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Communications breakdown left authorities in the dark and residents without alerts amid Maui fire

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Communications breakdown left authorities in the dark and residents without alerts amid Maui fire
News

News

Communications breakdown left authorities in the dark and residents without alerts amid Maui fire

2024-04-18 12:50 Last Updated At:13:00

HONOLULU (AP) — As unpredictable wildfires roared across Maui last August, the head of the emergency management agency dragged his heels about returning to the island amid the unfolding crisis, while a broad communications breakdown left authorities in the dark and residents without emergency alerts, according to a report released Wednesday.

Communications problems were also encountered with the Hawaiian Electric Company, with power and emergency workers unable to confirm that power lines were de-energized until well after flames had caused widespread damage, the report from the Hawaii Attorney General's office said.

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Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

HONOLULU (AP) — As unpredictable wildfires roared across Maui last August, the head of the emergency management agency dragged his heels about returning to the island amid the unfolding crisis, while a broad communications breakdown left authorities in the dark and residents without emergency alerts, according to a report released Wednesday.

Hawaii Attorney General Anne Lopez holds a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez holds a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Derek Alkonis speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Derek Alkonis speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Here are some key events during Aug. 8 contained in the first report from a Hawaii Attorney General investigation into the Maui County wildfires last fall. (AP Digital Embed)

Here are some key events during Aug. 8 contained in the first report from a Hawaii Attorney General investigation into the Maui County wildfires last fall. (AP Digital Embed)

Hawaii Attorney General Anne Lopez, right, introduces Fire Safety Research Institute (FSRI) members Derek Alkonis, left, and Steve Kerber during a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez, right, introduces Fire Safety Research Institute (FSRI) members Derek Alkonis, left, and Steve Kerber during a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez and members of the Fire Safety Research Institute (FSRI) hold a press conference on the Maui Wildfire Phase One Report findings on Wednesday, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez and members of the Fire Safety Research Institute (FSRI) hold a press conference on the Maui Wildfire Phase One Report findings on Wednesday, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

FILE - A man views homes consumed by a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A man views homes consumed by a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Kyle Ellison shows the pots he used to help put out a wildfire along the gorge, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison shows the pots he used to help put out a wildfire along the gorge, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison stands in front of a fallen tree in the aftermath of a series of wildfires on Wednesday, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to yjr wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison stands in front of a fallen tree in the aftermath of a series of wildfires on Wednesday, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to yjr wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Janet Spreiter, whose home across the street was destroyed in the August wildfire, stands in front of a flooded parking garage in a destroyed business complex next to the Lahaina Shores Beach Resort on Front Street, Friday, Dec. 8, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Janet Spreiter, whose home across the street was destroyed in the August wildfire, stands in front of a flooded parking garage in a destroyed business complex next to the Lahaina Shores Beach Resort on Front Street, Friday, Dec. 8, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - A tub rests in the middle of a wildfire-destroyed home, Monday, Aug. 14, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Rick Bowmer, File)

FILE - A tub rests in the middle of a wildfire-destroyed home, Monday, Aug. 14, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Rick Bowmer, File)

FILE - Firefighters clear debris in Kula, Hawaii, Tuesday, Aug. 15, 2023, following wildfires that devastated parts of the Hawaiian island of Maui. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Firefighters clear debris in Kula, Hawaii, Tuesday, Aug. 15, 2023, following wildfires that devastated parts of the Hawaiian island of Maui. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A Chinook helicopter scoops up water from the ocean near Lahaina, Hawaii, Wednesday, Aug. 16, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A Chinook helicopter scoops up water from the ocean near Lahaina, Hawaii, Wednesday, Aug. 16, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Search and rescue team members work in a residential area devastated by a wildfire in Lahaina, Hawaii, Aug. 18, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Search and rescue team members work in a residential area devastated by a wildfire in Lahaina, Hawaii, Aug. 18, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Photos of victims are displayed under white crosses at a memorial for the August 2023 wildfire victims, above the Lahaina Bypass highway, Dec. 6, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Photos of victims are displayed under white crosses at a memorial for the August 2023 wildfire victims, above the Lahaina Bypass highway, Dec. 6, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Clouds hang over a home destroyed in a wildfire in Kula, Hawaii, Tuesday, Aug. 15, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Clouds hang over a home destroyed in a wildfire in Kula, Hawaii, Tuesday, Aug. 15, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A general view shows the aftermath of a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A general view shows the aftermath of a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

It was the second of two major assessments out this week about the deadliest U.S. wildfire in a century. A report released Tuesday by the Western Fire Chiefs Association detailed the challenges facing the Maui Fire Department during the unprecedented series of blazes, including one that killed 101 people in the historic town of Lahaina.

Attorney General Anne Lopez presented the latest report along with Steve Kerber, vice president of the Fire Safety Research Institute.

“When Attorney General Lopez contacted us, clearly we were paying a lot of attention to what was going on in Lahaina and really had the same question that she had. How is it possible that something like this could happen?” Kerber said.

Officials did not answer questions about cause or liability, saying it is only an initial reckoning and two more reports will follow. Investigators are still trying to get some documents from Maui County, officials said.

"We’re going to continue this investigation, and we will follow it wherever it leads,” Lopez said.

The federal Bureau of Alcohol, Tobacco, Firearms and Explosives is also investigating, and its report, expected to pinpoint cause, will come out before the one-year anniversary.

The report released Wednesday says that five days before the flames broke out, meteorologists warned that strengthening winds resulting from a hurricane south of Hawaii could lead to extreme wildfire risk Aug. 8. “Confidence in the development of critical fire weather conditions this many days away is quite rare, and we believe that this warrants a heads up to you,” a National Weather Service forecaster said in an email to fire contacts Aug. 3.

