San Juan mayor wears hat reflecting Puerto Rico's revised death toll from Hurricane Maria
© Twitter/Carmen Yulín Cruz

San Juan, Puerto Rico, Mayor Carmen Yulín Cruz posted a photo of herself Wednesday wearing a hat to reflect the U.S. territory's newly revised death toll from last September's Hurricane Maria.

The number, released in a study by the New England Journal of Medicine, is more than 70 times larger than the official government death toll, which maintains that only 64 people died following the hurricane. 

Cruz tweeted the photo of her in the hat with the number “4,645” and the caption “Never forgotten! Never again!” 

Cruz, who criticized the Trump administration for not doing enough to help Puerto Rico in the wake of the hurricane, shared the photo one day after the study's release.

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The Journal found that as many as 5,740 more people died as a result of the hurricane and that 4,645 more people died in the last months of 2017 compared to the same period of time from the year before.

Cruz has a history of using clothing to make political statements. She wore a shirt displaying the phrase “help us, we are dying” during a CNN interview after the storm.

In another television interview last year, the mayor wore a shirt with the word “nasty” after President TrumpDonald John TrumpKey takeaways from the Arizona Senate debate Major Hollywood talent firm considering rejecting Saudi investment money: report Mattis says he thought 'nothing at all' about Trump saying he may leave administration MORE used the term to describe her.

Trump was heavily criticized for his administration’s response to Hurricane Maria. Numerous critics said officials failed to act as urgently in their efforts benefitting the U.S. territory as they did for mainland areas affected by hurricanes Harvey and Irma last year.