“…1,2 HM directly killed 64 people in PR with excess deaths estimated from 990 1 to 4645, 3 destroyed over 90% of the electrical systems and 80% of the agricultural sectors, and left large areas without communication, water, and health care services, all of which resulted in an extremely slow posthurricane recovery. 1,4 Limited studies on the impact of HM have reported increasing rates of adverse physical and psychological health consequences (e.g., fall-related injuries, leptospirosis infection, anxiety, post-traumatic stress) 5−8 and hurricane-exacerbated environmental effects including persistent hydrological disruption, 2 deterioration of coastal water quality, 9 increased air pollution, 4 and disturbance of forest ecosystems. 10,11 However, little is known about the disruption of HM on drinking water quality that is critical to waterborne/ water-related disease control and public health protection.…”