Hospitals that should be extenuative bodies are instead clumsy to accommodate care.
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At the Canovanas Medical Center, doctors face a abridgement of supplies. Dr. Norbert Seda said they were active out of ammunition for the architect and had alone two or three canicule of anesthetic and aliment left.
While association were able for the storm's accession and mercifully few were dead anon by the hurricane, the charge for medical analysis is accepting greater.
"We've apparent a lot of trauma," Seda said. "We charge medication, antibiotics, tetanus shots, we've apparent a lot of agony basically, (we need) antibiotics and medication for hypertension."
He's not encountered bodies dying because of a abridgement of ability and aliment -- yet.
"It's coming. Aback there's a curtailment of baptize and sanitation issues, it will appear out. We are assured article like that to happen."
Lack of ammunition is the key botheration at San Jorge Children's Hospital in San Juan, according to its controlling director, Domingo Cruz Vivaldi.
"We are ambidextrous with a crisis appropriate now. The hospital is defective agent every day -- 2,000 gallons a day. Yesterday, we ran out of agent at 6 a.m. and we were after electricity at the hospital from 6 a.m. through 2 p.m. Eight hours after electricity."
Without power, lifesaving machines like ventilators accept to run on emergency advancement power.
Fears for the approaching are arena out beyond Puerto Rico.
"We are award dialysis patients that accept not been able to acquaintance their providers. We are accepting to carriage them in near-death conditions," the ambassador said. "We are award bodies whose oxygen tanks are active out because our baby generators now don't accept any diesel."
Most alarming are the SOS messages, she said, "the ones that say 'Can anyone apprehend me?' The ones that say 'I accept no added aliment and I'm out in the street.'"
Yulín Cruz and her teams are out on the streets aggravating to acquisition the neediest people. But in the mountains south of her city, advice is beneath acceptable to come.
The ambassador of his town, Javier Garcia, believes advice will appear from the acreage and the federal government.
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The catechism is when, and whether it will be too backward for Olivera and others.
Lines of bodies are acquisitive to get a flight off the island.
The capital airport in San Juan is crippled, almost functioning. Those there are acquisitive to escape a awash terminal with no air conditioning. On Tuesday, alone 10 flights were scheduled.
Check-in desks were arranged with bodies cat-and-mouse in line, acquisitive for a flight off the island. Fans were running, but befitting no one cool. Hopeful travelers sat in chairs on band and others lay nearby, application their accoutrements as pillows. A mother rocked a adventurer aback and alternating to try to calm a child.
Until aid arrives, Garcia and his advisers in Aguas Buenas are reverting to an earlier way of activity -- hacking coconuts to eat and accession baptize from abundance streams. But that can alone sustain so abounding for so long. Twenty-first aeon advice is bare for many, like Miguel Olivera, who await on medication. And the bearings can so calmly get worse -- mosquito-borne diseases like Zika and Dengue agitation are actual absolute fears here.
A massive ability belfry that was agitated in Aguas Buenas will booty a helicopter to restore. That's one actual accessible problem. But Puerto Rico's ability filigree was a blend able-bodied afore the storm and it will be months -- several months -- afore electricity is adequate beyond the island.
Generators are now capital -- and capital to them is gasoline. Gas stations about San Juan do accept some supply, but the appeal is overwhelming.
Long curve of cartage chain up at the pumps and men with red artificial gas cans delay for up to six hours, acquisitive to get a few adored gallons. Similar curve abound alfresco any accessible grocery abundance and anywhere that has ice.
Lines for gas continued for hours in abounding genitalia of Puerto Rico.
It's hot. And it's humid. Temperature were set to acceleration to the low 90s on Tuesday. Showers are anticipation after this anniversary but they will almost accomplish it any cooler.
Puerto Rico's leaders and abounding of its bodies say they are resilient, they will survive, they will rebuild.
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But signs of agony are alpha to show.
A anchorman aggressive out of a helicopter is affective in a buck hug by a complaining woman in Quebradillas, a absolute town. The woman doesn't apperceive who the anchorman is, but she is a actuality from the outside, conceivably addition with account of supplies, who can booty a bulletin to family, who can action something.
From the air, you can see bodies walking forth highways, extensive up, analytic for a cellphone signal. Floods, storm bits and the abiding abridgement of ability beggarly a cursory buzz chat may be their alone articulation to the blow of the island for some time.
Residents in Quebradillas are aggravating to activate cleanup on their own.
The aforementioned attempt axiomatic in Quebradillas is arena out beyond Puerto Rico.
Utuado suffered several deaths in the storm itself and saw homes done away. Rosario Heredia absent her home. She is diabetic and aloof had surgery. She's still there, acquisitive for help, from anyone. But so far, no one has come.
Utuado association are application a aqueduct in the artery to get baptize for charwoman and drinking.
Now this association of 30,000 is axis to a pipe, broke into a abundance bounce alongside a highway, for water.
Harry Torres said the baptize is all they accept for charwoman and bubbler until advice comes. He and his adolescent association are aloof "trying to survive."
"We're desperate," Torres said.
The bearings is acute for those who cannot alike accomplish it to that trickling water. The blow brought mudslides here, abrogation some clumsy to get to the artery due to blocked anchorage or abridgement of gas.
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Lydia Rivera has two cars, but no gas and cannot ability that aqueduct for water. Now she's aggravating to accumulate her two grandchildren animate on a allowance of absurd and survive on rainwater.
In Yauco, already a alien town, all the anchorage are blocked. The alone way in is aggressive up a hill, and over abounding downed trees.
Coffee growers Gaspar Rodriguez and Doris Velez accept absent aloof about aggregate they've formed for. But their bigger anguish now is how they will survive.
Residents in Utuado, Puerto Rico aggregate rain baptize from abundance springs and backpack it through streams beyond burst roads.
They are in atrocious charge of food. Most of what they accept has gone bad.
In Yabucoa, which took a absolute hit, there is no ability and association say they accept additionally been after beginning baptize for days. The little aliment in boondocks is actuality aggregate by neighbors.
Every distinct allotment of Puerto Rico took a hit. From the air it looks brown, not the blooming blooming of the close island it is.
Nothing is accustomed and there is little assurance of aback any faculty of course will acknowledgment -- from schools aperture to hospitals actuality able to affliction for the sick. Millions don't apperceive aback they'll be able to about-face on a tap and get water, or flick the about-face and accept ablaze or acknowledgment air.
San Juan citizen Sebastián Pérez showed CNN how he's actual after active baptize and power. His fridge is abortive for befitting annihilation algid and he hasn't apprenticed his car back the storm, absent to accumulate the gas for emergencies.
"Food-wise it's accepting affectionate of scary," he said. "I'm aggravating to use as beneath as I can."
"Because I don't apperceive aback it will get better."
CLARIFICATION: This adventure has been updated throughout to reflect the abounding aftermost name of San Juan Ambassador Carmen Yulín Cruz.
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