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		Puerto Rico's death toll from Hurricane 
		Maria raised to nearly 3,000 
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		[August 29, 2018] 
		By Steve Gorman
 (Reuters) - Puerto Rico's official death 
		toll from Hurricane Maria, the most powerful storm to hit the Caribbean 
		island in almost a century, was raised on Tuesday from 64, a number 
		widely discounted as far too low, to nearly 3,000, based on a study 
		ordered by the governor of the U.S. territory.
 
 The report found that an estimated 2,975 deaths could be attributed 
		directly or indirectly to Maria from the time it struck in September 
		2017 to mid-February of this year.
 
 By comparison, deaths blamed on Hurricane Katrina in 2005 range from 
		about 1,200 to more than 1,800, most along the Gulf Coast of Louisiana 
		and Mississippi.
 
 The latest Puerto Rico figure was derived from comparisons between 
		predicted mortality under normal circumstances and deaths documented 
		after the storm, a number that turned out to be 22 percent higher. 
		(Study on Hurricane Maria: https://bit.ly/2wwqEqF)
 
 Researchers said they adjusted for various factors that could account 
		for fluctuations in mortality, most notably the displacement of some 
		241,000 residents who fled the island in the immediate aftermath of the 
		storm.
 
 They also found that the poor and elderly were disproportionately hard 
		hit in terms of risk of fatalities.
 
 The emergency response to Maria became highly politicized as the Trump 
		administration was castigated as being slow to recognize the gravity of 
		the devastation and too sluggish in providing disaster relief to Puerto 
		Rico, an island of more than 3 million residents.
 
 POLITICIZED DISASTER
 
 The storm made landfall with winds close to 150 miles per hour (241 km 
		per hour) on Sept. 17 and plowed a path of destruction across the 
		island, causing property damage estimated at $90 billion and leaving 
		much of the island without electricity for months.
 
 It was the third major hurricane to hit the United States with lethal 
		force in less than a month last year, following Harvey in Texas and Irma 
		in the Caribbean and Florida.
 
 The disconnect between the administration's initial sanguine assessment 
		of the situation and the enormity of the disaster was evident 12 days 
		into the crisis when Elaine Duke, then acting U.S. homeland security 
		secretary, characterized the federal response as "a really good news 
		story" and spoke of a "limited number of deaths."
 
 In a scathing reaction, San Juan Mayor Carmen Yulin Cruz appeared on CNN 
		declaring, "Damn it, this is not a good news story. This is a 
		people-are-dying story. This is a life-or-death story."
 
 In early October 2017, Trump expressed satisfaction with the federal 
		response to Maria, saying it compared favorably with a "real catastrophe 
		like Katrina."
 
 The storm's death toll has remained controversial as unofficial 
		inquiries and independent research suggested the loss of life was far 
		higher than 64 people formally counted as having perished.
 
 Tuesday's study, conducted by George Washington University's Milken 
		Institute School of Public Health and released on Tuesday, was billed as 
		the most comprehensive yet.
 
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            A woman looks as her husband climbs down a ladder at a partially 
			destroyed bridge, after Hurricane Maria hit the area in September, 
			in Utuado, Puerto Rico, November 9, 2017. REUTERS/Alvin Baez/File 
			Photo 
            
 
            White House press secretary Sarah Sanders said the administration 
			supported "efforts to ensure a full accountability and transparency 
			of fatalities" from the hurricane. 
            But U.S. Representative Nydia Velazquez, a New York Democrat, said 
			the study was "only the latest to underscore that the federal 
			response to the hurricanes was disastrously inadequate, and as a 
			result, thousands of our fellow American citizens lost their lives."
 The second phase of the study will examine causes and contributing 
			factors behind the deaths, said Carlos Santos-Burgoa, a professor of 
			global health who was the lead investigator of the study.
 
 Santos-Burgoa said the high death toll, ranking Maria among the 
			worst natural disasters in U.S. history, was evidence that "we lack 
			a culture of preparedness." He said financial instability and a 
			fragile infrastructure made Puerto Rico especially vulnerable to 
			such calamities.
 
 The report was conducted in collaboration with the University of 
			Puerto Rico Graduate School of Public Health and commissioned by 
			Puerto Rico Governor Ricardo Rossello.
 
 Speaking at a news conference in Puerto Rico's capital, San Juan, 
			Rossello said his government was adopting the findings as the 
			official account of human life lost in the disaster, "even though it 
			is an estimate."
 
 "We will take the 2,975 number as the official estimate for the 
			excess deaths as a product of the hurricane," he said.
 
 Researchers attributed undercounting of storm-related deaths to poor 
			communications and the lack of well-established guidelines and 
			training for physicians on how to certify deaths in major disasters.
 
 In May a Harvard University-led research team estimated that 4,645 
			lives were lost from Maria on Puerto Rico. A Pennsylvania State 
			University study put the number at 1,085..
 
 Santos-Burgoa said his group's analysis factored in greater 
			historical data and more statistical variables.
 
 (Reporting by Steve Gorman in Los Angeles; Additional reporting by 
			Gabriella Borter in New York and Karen Pierog Chicago; Editing by 
			Leslie Adler and Lisa Shumaker)
 
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