After Hurricane Maria hit Puerto Rico and caused the second-largest blackout in world history, hospitals across the island faced the stark reality that they were unprepared to power their critical equipment for extended periods of time during a prolonged power outage. Most turned to their only backup option: costly, loud, polluting generators that required constant refueling, which often involved waiting in long lines for gas or diesel fuel. In addition, the generators could not supply enough energy to meet the hospitals’ essential needs, as medicines and vaccines would expire and have to be repurchased due to a lack of refrigeration.
The financial costs of the power outage, as well as the stress of not knowing whether their generators would even be able to meet their needs, became too burdensome for eight Puerto Rican hospitals, including five COSSMA hospitals. These hospitals began the search for a more robust, reliable, and low-maintenance source of long-term backup power with a superior safety profile for a medical environment that did not pose the risk of toxicity, thermal runaway or fire hazards.