One powerful hurricane robbed millions of Americans of reliable access to basic necessities. Almost a year later the psychological effects are still being felt

For the first 36 hours after Hurricane Maria, five-year-old Keydiel and his mother Shaina were trapped by the toppled trees that blocked the doors to their home in Yabucoa, Puerto Rico.

Eventually, neighbors cleared the sturdy tamarind trees, cutting by hand because there was no electricity. The mother and son emerged to find an island devoured by 155mph winds and harsh rains.

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Read More Despair and anxiety: Puerto Rico’s ‘living emergency’ as a mental health crisis unfolds

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