A Deadly Bacteria Has Killed People in Puerto Rico and Health Officials Didn’t Detect it

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Leptospirosis is no stranger to Puerto Rico and research by the Center for Disease Control and Prevention has shown that before people got sick after Hurricane Maria, health officials’ passive surveillance hampered the ability to detect and prevent getting infected with this bacteria.

By Mc Nelly Torres | Centro de Periodismo Investigativo

Jhon Alberto Hernández Núñez fell ill about a week after Hurricane María devastated the island of Puerto Rico on Sept. 20, 2017.

A 34-year-old electrician, he sought medical attention to alleviate symptoms of stomach ache, vomiting, fever, muscle and joint pain at more than one hospital near his hometown of Dorado, but he never got a clear diagnosis for what was making him sick.

Days later and desperate to get him medical attention, his 94-year-old grandmother, Adelina Santana, asked neighbors to help bodily carry Hernández, who was six-feet, four-inches tall, and drive him to Manatí Medical Center.

Hernández died there on Oct. 4. He left two children ages, 10 and 7.

On Dec. 19, 2017, José Ernesto Merced Álamo, of Aguas Buenas, was supposed to be celebrating his birthday.

But in the days preceding the big day, Merced went to a local emergency care unit complaining of high fever, weakness and chills. Medical staff concluded that he had a urinary tract infection, gave him antibiotics and sent him home. Three days later Merced suffered a stroke.

At the hospital, healthcare providers conducted several diagnostic tests. Soon, his lungs collapsed and he fell into a coma the following day.

Merced died on the day he was supposed to turn 55.

His wife and daughter were devastated and shocked to lose the family patriarch so unexpectedly.

“It was a horrible experience,” said his daughter Lisandra Merced Ortiz.

Six months after the storm, Saturnino Figueroa Montes, 64, spent two weeks fighting something doctors couldn’t diagnose after conducting multiple tests. A retired carpenter of Mamey, a rural neighborhood in Patillas, he went into cardiac arrest after he was hospitalized.

Figueroa Montes died on March 6, 2018. He left a large extended family, two adult children, and five grandchildren.

Hernández, Merced and Figueroa were among at least dozens of people who contracted leptospirosis, a disease caused by the leptospira bacteria, which spreads primarily through soil or water containing the urine of infected animals such as rodents, farm animals, dogs and wildlife. The bacteria survives for months and any flooding, such as one finds in the aftermath of a hurricane, can help it spread.

Humans become infected when the bacteria enters the body through any skin abrasion or contact with a mucous membrane eyes, nose, mouth. Drinking or bathing in streams and waterways, even if they appear to be clear water can also be a source of infection. In its early stages, it has flu-like symptoms and can be cured with antibiotics, but when left untreated, can lead to major organ failure and death.

When people showed up at clinics, emergency rooms and hospitals complaining of high fever, muscle and joint aches, nausea, vomiting and stomach pain among other symptoms, medical staff in the island were ill-equipped to recognize the illness, which is endemic to the United States territory and difficult to diagnose.

By the time diagnostic tests were completed on at least 15 of these patients they had been hospitalized for days without knowing what was making them sick or had returned to the hospital for the second and third time as their condition deteriorated, and the findings were not enough to save their lives because the infection had affected the function of vital organs, an investigation by the Center for Investigative Journalism of Puerto Rico (CPI for its initials in Spanish) has found.

The relatives’ accounts of what took place before their loved ones died suggest that the basic level of medical response or a standard protocol were deficient in the health care community after the storm and months later into 2018. As a result, treatment was delayed and this led many patients into life-threatening situations and even death.

Every year, it is estimated that more than 1 million cases of leptospirosis occur worldwide, including 59,000 deaths, according to the Center for Disease Control and Prevention. In the United States, about 150 cases of leptospirosis are identified annually and about 50 percent of those cases occur in Puerto Rico.

But the island has a history of passive surveillance, under-reporting and lack of testing, all essential tools to help prevent deaths.

The absence of active surveillance and good diagnostic tests is problematic because medical research shows that infected animals who carry the bacteria “may continue to excrete it into the environment continuously and sporadically for several years,” according to an article published by the Journal of the American Veterinary Medical Association.

Experts and clinicians working in the island said the number of people killed by leptospirosis after the storm is more likely to be higher than the government data shows because many of those who fell ill were never tested after the hurricane disrupted laboratories’ capabilities to test samples.

Carmen Deseda, an epidemiologist at DOH, said before the hurricane Puerto Rico lacked the lab capability to perform sophisticated diagnostic tests such as the CDC’s research lab has been able to provide since then.

