BENGALURU, India (AP) — Sizzling heat across Asia and the Middle East in late April that echoed last year’s destructive swelter was made 45 times more likely in some parts of the continent because of human-caused climate change, a study Tuesday found.

Scorching temperatures were felt across large swaths of Asia, from Gaza in the west — where over 2 million people face clean water shortages, lack of health care and other essentials amid the Israeli bombardment — to the Philippines in the southeast, with many parts of the continent experiencing temperatures well above 40 degrees Celsius (104 degrees Fahrenheit) several days in a row.

The study was released by the World Weather Attribution group of scientists, who use established climate models to quickly determine whether human-caused climate change played a part in extreme weather events around the world.