Citation

Cruz-Cano R, Mead EL. J. Am. Med. Assoc. JAMA 2019; 321(10): 1005.

Affiliation

School of Medicine, University of Connecticut, Farmington.

Copyright

(Copyright © 2019, American Medical Association)

DOI

10.1001/jama.2018.20861

PMID

30860553

Abstract

To the Editor Drs Santos-Lozada and Howard1 estimated 1139 excess deaths in Puerto Rico from Hurricane Maria, which made landfall on September 20, 2017. They found that the observed death toll for September through November 2017 fell outside the 95% CIs of the mean death counts.

Given the destructive effect of Hurricane Maria, it is understandable that these months would be outliers from the historical patterns observed on the island. However, we have concerns that their method might be flawed and their estimation inaccurate...

Language: en