Because leptospirosis deaths are commonly underestimated, it’s difficult to have an accurate picture of what happened in Puerto Rico said Dr. Albert Icksang Ko, a professor and chair of the Department of Epidemiology of Microbial Diseases at Yale School of Public Health.

“I would suspect that there were deaths that occurred that people didn’t suspect leptospirosis,” Ko said, noting that an epidemiological study would need to be conducted to reach a definite conclusion.

As for the relatives who share their stories with CPI, most of them were not familiar with the disease until it affected someone they loved.

These relatives blame medical staff’s inability to understand the bacteria and wondered why hospitals don’t have strong protocols to test people seeking medical treatment for symptoms commonly known to the disease to ensure they were given antibiotics, which can be lifesaving during early stages of the infection. And they also hold Gov. Ricardo Rosselló’s health officials accountable because after such a catastrophic natural disaster the government is ultimately responsible to protect the public’s health and well-being.

“I’m very upset with the government,” said Sonia Noemí Fernández González, whose brother Angel Luis died on Feb. 9, 2018.

Ángel Luis Fernández González, 65, of Comerío, went to a hospital in Cayey twice seeking medical attention after he fell ill. His cousin got sick first and begged Fernández González to take care of his farm animals.

“They were denying [outbreak of leptospirosis and deaths from the hurricane], hiding it and they didn’t do anything, and we were the ones who suffered this tragedy because of the government,” she said.

Deseda said the agency established an active surveillance system after the hurricane.

“Puerto Rico has always had leptospirosis and we want to know what are our real numbers before and after the hurricane,” Deseda said, in a tacit recognition that the agency doesn’t have a clear picture of the impact of leptospirosis. “To have a better perspective of what are the tendencies of leptospirosis in Puerto Rico and take measures to prevent it.”

For Christian Ely Romero Ramos, these efforts didn’t materialize soon enough to prevent the death of his brother, Romsy Ramel Romero Ramos.   

“We were not prepared and as I’ve learned about leptospirosis, and how it can be treated with antibiotics…,” he said. “What I understand is that the Department of Health didn’t have a public preventive policy that could have saved lives.”

The 29-year-old baseball player sought medical treatment for his illness several times and was never tested for the bacteria. He passed away on Oct. 5, 2017 after he was rushed on an ambulance to a hospital in Carolina.

“He was a passionate man, full of life and we were not expecting him to die,” Romero Ramos said noting that he left a young daughter behind.

When asked during a short phone interview to respond to the victims’ relatives, Deseda wouldn’t answer the question.  

“It’s important for the people with relatives who apparently died of leptospirosis to inquire and investigate that it was leptospirosis and not another disease so they can find out what the risks were so it won’t happen again,” Deseda said.

Most of the victims of leptospirosis were men, but also women were affected.

 

The island history of under-reporting

Leptospirosis was put back on the nationally notifiable disease list in 2013 after it was taken out in 1995, according to the CDC. In Puerto Rico, health care providers including laboratories must report cases, suspected or confirmed, to government health officials by phone or electronically as soon as possible and within five-business days at the latest.

In 2010, the CDC’s Dengue branch described the surveillance of leptospirosis in Puerto Rico in an article as “passive” and “laboratory confirmation is rare” after it identified 25 leptospirosis deaths among 126 suspected dengue deaths and dozens of suspected dengue cases that tested positive for leptospirosis.

That same article noted that “60 to 90 percent of fatal leptospirosis cases were not reported, reflecting under-recognition of cases, under-reporting, or both.”

Puerto Rico’s mortality database listed leptospirosis as the prime cause of death for 18 people after the hurricane in 2017. But DOH said the agency is officially counting 14 people – nine confirmed and five classified as probable – because the other four allegedly were not officially confirmed with diagnostic tests. DOH didn’t provide the data for 2018 after repeated requests.   

Another study released in 2015 focused on patients treated at Manatí Medical Center Hospital concluded that a “better understanding of clinical symptoms of leptospirosis should lead to an early detection and physicians in P.R. need to be suspicious of the bacterial illness and consider the possibility of dengue co-infection.”

After the hurricane, Deseda told the press that DOH was investigating the leptospirosis cases listed on the death records. But there’s no indication that DOH contacted relatives as active surveillance efforts required, according to relatives interviewed by CPI.

