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While officials in Puerto Rico placed the official death toll from last year's Hurricane Maria at 64, researchers from Harvard believe the death toll was actually in the thousands. According to Harvard's study, there were an estimated 4,645 deaths directly or indirectly tied to the hurricane, which struck the island in September. Harvard estimated a mortality rate of 14.3 deaths per 1.000 people from September 20 through December 31, 2017 in Puerto Rico. Harvard said in its study that it believes its estimate is rather conservative due to a "survivor bias."Harvard conducted the study by performing a random survey of 3,299 households in Puerto Rico. "In our survey, interruption of medical care was the primary cause of sustained high mortality rates in the months after the hurricane, a finding consistent with the widely reported disruption of health systems," the study says. "Growing numbers of persons have chronic diseases and use sophisticated pharmaceutical and mechanical support that is dependent on electricity. Chronically ill patients are particularly vulnerable to disruptions in basic utilities, which highlights the need for these patients, their communities, and their providers to have contingency plans during and after disasters."Part of why there the death toll might have been underreported is due to how hurricane-related deaths are counted. In order to have a death counted as storm related, bodies had looked at by a medical examiner, which required a body to be transported to San Juan, or the medical examiner to travel to remote locations. With a lack of electricity and blocked roads, some bodies were likely buried before the government could count fatalities. Maria is considered the third-costliest hurricane in US history.  1816

When it comes to voting in-person, Election Day in Tennessee went off without a hitch and some say election workers had much to do with that.Two of the many election workers who helped make it happen were a husband and wife who have worked the polls for more than 30 years.Tuesday was a busy day for Ira and Norma Hendon, voters got in line in Clarksville at 7 a.m.But the Hendon's work started even earlier at 5:30 a.m. And it lasted until about 8 p.m. as they and others made sure every voter who wanted to cast their ballot did so with no problems.Ira and Norma have been election workers for decades, starting in Stewart County and now Montgomery County."But when they ask you how long you've been there, it’s kind of embarrassing," said Norma.They say in the many years since they began working the polls in 1988, a lot has changed including the voting machines themselves."They were the huge machines that looked like photography things with curtains in the front."Ira is 88 years old and Norma is 86 years old and they say there's no slowing down, not even for COVID-19. They say they felt safe the entire time with their masks and gloves.From former President George H.W. Bush to President Donald Trump, this couple has never stopped helping a first-time or long-time voter on Election Day.And even during a pandemic, they say they were encouraged by the turnout this year's large turnout."It was so inspiring to see so many people who had medical and physical issues. They came in wheelchairs, walkers, and everything and they just defied the odds to be able to vote," Norma said.They're not sure what they'll be doing come 2024 but when asked why they do it, the Hendon's say it's because it brings them joy."It’s good to meet wonderful people, that's the best part of it, you meet wonderful people all the time," said Ira.The couple says many voters come back each election and know them by name,This story was first reported by Kelsey Gibbs at WTVF in Nashville, Tennessee. 1993

Which is worse? Aggressive driving, drunk driving or distracted driving?They're all bad, but new information out on Thursday shows when it comes to risky behavior on the road, distracted driving now tops the list. Nearly nine out of 10 drivers believe it's on the rise. But experts say there are things you can do about it.From reaching for something to the increasing danger of technology, it has become easier to become distracted while driving. In a study out Thursday, the AAA Foundation found drivers talking on a cellphone are up to four times more likely to crash than those not using a cellphone. Those who text and drive are eight times more likely.Mark Stolberg, the Vice President of training at Masterdrive, said many of us look at distractions as small interruptions we can stop at any time.“The problem with it is the traffic situation can become threatening very quickly,” said Stolberg. “So even a little distraction is very dangerous.”“So if you have to check something else, if you have to check the mirror, if you have to check your navigation right, check that then get back focused on driving," Stolberg added. "Get right back focused on driving.”Stolberg demonstrated that when a text message is received, drivers have a tendency to take their eyes off the road. In a split second, Stolberg said that drivers could miss a changing traffic light, causing potential accidents. Turning off cellphones while driving is one way drivers can remove the temptation of taking their eyes off of the road.  1585

When cruise lines begin sailing again, the Centers for Disease Control and Prevention has some guidance. The health agency issued their “framework for resuming safe and responsible cruise ship” operations Friday, ahead of the no-sail order expiring Saturday.The no-sail order, which originally began in April, prohibits cruise ships from carrying 250 passengers in waters subject to US jurisdiction.The CDC said it has identified at least 3,689 coronavirus-related illnesses, and 41 associated deaths, connected to cruise ships. Although the CDC cautions these figures are likely an underestimate.The framework urges a phased approach, and applies to ships that have the capacity to carry at least 250 passengers in waters subject to U.S. jurisdiction.“A phased approach is necessary because of the continued spread of the COVID-19 pandemic worldwide, risk of resurgence in countries that have suppressed transmission, ongoing concerns related to restarting of cruising internationally, and need for additional time for the cruise industry to test the effectiveness of measures to control potential COVID-19 transmission on board cruise ships with passengers without burdening public health,” a statement from the CDC reads.During the beginning, cruise line operators will have to demonstrate adherence to testing, quarantine and isolation plans, as well as social distancing requirements for passengers and crew members.The CDC says they will help by “establishing a laboratory team dedicated to cruise ships to provide information and oversight of COVID-19 testing,” updating instructions and creating a system to track ship status and passenger cases.Meanwhile, cruise lines will need to build out the capacity and ability to test crew and passengers on a regular basis.In their framework, the CDC says there may be simulated, or mock, voyages with volunteers to test cruise ship operators’ ability to apply COVID-19 mitigation measures.Although the no-sail order will be lifted, Carnival, Royal Caribbean and other cruise lines have already cancelled sailings until 2021. 2083

With Hurricane Laura intensifying, forecasters predict it could be a Category 3 storm or higher. Marco was minor in comparison.There's already trouble for low lying areas of the Gulf Coast. Storm surge washed away about 500 feet of a levee in Grand Isle, Louisiana. The National Guard put up sandbags to protect the island.With predictions of possibly 11 feet of storm surge and 15 inches of rain, it could prove too much for other areas.“If they have a failure and in some cases, there will be failures, then the internal areas will flood and it’s very difficult then, once you have a breach in the levee, to keep the water from the outside coming in,” said Gerald Galloway, P.E., PhD.Hurricane Katrina hit the lower 9th ward 15 years ago this month.A billion network of new levees and floodwalls were put in. The Army Corps of Engineers said the system will stop providing adequate protection in as little as four years because of rising sea levels and shrinking levees.There are up to 100,000 miles of levees nationwide, most of them in serious need of repair.Levees received a "D" on the American Society of Civil Engineers' national infrastructure report card.“Where you have a challenge is those areas that are not yet protected. That’s going to be a problem and where they are outside the levees in some distance and there isn’t any normal flood protection,” said Galloway.Galloway's life's work is in flooding, partially with the Army Corps of Engineers. If water overtops levees, he says the best-case scenario is for pumps to get it out, or homes elevated, or at the very least people are evacuated. 1621