Albuquerque Journal

Puerto Ricans describe the slow-motion disaster of Maria

Survivors’ stories belie Trump’s boasts about U.S. response

- BY MICHAEL WEISSENSTE­IN, ANA CAMPOY AND OMAYA SOSA ASSOCIATED PRESS

SAN JUAN, Puerto Rico — Ramona Gonzalez did not drown when Hurricane Maria drenched Puerto Rico. She did not die in the tempest, or from destructio­n wrought by the storm’s 154 mph winds.

Instead, the disabled, 59-year-old woman died a month later, from sepsis — caused, says her family, by an untreated bedsore.

In all, the storm and its aftermath took the lives of unfortunat­es like Gonzalez and thousands of others, many of whom could have been saved with standard medical treatment. This was a slow-motion, monthslong disaster that kept Puerto Ricans from getting the care they needed for treatable ailments, even as President Donald Trump lauded his administra­tion’s response.

A year after Maria roared across the Caribbean, reporters for the Associated Press, the news site Quartz and Puerto Rico’s Center for Investigat­ive Journalism have put together the most detailed portrait yet of the agonizing final days of victims of the storm, interviewi­ng 204 families of the dead and reviewing the accounts of 283 more to tell the stories of heretofore anonymous victims.

Trump cast doubt on the storm’s widely accepted death toll Thursday, tweeting that “3000 people did not die” when Maria hit after a near-miss by Hurricane Irma in September, 2017. He said the death count had been inflated “by the Democrats in order to make me look as bad as possible,” by adding unrelated deaths to the toll from causes like old age.

But the joint investigat­ion reflects how Puerto Rico’s most vulnerable fell victim to the dire conditions created by the storms.

Disabled and elderly people were discharged from overwhelme­d hospitals with bedsores that led to fatal infections. Medical oxygen ran out. People caught lung infections in sweltering private nursing homes and state facilities. Kidney patients got abbreviate­d treatments from dialysis centers that lacked generator fuel and fresh water, despite pleas for federal and local officials to treat them as a higher priority, according to patient advocates.

Along with post-storm conditions, each death has a complex mix of causes making it difficult to definitive­ly apportion blame in every case. But critics say many could have been saved by better preparatio­n and emergency response.

“I was looking for help and no one came,” said Maria Gonzalez Munoz, who spent 30 days after the storm caring for her sister in her blacked-out home.

Maria and her brother took Ramona to a hospital twice, and tried to get her aboard a Navy medical ship in San Juan harbor, but couldn’t save their ailing sister.

“No one was asking after us, no one from the government,” said Gonzalez Munoz, 66.

The hurricane’s true death toll has fueled debate since the first days of the storm, in large part because of the near-unique nature of the disaster.

Largely due to decades of neglect and years of fiscal crisis, the Puerto Rican electrical grid collapsed into the United States’ longest-ever blackout after Maria hit on Sept. 20, 2017. That spawned a long and deadly tail for the storm, with hundreds of deaths coming long after the first weeks of the storm, as medical equipment failed and sick people weakened in the suffocatin­g heat.

Researcher­s from George Washington University hired by Puerto Rico’s government estimated last month that 2,975 people had died because of Maria in the six months after landfall, a number Puerto Rico accepted as official.

Though Trump continued to assert this week that his administra­tion’s efforts in Puerto Rico were “incredibly successful,” both the local and federal government­s have been heavily criticized for inadequate planning and poststorm response. The GWU report found that Puerto Rico had no plan for communicat­ion with its citizens in a crisis. The Center for Investigat­ive Journalism found in May that the island’s health department had no emergency response plan for hospitals and other medical facilities.

As for the Trump administra­tion, more than half of federal emergency personnel in Puerto Rico were not qualified for their assigned tasks as of October 2017, a month after landfall, according to a Sept. 5 report by the U.S. Government Accountabi­lity Office.

Puerto Rican officials did not respond to request for comment.

Puerto Rico’s governor said last week that his administra­tion has adopted new measures to better prepare for a disaster like Maria although he warned of limitation­s given the U.S. territory’s economic crisis.

 ?? RAMON ESPINOSA /ASSOCIATED PRESS ?? Maria Gonzalez Munoz, right, and Juan Manuel Gonzalez pose in San Juan, Puerto Rico, earlier this month with an image of Jesus surrounded by photos of Munoz’s sister Ramona taken during her illness and funeral.
RAMON ESPINOSA /ASSOCIATED PRESS Maria Gonzalez Munoz, right, and Juan Manuel Gonzalez pose in San Juan, Puerto Rico, earlier this month with an image of Jesus surrounded by photos of Munoz’s sister Ramona taken during her illness and funeral.

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