Carmen Camacho’s husband had been dead for 15 months when she received a copy of her husband’s test results on the mail at her home in Orocovis. Víctor Noel Pérez Roche, 63, had spent weeks ill including 18 days in intensive care at a hospital in Ponce before he passed away on Oct. 25, 2017. The diagnostic tests from the CDC showed positive for leptospirosis, documents show.   

“Not even the town’s mayor came to see me. Nobody from the government,” said Carmen Camacho.

Camacho said no government agency contacted her after her husband of 34 years died.

“Not even the town’s mayor came to see me. Nobody from the government,” she said, noting that the Federal Emergency Management Agency (FEMA) provided her financial support for the funeral expenses, which is part of the FEMA’s Individual Assistance program.

Clinicians and experts said leptospirosis tends to manifest as a mild disease from which most patients recover without any problems, but in one in 10 people the bacteria take severe forms of life-threatening complications that could contribute to someone’s death.  

The expected clinical characteristics include: septic shock, a potential fatal condition that occurs when significant drop in blood pressure affects the function of internal organs as a result of an infection; acute renal failure or kidney failure, which is a treatable condition under normal circumstances and the most severe form of Weil’s syndrome; and acute respiratory distress syndrome, a life-threatening condition that prevents oxygen from getting into the lungs and blood.

A review of Puerto Rico’s mortality database documenting the deaths from September of 2017 to June of 2018 shows 507 people died of septic shock; seven cases of a combination of acute renal failure, septic shock, cardiac arrest and respiratory failure; and over 100 cases listed cause of death as septic shock and a bacterial infection.

Clinicians explained that many other complications and illnesses could have caused these deaths, but leptospirosis can’t be eliminated if no testing was conducted to rule out the disease.

Dr. Johnny Rullán is a former secretary of health who spent 30 years at the island’s Department of Health.

“Nobody in Puerto Rico [government] wanted to admit that there was a problem,” Rullán said. “And that was the tragedy because there was no investigation on something so important and especially when leptospirosis is endemic to Puerto Rico.”

CDC team arrives in Puerto Rico

Eleven days after the hurricane, the Department of Health of Puerto Rico requested the Center for Disease Control and Prevention to assist with testing.

DOH request for assistance to the CDC included help on building surveillance capability, and diagnostic testing for influenza, rabies, leptospirosis, salmonellosis and tuberculosis and implement a temporary transport system for shipping samples from P.R. to the continental U.S. for surveillance, diagnostic and confirmatory testing.

The CDC laboratory team didn’t arrive until Oct. 12, 2017, almost a month after the landfall.  

By this time Carmen Muñoz Muñoz, of Rincón, and at least six other people had died after contracting the bacteria.

Iris Eneida Muñoz, of Tampa, traveled to Puerto Rico the day before Hurricane María entered the island to be with her parents.

Her mother, 76, was diabetic but otherwise healthy; her father was bed-ridden. A week after the hurricane she took her mother (Carmen) to a local clinic after she complained of stomach pain and a rash. At the clinic, medical staff gave her three pills to take daily for three days and sent her home.

Carmen’s condition didn’t improve. She lost her appetite, felt nauseated and her skin was turning yellow. What Muñoz didn’t know is that her mother’s case was delicate and she had Weil syndrome, a severe form of the bacteria infection caused by leptospira.

“I took her to the hospital three times,” Muñoz said. “This was negligence because when I took her to the clinic in Rincón, they told us that the only medication available was for emergency cases.”

The daughter was able to get an ambulance to transport her mother to the Mayagüez Medical Center. She never saw her alive again. She died the next day on Oct. 8, 2017.

“They [hospitals] were not prepared at all. There wasn’t even a laboratory available. They never did anything,” she said.

Muñoz didn’t know what caused her mother’s death until she saw the death certificate.

“When I heard the word leptospirosis, I was like what’s that?”

Muñoz had gone to Puerto Rico thinking that she was going to bury her father, José Rodríguez, 79, who was very ill at the time. Instead, she lost her mother to a disease she had never heard about.

Thirty-four days after the hurricane, Deseda, DOH’s epidemiologist, told the press that 76 cases of suspected and confirmed leptospirosis had occurred within a month after María including a handful of deaths.

At least 10 deaths had occurred by the time Deseda gave information to the press on Oct. 24, 2017, according to data and interviews conducted by CPI.

Four months later (Feb. 2, 2018), Puerto Rico’s Secretary of Health Rafael Rodríguez held a press conference in which he announced that leptospirosis was under control.

The day after the press conference Karoline Vázquez Díaz, of Morovis, landed at the emergency room in Manatí complaining of abdominal pain, nausea, headache and fever.

