Effects of the El Niño–Southern Oscillation in the United States
The El Niño–Southern Oscillation affects the location of the jet stream, which alters rainfall patterns across the West, Midwest, the Southeast, and throughout the tropics. The shift in the jet stream also leads to shifts in the occurrence of severe weather, and the number of tropical cyclones expected within the tropics in the Atlantic and Pacific oceans affected by changes in the ocean temperature and the subtropical jet stream. The winter will have a negative phase according to the Arctic oscillation (AO).
During El Niño, the northern tier of the lower 48, as well as southern Alaska, exhibits above normal temperatures during the fall and winter, while the Gulf coast experiences below normal temperatures during the winter season.
Across Alaska, La Niña events lead to drier than normal conditions, while El Niño events do not have a correlation towards dry or wet conditions. During El Niño events, increased precipitation is expected in California due to a more southerly, zonal, storm track. During La Niña, increased precipitation is diverted into the Pacific Northwest due to a more northerly storm track. During La Niña events, the storm track shifts far enough northward to bring wetter than normal winter conditions (in the form of increased snowfall) to the Midwestern states, as well as hot and dry summers. During the El Niño portion of ENSO, increased precipitation falls along the Gulf coast and Southeast due to a stronger than normal, and more southerly, polar jet stream. In the late winter and spring during El Niño events, drier than average conditions can be expected in Hawaii. On Guam during El Niño years, dry season precipitation averages below normal. However, the threat of a tropical cyclone is over triple what is normal during El Niño years, so extreme shorter duration rainfall events are possible. On American Samoa during El Niño events, precipitation averages about 10 percent above normal, while La Niña events lead to precipitation amounts which average close to 10 percent below normal. ENSO is linked to higher average temperatures and abnormal rainfall patterns over Puerto Rico. 
During an El Niño, snowfall is greater than average across the southern Rockies and Sierra Nevada mountain range, and is well-below normal across the Upper Midwest and Great Lakes states. During a La Niña, snowfall is above normal across the Pacific Northwest and western Great Lakes.
During El Niño, the jet stream is oriented from west to east across the southern portion of the United States, making the region more susceptible to severe weather outbreaks. During La Niña, the jet stream and severe weather is likely to be farther north than normal.
Due to changes in upper level winds caused by variations in the ENSO cycle, the likelihood of a North Atlantic hurricane hitting the Continental United States is increased during La Niña conditions, and decreased during El Niño conditions.
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