South America are also at high risk. The report warns of increased extreme weather events, such as heatwaves, droughts, and disruptions to global food supplies due to altered rainfall patterns. While the Global North has stronger institutions to mitigate these impacts, poorer nations with weaker infrastructure are more vulnerable. The death toll could rise further if the El Nino extends into 2027, particularly affecting regions like India and Pakistan during their summer months.