Medical staff there told the college student that she had a urinary tract infection and had probably contracted dengue too. They prescribed antibiotics and sent her home.

Vázquez Díaz, 21, felt better for a couple of days. Her mother, Brenda Díaz, took her to their family physician in Dorado on Feb. 12, 2018. There, the physician ordered several diagnostic tests, including a test that detects antibodies the body develops to fight leptospira.

Days later, Vázquez Díaz went back to the emergency room at Doctors’ Center Hospital in Manatí, complaining of pain around her waist and weakness. She couldn’t walk straight. The lab results the family doctor ordered at a local lab came back positive for leptospirosis. The hospital did not take the lab results at face value and did its own testing.

Vázquez Díaz, who is an only daughter, admits that she was terrified.

“The night I came from the hospital I was praying and thanking God for taking care of me,” she said, sobbing.

Karoline Vázquez Díaz, of Morovis, landed at the emergency room in Manatí in February 2018.

Months after her daughter endured so much pain, Brenda Díaz wondered why a standard protocol to test for common diseases after such a catastrophe was amiss on the island’s healthcare community and why government health officials haven’t done more to change this.

“Why not do the test?” she questioned, noting that while at the emergency room other people showed up and were suspected of having the bacteria too. “Let’s go through an elimination process and do the leptospirosis, influenza and zika tests. …This could have prevented many deaths.”

A deceitful illness, not good diagnostics

Leptospira is a tricky bacterial disease that masquerades as other diseases like dengue fever, Chikungunya or influenza and there’s nothing during a routine exam that would detect the bacteria so laboratory tests are the only alternative, medical experts said.

There are several diagnostic tests available that look for leptospira or antibodies the body creates against it. But the accuracy of the diagnostic tests hinges on at what stage of the disease the test is performed and none of these test is completely accurate.  

Joseph Vinetz, an expert on leptospirosis and a professor of medicine at the School of Medicine at Yale University, said because leptospirosis is rare in the U.S., there’s no commercial interest in creating accurate diagnostics.

Vinetz noted the failure among clinicians to diagnose the bacterial disease is an issue within the health care system. But “when the health care falls apart, that’s a government issue and that’s what happened after the hurricane,” he said.

Lemuel Martínez Bonilla, a physician and infectious disease specialist at Doctors’ Center Hospital in Manatí, said no diagnostic test is superior to another.

“Each test has its role, its strengths and weaknesses,” Martínez Bonilla said. “If you can’t understand this alone, you can’t interpret results.”

The CDC’s Bacterial Pathogens Branch has provided the island’s Department of Health $5 million in funds for 2018-2020 and is assisting to repair, upgrade the lab, install new equipment that can be used for leptospirosis testing including polymerase chain reaction (PCR) and a screening serology (immunDOT) test, said Christine Pearson, a spokesperson for the CDC.

CPI requested information on how this funding has been allocated including partners, personnel hired and their roles and information indicating how all these efforts are expected to improve surveillance on leptopirosis. DOH and CDC ignored the request.

Since the hurricane, CDC laboratory staff has been testing samples on suspected leptospirosis cases for DOH, which can take a few weeks and has cost the CDC about $35,000 quarterly, Pearson said. This test included the microscopic agglutination test (MAT), a time-consuming and complicated test, which detects antibodies to leptospirosis. 

The CDC is one of a few public health labs that can do MAT testing, considered to be the gold standard for serology. But, according to research, the test has several limitations including “the false-negative results obtained early in the course of the disease.”

PCR, the test the CDC is training DOH staff to perform and providing equipment for, enables rapid and direct diagnosis from the actual leptospira DNA in blood, urine or spinal fluid. This test, however, has shown itself to be sensitive and specific and works better in the early stages of the infection. A negative PCR test does not rule out leptospirosis, according to the CDC.

Members of the medical community, including Rullán, have criticized the island health officials’ decision to continue shipping specimens to test to the CDC’s headquarters in Atlanta, Ga., now that electricity has been restored, because it can take weeks to get results.

They said it is not realistic for clinicians to wait for days to get test results when the lives of their patients are at risk and especially when red tape has hampered the ability of doctors to get results directly from the CDC because they must wait for DOH to release the results.

Those who are on the frontlines of this issue say they need better diagnostics tools, technology and education to combat the bacterial disease at a time when global warming is expected to cause extreme weather every year.

“The hurricane opened my eyes. We physicians are completely alone,” said a private physician who asked to remain anonymous. “The Department of Health reacts, it doesn’t prevent.”

