We try to be inclusive and to let hindsight separate ENSO from other effects. While Peru, Ecuador and to a lesser extent California suffer from heavy rains and flooding, Asia, Namibia, and Hawaii continue in drought. Indonesia appears on the brink of collapse. Recovery of eastern African nations battered by flooding may be stopped by the onset of normal seasonal rains. Dengue Fever appears to be very widespread in Brazil.
Cholera is a problem in most nations experiencing major flooding.