The government cited an independent study it commissioned from George Washington University’s Milken School of Public Health, which analyzed the death rate in the five months after Hurricane Maria hit the island.

San Juan Mayor Carmen Yulin Cruz, who has been an outspoken critic of Trump’s response to the storms, blasted the president’s latest claims.

“Simply put: delusional, paranoid, and unhinged from any sense of reality. Trump is so vain he thinks this is about him,” Yulin Cruz tweeted. “NO IT IS NOT.”

Nearly a year after the hurricanes decimated the island’s weak infrastructure and electrical grid, hundreds of Puerto Rican families were still reportedly living without power.

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