David A. Haake, a physician and infectious disease specialist who teaches at UCLA, said Puerto Rico needs to implement a strategy developed by a multi-disciplinary team composed of microbiologists, veterinarians, physicians, infectious disease specialists, the media and nurses, to mention a few, to raise awareness, educate clinicians and the public. Haake is also a member of the International Leptospirosis Society.  

“The goal is that a patient comes into the doctor and there’s a level of awareness among physicians to make the diagnosis, because it’s really a clinical diagnosis,” Haake said. “And is not going to happen, if they are not thinking about it.”

Rullán said health officials must be proactive and investigate cases to find out the source and understand how the bacteria has affected people in Puerto Rico after the hurricane and there after.

“If there’s no surveillance, there’s no data and no outbreak and if there’s no outbreak, there’s nothing to investigate so why are we going to investigate something that doesn’t exist? That’s what the government is going to tell you,” Rullán said, as he described government health officials’ attitude towards the disease. “We need to educate, but we can’t allow those who are supposed to be protecting us to get away with doing nothing and continue this silent conspiracy.”

This investigation was produced as a project for the Dennis A. Hunt Fund for Health Journalism, a program of the USC Annenberg Center for Health Journalism and also made possible by the Society of Environmental Journalists’ Lizzie Grossman freelance grant for environmental health reporting.

This story was published on June 6, 2019 by the Center for Investigative Journalism of Puerto Rico (CPI in Spanish) and its media partners.

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Returning to la isla del encanto

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By Mc Nelly Torres

In mid-September, 2017, Hurricane Maria devastated my native island of Puerto Rico. I finally managed to travel to the island in November, when I spent two weeks cooperating with local journalists on behalf of the National Association of Hispanic Journalists with the support of the Knight and Ford foundations.

In order to help tell their stories, we delivered satellite phones and wifi hubs to local journalists working under dire conditions while covering the aftermath of Hurricane Maria. Communications had become a daily struggle and these journalists needed to communicate in order to perform their jobs.

As many Americans living outside the island, I watched on TV and online as Hurricane Maria ripped through the small southeast town of Yabucoa, just miles away from my hometowns of Patillas and Arroyo.

The nearly Category 5 hurricane enveloped the whole island like a giant blanket and spent 30 hours precipitating chaos and massive destruction.

Never before had the people of Puerto Rico experienced so much fury in one storm. The damage to property and communications was unprecedented and the blackout that came before, during and after has been a nightmare for all Puerto Ricans living in the island but also for the millions of Puerto Ricans in the U.S. mainland as well.

We didn’t know if our friends and relatives survived the catastrophe. We didn’t know if they had food and water. There was no electricity or communications whatsoever. The blackout hindered social media too.

I could no longer see posts from my friends in social media about ordinary things like daily thoughts or pictures and special moments like birthdays. All their Facebook profiles were frozen in time just before the storm – some of them managed to post that electricity was out before the storm arrived.

I had no news from my cousins and my mother. And this went on for days and weeks. I was afraid for the whole island.

Last summer, I had made a four-day visit to the island. After landing, my husband and I  drove straight from San Juan to the east and south coasts, where we stayed in Guardarraya. This vibrant part of the island, known for good surfing, is a beach community in Patillas, where most of my family is from.

When I returned in November, I found myself in a different place. Instead of an island, known for its beauty, wonderful people and tasty food, I found a desolate landscape devastated by Mother Nature as it had never been before.

All that remained of the little boutique hotel we had stayed in Guardarraya, Caribe Beach Playa Resort, was the bare concrete structure; most of its windows had been ripped out. The locals tell me Maria had brought a 20-foot storm surge that had swept everything in its fury, including most of the hotel.

People are still traumatized by their experience. And each day that passes without electricity is a reminder of what took place in September.

Life will never be the same.

This post is to share pictures and short videos I took to show how the people of Puerto Rico survived the worst hurricane on record to hit the island and how they have been  neglected by their government.

And how, under difficult circumstances, amid struggles and challenges, even as electrical power has been slowly restored throughout the island, they get up every day to clean up, find solutions and survive. They are not waiting for a savior, even though they are justified in feeling like second-class citizens.

As I traveled the island, spoke to people and documented what I saw, I felt as if I was visiting a foreign country. How can a place so beautiful look so different now? Nature can do that.

I saw hundreds of light poles knocked down by the storm and wires everywhere on the side of the road and on top of houses. Trees and property flattened.

I saw sadness.

