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Ruth Santiago Nieves arrived in Massachusetts from Caguas, Puerto Rico, just a few days after Christmas last year. The 47-year-old suffers from a range of health problems, including diabetes, legal blindness, and depression. She, her husband, and their 16-year-old son couldn’t stay on the island any longer without power and access to medicine in their home. The heat-driven mosquitoes alone were driving them mad.

“We were deteriorating slowly,” she told Earther in Spanish “The way we were living wasn’t right.”

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