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. 2019 Jan 18;4(1):e001191. doi: 10.1136/bmjgh-2018-001191

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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Indirect deaths for Maria are 6 months post-landfall,¹⁸ actual deaths may be higher over extended time frame.^{6 19 23} Indirect deaths for Harvey and Irma are totals; ongoing death counts after the storm are not significantly different from previous years, indicating that the totals for indirect deaths are correct.^{1 5} Deaths/mortality counts in the data and in the article text refer to absolute deaths (not mortality rates as number of deaths per unit person-time). Data references included in the online supplementary appendix.