I saw resilience in people who were and still are trying to make the best of a bad situation. I saw despair in the face of the unknown as thousands of people left the island looking for a remedy they can’t find at home.

I also saw strength in those left behind as they repeat the new mantra “Puerto Rico Se Levanta,” an assertion for themselves and for outsiders that there’s no choice but to look forward to a brighter future.

Those are my people. That’s Puerto Rico. Still and always my enchanted island.

Mi isla del encanto.

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Helping Create Data Journalists in Latin America and Beyond

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By Mc Nelly Torres

Víctor Hugo Michel was excited and overwhelmed at the time of the training I provided for journalists at the IberoAmericana University in México City several years ago.

Michel’s mind ran wild thinking about all the stories he would be able to report and write using the data analysis and investigative tools he learned in October of 2012.

“I never thought I could organized data, ranked it and compared it electronically to find new trends and information which is not easy to see with the naked eye,” said Michel, a reporter for the newspaper Grupo Milenio in México City. “These tools are like using a new set of glasses with three-dimensional vision providing me with something I didn’t even know existed.”

Since then, Michel has produced data-driven stories that have garnered him many awards. He keeps in touch with me through Twitter (@WatchdogDiva). But Michel listened to a piece of advice I gave him at the time after I introduced him and others to the Investigative Reporters and Editors organization. Join the organization, I said, attend the workshops and conferences. But more importantly, get involved. It will be worth it. I promise.

I’m a long-time member and I was serving as a board member at the time.

And while this might sound bias, I truly believe in IRE’s mission which is to train journalists investigative techniques through workshops and annual conferences. What has been truly remarkable about IRE since I joined in the 1990s has not been limited to the training, but to the great mentors and long-lasting relationships I’ve made over the years.

I said to him: Make it to the annual conference because it’s an investment to your craft, work and future.

Michel listened.

Then in 2013, he gave me an awesome surprise when he tapped my shoulder before the International Luncheon at the IRE annual convention in San Antonio.

Back at the training session in Mexico City, Alejandra Guillén, another journalists who traveled from Guadalajara, Jalisco (eight hours away from México City), had said at the time that the training introduced her to technology that she can use in her daily work.

“I usually don’t have the time to analyze data manually so my work has always been superficial,” said Guillén, who works for El Informador, a daily newspaper in Guadalajara, México. “But now I understand how I can use these tools to be more efficient.”

Michel and Guillén were among 25 journalists who spent three days with me learning data analysis tools and investigative techniques as part of a workshop sponsored by the Periodistas de a Pie, an organization based in México City.

I always feel inspired after a day of training journalists. I love to watch their eyes spark with excitement when I show them the roadmap I used to build a story using data analysis tools. Curious minds marveled at the screen as I show them how they can too use these tools.

I also love to mentor young journalists of color which I do every year at the IRE annual conference.

So when Periodistas de a Pie invited me to teach a three-day workshop on data analysis and investigative reporting, I felt honored and excited about the possibility of spreading the gospel of data journalism.

Founded in 2007, Periodistas de a Pie is a network of journalists in México which mission is to defend freedom of speech, the pubic right to information and improve the quality of journalism in the country by offering training. Periodistas de a Pie’s focus is also to help and protect journalists working in dangerous areas in the country.

In a country where most data is not easy available like in the U.S., these journalists face numerous challenges –sometimes even dangerous ones that could cost their lives – to inform the public. But they are passionate about the work and it didn’t take long for them to understand the potential of these tools as we began to work together on hands-on lessons.

The visit to México City has been one of numerous trips I’ve made in recent years including Venezuela, Honduras, Bolivia and several times to Puerto Rico, where I was born and raised, after El Centro de Periodismo Investigativo de Puerto Rico invited me to teach data analysis tools to local journalists.

In San Juan, I see familiar faces each time I’ve been invited also sponsored by CPIPR.
Jackeline Del Toro, a reporter who works for El Vocero who also attended my sessions in 2011 and 2012, during my last training in Puerto Rico to express how the session I taught in 2012 changed her approach she once had when working in complex stories.

“It helped me to see beyond the data I have in front of me,” Del Toro said, as she shared a project she produced about transsexual people in Puerto Rico.

Del Toro has seen positive results in her work. The project won an award for special report from the Association of Journalists of Puerto Rico.

In 2014, the Education Writers Association invited me to spend a day in Dallas, Texas to teach data analysis to Spanish-media journalists who cover education. There I met journalists from all over the country who are starving to learn these tools. And last year, I spent an afternoon in my own backyard -Miami- speaking at a workshop in Spanish sponsored by the National Association of Hispanic Journalists.

