Puerto Rico ’s still reeling from the cushion of Hurricane Maria , a disaster that may have led to the death ofthousands . Nearly nine month afterwards , doctors and physicians are alerting the public to another hidden health crisis : asthma .

Now , this respiratory illness is nothing fresh for Puerto Ricans . In fact , Puerto Ricans ( both on and off the island ) endure some of the highest asthma rate in the U.S. Children in Puerto Rico arealmost twice as likelyto have asthma as those on the mainland . Puerto Ricans buy the farm at eminent rates from it , too — even equate to other Latinx .

In the aftermath of Maria , however , The Associated Pressreports that the spot appear to be worsen . While expert Earther spoke with are n’t entirely sure of that , it ’s true that increase trust on marked-up energy , a spike heel in mold , an increasingly ineffective healthcare organisation , and some basic biological science have created the pure stipulation for asthma attack to thrive .

Argentina’s President Javier Milei (left) and Robert F. Kennedy Jr., holding a chainsaw in a photo posted to Kennedy’s X account on May 27. 2025.

Dubbed“Generator Island,”Puerto Rico has seen its melodic line quality deteriorate due to the reliance on generators across the territory . For berth where electricity still does n’t go ( or where it ’s discrepant ) , household are force to turn on dirty diesel- or gas - incline contaminate machines to switch on their lighter — and perhaps even the nebulizers some use to treat asthma attack . It ’s a collar 22 .

Then there ’s the mould result . Since Maria , the number of mold spore have increased due to fall trees and sullen rainwater , say University of Puerto Rico microbiology prof Benjamín Bolaños , to Earther . “ The mould has recuperate greatly after Maria , ” he say in Spanish . “ It ’s broken record . ”

Mold and air pollutant are merely triggers , though — things that can stimulate an asthma attack among people who have the disease . regrettably , late research suggests Puerto Ricans ’ familial ancestry may make themespecially susceptible to asthma .

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“ What we showed in 20 age of inquiry is … that Puerto Ricans are genetically predisposed to have more severe bronchial asthma and answer less to the most rough-cut use medicament during an bronchial asthma attempt , ” said Jose Rodriguez - Santana , a paediatric pulmonary doctor in Puerto Rico , in an email to Earther . “ emphatically , we have something in our genetic syndicate that when exposed to our environs is ‘ turned on . ’ ”

Rodriguez - Santana ’s partner with the University of California at San Francisco to bear this enquiry . While he ’s unsure whether asthma conditions have actually worsened since the hurricane , he recognise that the island ’s ail health care organisation take away a large portion of the inculpation .

Long before Maria , the health care system in Puerto Rico run to drag patient role or their parent through endless hoops , Rodriguez - Santana explained . The result is that even before tragedy fall upon , affected role might not have been receiving the respectable care to handle their asthma .

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“ Our healthcare system had a major contribution in advance a system that does not furnish the best admittance to good forethought for asthmatics and create many barriers to control asthma , ” he say .

After the hurricane in September , many clinics close . The 1 Rodriguez - Santana ’s Pediatric Pneumology Center grip remained operational , but fewer patient role visited in the weeks after the disaster than in old years , he said . That was short lived .

A couple months after , and the center ’s units were full again . Rodriguez - Santana attributes this to the re - chess opening of daycares and schools . There , student are exposed to viral respiratory infections , the most common initiation for children , he explained . His clinics , at least , have find out more bronchial asthma cases exacerbated by these infections than exposure to generator fumes .

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For Rodriguez - Santana , this is an chance — both to study bronchial asthma and get to the bottom of how this disease actually works . For Bolaños , it ’s a teaching moment to help people on the island learn how to protect their wellness .

Most people can agree on one thing : This is an chance to prompt the world that Puerto Rico is still dealing with the consequence of a hurricane that dispatch nearly nine calendar month ago to the day . That ’s pretty jazz up .

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