​De​​term​ina​tion That A Public Health
Emergency Exists

As a result of the consequences of Tropical Storm Dorian on the Commonwealth of Puerto Rico, on this date and after consultation with public health officials as necessary, I, Alex M. Azar II, Secretary of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby determine that a public health emergency exists and has existed since August 26, 2019, in the Commonwealth of Puerto Rico.