As I teach these workshops, one of my objectives is to change the culture among journalists who said they hate numbers and math. To me that’s absurd. Journalists report on numbers. If we don’t understand budgets, statistics and numbers, how can we do our jobs with integrity and accurately? If I can change one reporter’s mentality, I’ve done my job.

Daniel Edith Rea Gómez was one of those journalists.

“I’ve always shied away from numbers because I’ve considered them the enemy,” said Gómez, who works for the newspaper Reforma and a member of the Periodistas de a Pie, said. “But this training showed me how data can be used to write high impact stories. Now it is my responsibility to build onto what I learned and work in my own investigations.”

Mission accomplished.

Why I’m running for re-election

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Why vote for me: “I’ve been a member of the Investigative Reporters and Editors for more than 10 years. I believe in IRE’s mission, which is to promote investigative reporting and train the next generation of journalists. I have not only made personal financial contributions to IRE, but have also volunteered my time to help coordinate and participate at workshops and conferences. I have also helped raise money to ensure that IRE continues its mission to provide investigative training to journalists around the world.

“I’m running for reelection because I would like to continue my work as an ambassador for IRE and as a voice for all journalists, including those in small newsrooms. During the past year, I have represented IRE in Puerto Rico and Venezuela and throughout the nation. I pay my own way to these events as well as to IRE board meetings and conferences. We need investigative journalism more than ever, but we also need to make sure that IRE is a sustainable organization capable of serving future generations.

“As a news entrepreneur who co-founded a nonprofit organization in Florida, I know too well about sustainability challenges. Building and growing a new organization is a rewarding and demanding experience. Since Florida Center for Investigative Reporting launched in September 2010, the organization has produced hard-hitting investigative reporting that has won 12 national, regional and state awards.

“I believe that the only way investigative journalism can thrive and evolve in our fast-changing media ecosystem is to engage young journalists. As an organization, IRE must continue to educate and train young people to ensure that investigative journalism survives and thrives. I’m doing my part not only by mentoring young journalists at IRE’s annual conferences, but also by offering internships to young journalists at FCIR.

“I care about IRE and its future. I hope you will consider me for your vote.”

Mc Nelly Torres is the co-founder and associate director of the Florida Center for Investigative Reporting, the first bilingual investigative nonprofit in the Sunshine State. Previously, Torres was the Stimulus Team Leader for EdMoney.org, a project of the Education Writers Association.  She has also collaborated with journalists in Puerto Rico on investigations. Her journalism has won state, regional and national awards, including from the Education Writers Association, National Association of Hispanic Journalists and the Society of Professional Journalists.

Torres has worked at five daily newspapers across the United States. She was a consumer writer for the Sun-Sentinel in Fort Lauderdale, where her reporting led to the conviction of a businessman with a history of defrauding customers, a state probe of a foreclosure-rescue firm and changes in state laws governing the foreclosure-rescue industry.

At the San Antonio Express-News in Texas, Torres covered four politically contentious school districts and uncovered corruption that led to the conviction of a school building architect. At the Morning News in South Carolina, Torres won local and state awards for her investigative work on the state’s hog-farm permit-filing process.

A native of Puerto Rico, Torres has lived around the world while following a military husband who retired in 2005.

She has a bachelor’s degree in journalism from Colorado State University-Pueblo, formerly known as the University of Southern Colorado. Last year, Torres became the first Latina to be elected to serve on Florida Society of News Editors’ board of directors. 

2010 in review

The stats helper monkeys at WordPress.com mulled over how this blog did in 2010, and here’s a high level summary of its overall blog health:

Healthy blog!

The Blog-Health-o-Meter™ reads This blog is doing awesome!.

Crunchy numbers

Featured image

A Boeing 747-400 passenger jet can hold 416 passengers. This blog was viewed about 1,400 times in 2010. That’s about 3 full 747s.

In 2010, there were 8 new posts, not bad for the first year! There were 72 pictures uploaded, taking up a total of 4mb. That’s about 1 pictures per week.

The busiest day of the year was September 6th with 92 views. The most popular post that day was Chronicles of a News Entrepreneur Part I.

Where did they come from?

The top referring sites in 2010 were facebook.com, twitter.com, WordPress Dashboard, linkedin.com, and fcir.org.

Some visitors came searching, mostly for mcnelly torres, consumer stories, stop plagiarism, mc nelly torres, and mcnellytorres.com.

Attractions in 2010

These are the posts and pages that got the most views in 2010.

