Puerto Rico's government raised its official Hurricane Maria death toll to 2,975 on Tuesday in the wake of a new estimate from researchers.
The new figure is 46 times larger than the previous toll the Puerto Rican government released in December 2017, when officials said 64 people had died as a result of the storm.
It comes on the same day researchers from George Washington University revealed findings from a study on storm-related deaths commissioned by the US commonwealth's government.
"This is unprecedented devastation," Gov. Ricardo Rossello told reporters.
But the new death toll is only an approximation, not a concrete list of names, Rossello said.
Moving forward, he said, officials will continue to investigate deaths from the storm and refine the official tally.
"This number can change," he said. "It could be less, it could be more, as time passes."
It could take months or years, he said, to come up with a complete list of storm-related deaths.
"We are using the best science available ... to be able to give a sense of closure to all of this," he said. "The truth is there is a lot of work to do."
The official toll matters in part because families of those who died in the aftermath of the storm are eligible to have some funeral expenses covered by the US government. Experts say higher death tolls drive more disaster aid. And knowing precisely how and why people died can help authorities prevent future hurricane-related deaths.
A key question: Will this new figure -- stemming from a study conducted at the request of Puerto Rican officials -- provide any closure to families that have long argued their loved ones died because of the storm but hadn't received any official acknowledgment?
A new study
Researchers from George Washington University released a study earlier Tuesday, calculating excess deaths that occurred in the US commonwealth between September 2017 and February 2018.
The study, commissioned after the September 2017 storm, followed a number of others like it.
And recently, the
Puerto Rican government had quietly admitted the official toll was higher than its December 2017 tally. In a report to Congress earlier this month, the US commonwealth said documents show that 1,427 more deaths occurred in the four months after the storm than "normal," compared with deaths that occurred the previous four years.
But the latest estimate was even higher.
San Juan Mayor Carmen Yulin Cruz blamed President Donald Trump, the federal government and Puerto Rican officials for failing to provide adequate assistance in the aftermath of the storm.
"It's 2,975 people, and they're still calling it an estimate -- 2,975 people that will never see the light of day, and many of them died because of what was done by the administration and that was silently approved by most of the political class in Puerto Rico," Cruz told CNN on Wednesday.
"The administration killed the Puerto Ricans with neglect," she added. "The Trump administration led us to believe they were helping when they weren't up to par, and they didn't allow other countries to help us. ... Shame on President Trump."
White House press secretary Sarah Sanders said Trump "remains proud of all of the work the Federal family undertook to help our fellow citizens in Puerto Rico," according to a statement issued after Tuesday's release of the new death toll estimate.
To that, Cruz asked, "What is there to be proud of? 2,970 dead. Is that what he's proud of?"
Researchers behind George Washington University's study said they felt they were able to provide a more accurate estimate because they took into account additional factors such as migration.
"I do think this study helps to validate that sense that many people had that there were just too many deaths," said Lynn Goldman, dean of the university's Milken Institute School of Public Health.
But she also stressed that Tuesday's report marks only the first phase of the study.
"In the next phase, we would like to dig down deeper into that number to understand among all the deaths that occurred, which of them were related to Maria, which of them would not have occurred if it hadn't been for the storm? We're not able to say that now," Goldman said.
She acknowledged that a complete list may never be possible.
"At the end of the day," she said, "we may never be able to fully identify all those 2,975 people."