Ten days after the Government of Puerto Rico began to take the coronavirus seriously, Puerto Ricans are in the midst of the deadly pandemic without a Health Department to count on. With no public health expert in charge of the decisions on which the lives of 3.2 million people who live on this island depend. The Health Department has no data, no projections that allow for coherent planning and response, no communications manager with expertise or experience in public health education, and no large-scale educational campaign despite the many millions spent on advertising superfluous matters. Former Health Secretary Rafael Rodríguez-Mercado, who had previously mishandled the emergencies created by Hurricane María in 2017 and the earthquakes between December 2019 and January 2020, “resigned” on Friday, Mar. 13, the day the first positive COVID-19 case in Puerto Rico was confirmed.