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Colonial Neglect and the Right to Health in Puerto Rico After Hurricane Maria
Samantha Rivera Joseph1, Caroline Voyles1, Kimberly D Williams1
1At the time of writing, Samantha Rivera Joseph and Caroline Voyles were with the Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA. Mariana Chilton and Kimberly D. Williams were with the Department of Health Management and Policy, Drexel University Dornsife School of Public Health. Erica Smith was with the Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health. Kimberly D. Williams was also with the Value Institute at ChristianaCare Health System, Newark, DE.
Hurricane Maria exposed long-standing US colonial neglect and human rights violations in Puerto Rico, hindering the right to health. The crisis highlights systemic issues in water, wealth, and infrastructure, demanding a human rights approach for rebuilding.
Area of Science:
- Public Health
- Human Rights Law
- Disaster Management
Background:
- Hurricane Maria exacerbated pre-existing conditions in Puerto Rico, stemming from decades of US colonial neglect.
- The island's infrastructure and resources were already strained, impacting the population's well-being and access to essential services.
- A history of human rights violations and disenfranchisement predates the hurricane, creating vulnerabilities.
Purpose of the Study:
- To analyze the humanitarian crisis in Puerto Rico post-Hurricane Maria through a human rights framework.
- To identify specific human rights violations resulting from inadequate US government preparedness and response.
- To advocate for a rights-based approach to rebuilding Puerto Rico and addressing systemic inequities.
Main Methods:
- Utilizing a rights-based approach to examine historical and current conditions in Puerto Rico.
- Analyzing the impacts of Hurricane Maria on public health, economic stability, and resource sustainability.
- Assessing governmental protection and support failures contributing to the crisis.
Main Results:
- The crisis revealed pervasive health disparities, including issues with water access and quality.
- Economic loss, disinvestment, and infrastructure failures significantly impacted the island's sustainability and residents' quality of life.
- Public health challenges were compounded by discrimination and a lack of adequate governmental response.
Conclusions:
- A human rights framework is essential for addressing the ongoing violations and assessing the quality of life for US citizens in Puerto Rico.
- Rebuilding efforts must prioritize reconciliation for losses incurred due to systemic neglect and disaster mismanagement.
- Urgent action is needed to ensure the right to the highest attainable standard of health for all Puerto Ricans.
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