The deadly wildfires that erupted on the Hawaiian island of Maui on Aug. 8 have become the deadliest natural disaster in state history, officials said.
The blazes spread rapidly due to very dry conditions stemming from a drought combined with powerful winds. Much of the historic town of Lahaina has been "destroyed," officials said, and the inferno has burned thousands of residential and commercial buildings to the ground.
Over 100 people have died from the devastating wildfires on Maui. Officials have warned that the death toll is expected to rise as they work to contain the active blazes and assess the damage.
Click here to read what we know about some of the victims.
Aug 11, 2023, 7:28 PM EDT
Death toll now 67, marking deadliest natural disaster since Hawaii's statehood
The death toll due to the Maui fires has increased to 67, officials said.
Twelve additional fatalities have been confirmed as of 1 p.m. local time Friday, officials said, bringing the death toll to 67.
That officially makes this the largest death toll from a natural disaster since Hawaii's statehood.
Previously, the deadliest natural disaster in the state occurred in 1960, when a tsunami killed 61 people.
The Lahaina fire is not yet contained, officials said.
Aug 11, 2023, 6:46 PM EDT
Maui fires declared a public health emergency
The U.S. Department of Health and Human Services has declared a public health emergency for Hawaii due to the wildfires.
The declaration "gives the Centers for Medicare & Medicaid Services’ (CMS) health care providers and suppliers greater flexibility in meeting emergency health needs of Medicare and Medicaid beneficiaries," the agency said.
"We will do all we can to assist Hawaii officials with responding to the health impacts of the wildfires,” HHS Secretary Xavier Becerra said in a statement. "We are working closely with state and local health authorities, as well as our partners across the federal government, and stand ready to provide additional public health and medical support."
Aug 11, 2023, 6:28 PM EDT
Doctor in Maui describes treating patients injured by the fires
Dr. Art Chasen, trauma medical director at Maui Memorial Medical Center, described to ABC News what it's been like treating patients who have been injured by the devastating wildfires.
He said Tuesday night was the first night he experienced a mass casualty event in the 12 years since he has worked at the hospital. Staff saw about 40 patients throughout the night, eight with life-threatening severe burns and the rest with minor burns, smoke inhalation injuries and other fire-related injuries.
Chasen described one patient, a fireman, who got seriously injured while trying to save people from a burning structure.
"He just kept going back until he ran out of oxygen," Chasen said. "He ended up somehow taking off his mask and collapsing in the fire. His fellow firefighters went in and rescued him. He had severe burns on his legs at the scene."
"He coded, his heart hard stopped and so he received CPR for three to five minutes...and they brought him back and he was in our ICU overnight."
The fireman was transferred to Queen's Medical Center in Oahu. In total, nine patients were transferred to Queen's and Straub Medical Center, also in Oahu.
Maui Memorial has seen about 60 patients total as of Friday morning, and Chasen expects a second wave of injured patients now that roads are reopening, but insisted that the hospital is not overwhelmed or struggling to accommodate patients.
"We were not overwhelmed. We've never turned anybody away," he said. "We have beds available. We have ICU space available. We've been seeing regular trauma patients throughout the time, like motorcycle accidents and things like that. So our hospital surged to meet the demand."
-ABC News' Mary Kekatos
Aug 11, 2023, 5:43 PM EDT
How the wildfires are affecting people's physical and mental health
Impacts from the deadly Maui wildfires go beyond evacuations and damaged buildings. Experts say the fires are also affecting residents' and tourists' physical health and could have impacts on their mental health.
Wildfire smoke is a mixture of gases, pollutants and particles that people can inhale, penetrating the lungs and even entering the bloodstream.
Research has also shown wildfires and the subsequent smoke can lead to increased rates of anxiety and depression and become worse among people who already have these conditions.