Empirical Orthogonal Functions (EOF) analysis between the anomalies of Lake Titicaca water levels (WLs) and the Pacific Interdecadal Oscillation (IPO) reveals a correlation coefficient of 0.71 between the WLs and the principal component (PC1). These findings demonstrate the high accuracy of the IPO in representing the positive and negative phases of the water levels. By utilizing wavelet functions, we identified multi-decadal variability with periods ranging between 20 and 30 years. The statistical techniques employed indicate a relationship between IPO and ENSO; however, they operate on different timescales of climate variability. The IPO exhibits longer-term variability, typically spanning 20-30 years, while ENSO events occur on average every 2-7 years. Nevertheless, the IPO has the ability to modulate the strength and frequency of El Niño and La Niña events, and vice versa. During the positive phase of the IPO, there is a tendency for more frequent and intense El Niño events, accompanied by fewer La Niña events. This can be attributed to warmer sea surface temperatures in the central and eastern Pacific, which create favorable conditions for El Niño development. Conversely, during the negative phase of the IPO, there is a tendency for more frequent and intense La Niña events, with fewer occurrences of El Niño events, due to cooler sea surface temperatures in the central and eastern Pacific.

Amyotrophic lateral sclerosis (ALS) disease clusters are found in several countries worldwide. In the United States, ALS clusters are found in many states, largely within the northern United States. The cause of the increased rates of ALS in these areas remains indefinite. It is reported here that many ALS clusters are associated with sites of current or prior glacial lakes, or regions containing an abundance of silts and clay minerals. The potential significance of these findings in ALS is discussed.