Santa Fe New Mexican

Debate on storm’s toll rages in Puerto Rico

Initially pegged at 64 dead in Hurricane Maria, new government estimates may send number much higher

- By Danica Coto ERIKA P. RODRIGUEZ/NEW YORK TIMES

FSAN JUAN, Puerto Rico acing at least three lawsuits demanding more data on the death toll of Hurricane Maria, Puerto Rico’s government released new informatio­n Tuesday that added detail to the growing consensus that hundreds or even thousands of people died as a direct or indirect result of the storm.

According to the new data, there were 1,427 more deaths from September to December 2017 than the average for the same time period over the previous four years. Additional­ly, September and October had the highest number of deaths of any months since at least 2013. But the statistics don’t indicate whether the storm and its aftermath contribute­d to the additional deaths.

And a Harvard study published last month estimates there were as many as 4,600 more deaths than usual in the three months after Maria, although some independen­t experts questioned the methodolog­y and the numbers in that study.

The Puerto Rican government says it believes more than 64 people died as a result of the storm but it will not raise its official toll until George Washington University completes a study of the data being carried out on behalf of the U.S. territory.

The issue is clouded by the fact that the federal government and U.S. states and territorie­s have no uniform definition of what constitute­s a storm-related death. The National Hurricane Center counts only deaths directly caused by a storm, like a person killed by a falling tree. It does not count indirect deaths, like someone whose medical equipment fails in a blackout.

Puerto Rico began by counting mostly direct deaths, with some indirect ones. Then it stopped updating its toll entirely while it waits for the George Washington University study, due later this summer.

The death count has had political implicatio­ns. Visiting Puerto Rico on Oct. 3, two weeks after the storm hit, President Donald Trump asked Gov. Ricardo Rossello what the death toll was. “Sixteen,” Rossello answered. “Sixteen people certified,” Trump said. “Sixteen people versus in the thousands. You can be very proud of all of your people and all of our people working together. Sixteen versus literally thousands of people. You can be very proud. Everybody watching can really be very proud of what’s taken place in Puerto Rico.”

On Monday, two Democrats introduced a bill to the Republican-controlled Congress that would establish federal procedures for counting deaths after a natural disaster, saying that will help improve the federal response and be key to allocating federal funds. The $2 million proposed project would allow the U.S. Federal Emergency Management Agency to hire the National Academy of Medicine to do a study on how best to assess fatalities during and after a disaster, given that the process is currently left up to U.S. states and territorie­s.

“Nobody rebuilding his or her life after a natural disaster should suffer the negligence we’ve seen in Puerto Rico,” Rep. Raul Grijalva of Arizona said. “Too many Puerto Rican families are suffering additional burdens today because officials won’t acknowledg­e their loved ones’ deaths.

Thousands of sick Puerto Ricans were unable to receive medical care in the months after the storm caused the worst blackout in U.S. history, which continues to this day, with 6,983 home and businesses still without power.

The data released Tuesday showed increases in several illnesses in 2017 that could have been linked to the storm: Cases of sepsis, a serious bloodstrea­m infection usually caused by bacteria, rose from 708 in 2016 to 835 last year. Deaths from diabetes went from 3,151 to 3,250 and deaths from heart illnesses increased from 5,417 to 5,586.

The data was not broken down by month, preventing an analysis of whether the illnesses rose after Hurricane Maria.

CNN and the Puerto Rico Center for Investigat­ive Journalism sued the Puerto Rican government after it refused to release a detailed accounting of deaths in the wake of the storm. On June 5, a judge gave the government until Tuesday to release a database listing the causes of death of all those who died from two days before the storm until today, along with all the death certificat­es and burial and cremation certificat­es for the same period.

“People still don’t have a clear picture as to how many lives were lost due to a lack of food, medicine, health services or simply because of an ineffectiv­e response to an emergency. That’s why it’s urgent to shed light on all components of government preparedne­ss and response,” Judge Lauracelis Roques wrote in her ruling.

 ??  ?? Men slog through a flooded area in Loiza, Puerto Rico, searching for people to rescue Sept. 21 after Hurricane Maria hit.
Men slog through a flooded area in Loiza, Puerto Rico, searching for people to rescue Sept. 21 after Hurricane Maria hit.

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