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'Surviving Maria' a special Univision report on the aftermath of the storm

One year ago, Hurricane Maria devastated Puerto Rico. After the storm, the island’s healthcare system collapsed. While some clung to the few services available, others invented their own solutions to stay alive. Many felt the U.S. government had forgotten them.
20 Sep 2018 – 11:58 AM EDT
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A year after Maria Puerto Rico's health system is still in recovery.
Crédito: Univision

Hurricane Maria made landfall in Puerto Rico’s southeast region with 155 mph winds. Barely two weeks had passed since Hurricane Irma grazed the island. The island went dark, with no communication system. When the chronically ill and the wounded went to seek treatment, they often learned that hospitals could not provide services.

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'Surviving Maria' tells the story of Maria through a series of vignettes about those who lived through it.

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In July 2018, when the storm Beryl threatened the island, supermarkets in Puerto Rico were emptied. In September, three hurricanes passed through the Atlantic Ocean.
Crédito: Univision

One month after the hurricane, Mirella suffered a stroke. Now she clings to life through a respirator. Many of the deaths resulting from the hurricane were linked to the lack of electricity.

Though authorities continued to report 64 deaths, journalists working independently began to find far higher numbers. Facing pressure, the government commissioned George Washington University to conduct a study, which concluded that 2,975 people had died as a result of the hurricane.

Cementerio en Puerto Rico
Crédito: Univision

Governor Ricardo Rossello admitted that Puerto Rico's disaster protocols were "insufficient" and said doctors were not prepared to accurately report deaths in the midst of a catastrophe.

The mayors of Yabucoa and Cayey, the first municipalities struck by María, spoke to Univision about the deaths, blaming them on a lack of electricity. They criticized the island and the U.S. government for their slow response.

“I will never forget a man in my town who committed suicide one morning," said Rafael Surillo, Yabacoa's mayor. "That afternoon the power came back on in the area where he lived. That really shocked us all.”

Rafael Surillo, Yabucoa mayor.
Crédito: Univision

“Although I have experienced other hurricanes, I had never lived through an experience as arduous as María," said Jerry Medina, Yabacoa municipal director of Medical Emergencies. "Now we have prepared ourselves with a new radio system. We’re switching over to analog, because everything digital collapsed during Maria.”

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President Donald Trump insists that his government's response to the disaster in Puerto Rico was "successful" and "one of the best jobs that's ever been done."

But many Puerto Ricans argue that the federal government discriminated against the island because it’s a U.S. territory, not a state.

This year, FEMA recognized its failures in attending to the island’s needs: it admitted local personnel were not prepared to respond to a Category 4 hurricane like Maria.

Puerto Rico’s Secretary of Public Safety, Héctor Pesquera, has been heavily criticized for the agency’s slow and insufficient response to the emergency.

Puerto Rico has 69 hospitals, both public and private. Some will be demolished, like the hospital on the island of Vieques. Others have already trained their doctors with new protocols in the case of another major hurricane. The Dr. Federico Trilla hospital, located 11 miles from San Juan, is one such hospital.

Health care services have improved since Maria. “I would say that the whole country will now be more prepared than we were when Maria hit," said Alicia Suárez, executive director of the Puerto Rico Association of Primary Health. "Many clinics now have two or three generators; they have solar panels to provide energy at least to the emergency room, or where medicines or vaccines are distributed.”

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But, a doctor shortage has aggravated the health crisis: only 9,000 doctors remain on the island, compared to 14,000 in 2006.

Some emergency rooms have called on foreign doctors to fill the gaps. Hospitals offer incentives to attract and retain specialists, such as increased salaries and rent-free office space. Psychiatrists are especially in demand. There are 366 across the island, and patients often wait up to three months for an appointment.

Adrián Torres, who suffers from a congenital disease, fell into a depression after the hurricane. The electric wheelchair he depends on to get around was out of commission after the storm.

