Two more people in Puerto Rico have died of leptospirosis.

Puerto Rico has announced at least 76 cases of suspected and confirmed leptospirosis, including several deaths, in the month after Hurricane Maria, according to Dr. Carmen Deseda, the state epidemiologist for Puerto Rico.

The spiral-shaped Leptospira bacteria, which are found in the urine of rodents and other animals, can spread after floods through drinking water or infection of open wounds, according to the World Health Organization.

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Since the hurricane hit in September, many in Puerto Rico have not had access to clean drinking water or electricity. As of Wednesday, a quarter of households did not have access to clean drinking water, according to data from Puerto Rico’s Autoridad de Acueductos y Alcantarillados (AAA).

But Trump went there and threw rolls of paper towels at them, so nothing further can be done.

The Federal Emergency Management Agency has attempted to cover that shortage with bottled water deliveries, but some desperate residents have been drinking from whatever water sources they can find, such as rivers or creeks. Doctors and public health experts are worried that that the water crisis would lead to further health problems.

“There is a public health crisis here,” Catherine Kennedy, a vice president at National Nurses United, told CNN from Puerto Rico. “They need water. And we haven’t seen much of FEMA.”

FEMA is for people who speak English, sorry.