1

Chronicles of a News Entrepreneur Part I September 2010

2

Why Watchdog Forever? August 2010
5 comments

3

Cell phone contracts, debt collectors and the dead November 2010

4

About August 2010
1 comment

5

My work August 2010

Cell phone contracts, debt collectors and the dead

The Ugly Truth About Contracts After A Love Ones Dies

We canceled my father’s cell phone service the same day he died in July.

His death was sudden and we were shocked by the news.

Days after I returned from my father’s funeral, cell phone bills began to invade my mail box. Debt collectors began to call my home number asking for my father by name. I explained the situation over and over again.

Nobody listened. The calls didn’t stop.

The issue was simple: My father died on July 8 so any contract he had with the cell phone provider died with him. So it would be impossible for him to pay the $221 bill in fees and fines the cell phone provider was attempting to collect for terminating the contract.

My father paid all his bills and he had no debts when he died.  This bill was ridiculous.

I knew that I needed to provide proof so I faxed his death certificate when they asked. I called two days later, but they claimed the fax never arrived. I mailed the death certificate and waited for a couple of days before I called again.

In my attempts to document everything and have proof at hand, I requested a letter indicating the company received the document (Yes, they finally admitted to have received two copies of my father’s death certificate).

“We don’t do that,” a woman on the phone said.

“Why?” I asked.

“Sorry we just don’t do that,” the woman replied.

Two weeks later, I received another call from a debt collector. Another bill arrived that afternoon.

Don’t they talk to each other? Are these people incompetent?

I had about enough at this point. I was not going to allow these bullies to intimidate me.

I find this to be a coincidence but I had just written about debt collectors early this year. I interviewed consumers who vividly described the abuses they suffered at the hands of scrupulous debt collectors.

I’m well aware of state and federal regulations and common abuses. I kept meticulous notes about each call with dates, information and what it was said.  And I was on the verge to file a complaint with the Federal Trade Commission and Florida Attorney General’s office.

But I decided to wait.

Not surprisingly, other consumers have gone through this wrenching experience. I’m sure people make up all kinds of lies to escape a contract, but people die as well. It is a fact of life. Companies should be a little sensitive, and at the very least, efficient to resolve these issues fast.

And it was clear to me that these guys (debt collectors) didn’t care.

So I didn’t waste my time with them, but I was very clear: My father’s contract with the cell phone provider ended when he died. I didn’t care if the cell company wanted to slap him with a $221 early disconnection penalty. The contract was between two parties and one party had expired.

The contract was not legally binding. That was my legal position and I was going to stick to that.

It was that simple.

After my brief conversation with the debt collector, I called the cell phone provider and was transferred to the consumer relations department. I explained the situation to a woman who was nice and helpful during the call.

She advised me to write a letter directed to customer relations and explain the situation. I should enclose a copy of my father’s death certificate, she said.

I wrote the letter that same day (Sept. 22) providing all the information. I did request some sort of acknowledgement from them, an attempt to obtain a record for future reference.

Was that too much to ask?

Two weeks later, another debt collector called. I threatened to file a complaint.

He said: “There’s no need to threaten me. Why don’t you call the cell phone provider?”

Déjà vu all over again. I was livid.

I dialed the number one more time. The man on the phone was nice and apologetic after I explained my predicament.

“This should go through the next billing cycle,” he said. “It should be fixed by Oct. 14 after the next billing cycle closes. You will receive a letter showing a balance of $0.”

By Oct. 22, another bill arrived on the mail showing a balance of $221.

I ignored it. I don’t even know why.

Then last week (Oct. 27), a letter from the cell phone provider arrived.

The envelope didn’t look like a bill.  I waited for a while before I opened the letter dated Oct. 20. It offered condolences for my father’s death and noted that my father’s account had been canceled. The remaining balance had been removed, the letter said.

I can’t explain how I felt, but I got the document I needed.

The real irony here is that my father hated that cell phone.

I didn’t.

The cell phone kept me connected to him. That’s how we communicated. And even though he criticized the technology, he would answer my calls.

And there were days that he seemed to be waiting for my call. He lived alone and I knew he was lonely.

I could be driving to work in the morning and I would dial his number. Or after a bad day at work, I would call him as I drove home. We talked about everything, politics, money, work, history, the family and the economy.

It was unreal. We never had these types of conversations before.

The cell phone he hated so much gave me a level of comfort that I can’t explain. It gave me memories about those last years of his life.

I’m happy to report that I have not received any calls from debt collectors. Yet, I couldn’t help to wonder: Will they call again?