Adrian Torres
Crédito: Univision

“If Puerto Rico were to suffer another Maria, I don’t know what I would do, Torres told Univision. I suffered a lot from the consequences of that hurricane. This little house was shaking and I said: 'At any moment this could collapse.’ There was nothing, there was no other place to go”.

Before the storm, Puerto Rico was already facing a severe economic crisis. Over the past decade, many on the island saw their quality of life diminish. Mental health problems increased. Maria only deepened the emotional wound.

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Nieves sought psychiatric help to deal with the emotional impact of the hurricane. “Several hurricanes have been forecasted in the Atlantic and emotionally I’m not 100%. I cannot look at the news, I avoid it for that reason. I'm afraid of losing what little I have now. It is not okay. It's hard to talk about,” she said, asking that her last name not be published.

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Residents wade through the streets of Catano near San Juan Bay.
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Houses still surrounded by flood water the day after passage of Hurricane Maria. (Getty Images)
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In Catano, near the Bay of San Juan residents get a ride through flooded streets on a bulldozer.
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A man carries a bicycle on the median wall of a flooded highway in San Juan. (Getty Images))
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The lights went out across the country, including the capital, San Juan. Officials say it could be months before electricity is fully restored due to the island's long-running economic crisis. (Getty Images)
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Fajardo, in the east of the island was one of the towns most affected by the floods. Hurricane Maria strengthened for the Dominican Republic and became again a Category 3 major hurricane.
Crédito: Getty Images
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7/20
In social networks circulate dramatic images of the floods caused by Maria in the island.
Crédito: @astriddrivera/Twitter
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A child plays in a flooded street in San Juan.
Crédito: Getty Images
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Plaza Colón, in the capital of the island, suffered fallen trees.
Crédito: Getty Images
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AP/Carlos Giusti
10/20
Maria made landfall in southeastern Puerto Rico as a Category 4 hurricane and winds of 160 miles per hour (250km / h) and left the island's north coast as a Category 3 after cutting a devastating eight-hour path of destruction.
Crédito: AP/Carlos Giusti
AP/Carlos Giusti
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A man died in Bayamón, in the northeast of the island, when he was struck by flying debris.
Crédito: AP/Carlos Giusti
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The road is blocked by downed power lines in Humacoa, in the east of the island. They currently pose no risk as power is out throughout the island. Photo: Carlos Giusti/AP
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More evidence of why the power is out across Puerto Rico. Ricardo Arduengo/AFP/Getty Images
Reuters/Carlos Garcia Rawlins
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Downed power lines throughout the country collapsed the grid for the entire island. The governor said it will take months until the grid is fully repaired.
Crédito: Reuters/Carlos Garcia Rawlins
AP/Carlos Giusti
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El servicio eléctrico ya había demostrado fragilidades con el paso del huracán Irma hace dos semanas. Cuando llegó María, unos 50,000 abonados aún estaban sin electricidad y unas 200 personas seguían en refugios.
Crédito: AP/Carlos Giusti
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Reuters/Carlos Garcia Rawlins
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The governor warned residents to prepare for "the worst" storm in almost a century. In 1928, Hurricane Okeechobee, also called "San Felipe II", hit the island as a Category 5 and killed 300 people.
Crédito: Reuters/Carlos Garcia Rawlins
Reuters/Carlos Garcia Rawlins
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Power lines were downed all over the island leaving whole communities with power, or water.
Crédito: Reuters/Carlos Garcia Rawlins
Reuters/Carlos Garcia Rawlins
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The worst affected were flimsy homes made of wood. Concrete structures fared much better, though the island was left almost completely without power and water.
Crédito: Reuters/Carlos Garcia Rawlins
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Reuters/Carlos Garcia Rawlins
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Maria downed trees and blocked roads, leaving the island of Puerto Rico incommunicado.
Crédito: Reuters/Carlos Garcia Rawlins
Reuters/Carlos Garcia Rawlins
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Some areas were devastated by maria, including the area of Guayama in the south of the country.
Crédito: Reuters/Carlos Garcia Rawlins
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