The death toll in Puerto Rico has reached 48 following Hurricanes Maria, according to ABC News.

Secretary of Public Security Héctor Pesquera said the medical examiner said the effects of Hurricane Maria, which slammed into the island last month, played a role in the deaths.

One death occurred after an individual in Caguas was unable to receive dialysis treatment due to a lack of power, while another person with respiratory issues died because they were unable to get access to treatment, according to the network.

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"We are reviewing each and every case to see if the storm was a direct or indirect cause," Pesquera said, adding "I doubt seriously that we will have any direct at this juncture."

Aid and basic necessities such as food, water and medicine have been slow to reach people on the island, which the government said is 85 percent without power.

The federal government has faced criticism for the response to the storm's aftermath, however, President Trump said the government would not be able to help Puerto Rico, which is a U.S. territory, forever.

"Puerto Rico survived the Hurricanes, now a financial crisis looms largely of their own making." says Sharyl Attkisson. A total lack of..... — Donald J. Trump (@realDonaldTrump) October 12, 2017

...accountability say the Governor. Electric and all infrastructure was disaster before hurricanes. Congress to decide how much to spend.... — Donald J. Trump (@realDonaldTrump) October 12, 2017

...We cannot keep FEMA, the Military & the First Responders, who have been amazing (under the most difficult circumstances) in P.R. forever! — Donald J. Trump (@realDonaldTrump) October 12, 2017

The president, who faced backlash for the tweets, issued another tweet on Thursday praising Puerto Rico.