Trump's latest grumbling on the Maria death toll comes as Tropical Storm Florence inundates the Carolinas, killing at least four people.
Thursday morning on Twitter, he disputed that 3,000 people died in Puerto Rico from Hurricane Maria one year ago. He said the toll was no greater than 18 when he visited the island previous year and "did not go up by much".
President Donald Trump on Thursday rejected the widely accepted conclusion that almost 3,000 died in Puerto Rico from Hurricane Maria, arguing without evidence that the number was wrong and calling it a plot by Democrats to make him look bad. If a person died for any given reason, such as old age, just add them to the list.
Commissioned by Puerto Rico's governor, the study found that the authorities' initial figure of 64 deaths was likely as low due to officials strictly classifying only certain deaths - such as those caused by collapsing buildings, flying debris, floods and drownings - as caused by the hurricane.
They extrapolated that data to estimate 4,600 people died as a direct result of the hurricane, including those who were not able to access vital medical treatment.
San Juan Mayor Carmen Yulín Cruz tweeted to the president on Thursday: "Shame on you", including a picture of his tweet.
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Trump @realDonaldTrump "When Trump visited the island territory last October, OFFICIALS told him in a briefing 16 PEOPLE had died from Maria". Some Puerto Ricans are still without power.
This Friday, Trump used Twitter to yet again cast doubt over the estimated 2,975 people who were killed on USA territory by Hurricane Maria.
"I just think if we can keep politics out of it, help those people who are suffering, I just think that's a better response".
Trump was asked about his administration's handling of last year's storm in Puerto Rico as the government prepares for the impact of Hurricane Florence.
And House Speaker Paul Ryan, R-Wis., said, "I have no reason to dispute these numbers".
"It was one of the best jobs ever done with respect to what this is all about", Trump said Tuesday at a briefing, referring to the Hurricane Maria response.