Kerber described complex and “incredibly fast” fires with flames traveling at a rate of about a mile in 90 minutes.

The Maui Emergency Management Agency had posted to Facebook on Aug. 6 about a “serious fire and damaging wind threat” due to dry conditions as Hurricane Dora passed.

The agency’s administrator, Herman Andaya, was off island at a conference on Oahu on Aug. 8 as the fires intensified. His call and text records show that he was getting updates from Gaye Gabuat, an administrative assistant. After a series of evacuations in Lahaina, Gabuat told Andaya that “multiple people look overwhelmed,” according to the report. Andaya asked if he should come home, to which Gabuat responded, “it may look okay.“

After the fire had been burning for more than five hours, Gabuat told Andaya that flames had reached Front Street, Lahaina's commercial heart. Only then did Andaya respond that he had “better come home tomorrow.”

By that time multiple areas had been evacuated, according to a situation report by Andaya’s agency. Front Street had been closed along with the Lahaina bypass road, another key thoroughfare. In Lahaina alone, 29 utility poles were reported downed.

There was no immediate response to attempts Wednesday to reach Andaya, who resigned Aug. 18, via phone, email and social media.

Investigators said they requested incident activity logs and other records from the agency's emergency operations center, or EOC, on multiple occasions. Derek Alkonis, a manager with the fire research institute, said they had received some information but not everything they had requested. “You’ll find in the report that there is a difficulty with gaining information from the EOC,” Alkonis said. “In terms of the reason for that challenge, it’s going to be analyzed in subsequent reports.”

The report also describes a breakdown in communication between police, firefighters and emergency officials after cell networks went down. Police and firefighters had to communicate using their handheld or car radios on closed channels that public officials and others could not listen to.

Meanwhile a stretched and limited dispatch center had single operators monitoring five or six channels at a time to keep up.

“With no cellular communication, residents and tourists were not able to receive emergency alerts, communicate with loved ones and/or to receive incoming or outgoing calls/texts,” the report’s authors wrote.

They detailed how one police officer told other responders his daughter had been babysitting in a neighborhood that was hit by the fire. Without cell communications he had no way to check if she escaped, and it took two days before he confirmed she was OK.

Fire crews also became trapped, according to staffing logs included in the report. Around 4:30 p.m., one engine was destroyed and another broke down. A firefighter from one of the engines rescued the crews using a police department SUV, according to the logs.

Hawaiian Electric has acknowledged that a downed power line sparked a fire in Lahaina early on the morning of Aug. 8. Firefighters were still mopping up that fire at noon and waiting for a utility worker to arrive and confirm that the power lines had been de-energized. But when the worker got there, he was unable to confirm the power had been cut off — information that would likely have helped fire crews assess the risk of re-ignition as well as the risk posed by other downed lines.

Still, the fire crew determined that the blaze was extinguished and headed back to the station at 2:17 p.m. By 2:55 p.m., several calls came about another fire in the same area. Firefighters were finally advised that power to the area had been shut off at 4:11 p.m., according to the report.

In the months since, Hawaiian Electric has said the lines were shut off for more than six hours before the afternoon fire was reported.

The attorney general’s report is the first phase of a comprehensive assessment that includes a timeline of the Lahaina fire using social media posts, metadata from citizen photos and videos, dispatch records, emergency communications and other sources. It describes the 72 hours before, during and after the blaze, and says investigators relied on “all known available facts” related to the fire and to preparations by local, state and federal agencies.

Because power was out to much of the area, security camera video generally wasn’t available, so investigators had to rely on interviews with residents and first responders to piece together the events.

“What this report doesn’t capture is the loss, the people, the challenges that they’ve gone through, the pain, the sorrow. And some of those things will be analyzed later. But you need the facts first,” Alkonis said.

Phase 2 of the report will focus on how Maui’s fire protection system functioned, specifically what conditions fed the inferno, attempts to stop its spread, and evacuations. The third phase will try to answer the critical question, “How do we prevent this from happening again?”

“The tragedy serves as a sobering reminder that the threat of grassland fires, wildfires, and wildfire-initiated urban conflagrations, fueled by climate change and urban encroachment into wildland areas, is a reality that must be addressed with the utmost urgency and diligence — not just in Hawaii, but around the globe,” the authors wrote.

The fire destroyed roughly 3,000 properties in Lahaina and caused more than $5.5 billion in estimated damage, according to state officials.

Boone reported from Boise, Idaho; Keller from Albuquerque, New Mexico; and Lauer from Philadelphia. Christopher Weber in Los Angeles, Audrey McAvoy in Honolulu, Claire Rush in Portland, Oregon, Hallie Golden in Seattle, Anita Snow in Phoenix and Mark Thiessen in Anchorage, Alaska, contributed.

This story has been updated to correct the spelling of Gaye Gabuat’s name.

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez holds a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez holds a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Derek Alkonis speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Derek Alkonis speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) member Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Here are some key events during Aug. 8 contained in the first report from a Hawaii Attorney General investigation into the Maui County wildfires last fall. (AP Digital Embed)

Here are some key events during Aug. 8 contained in the first report from a Hawaii Attorney General investigation into the Maui County wildfires last fall. (AP Digital Embed)

Hawaii Attorney General Anne Lopez, right, introduces Fire Safety Research Institute (FSRI) members Derek Alkonis, left, and Steve Kerber during a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez, right, introduces Fire Safety Research Institute (FSRI) members Derek Alkonis, left, and Steve Kerber during a press conference on the Maui Wildfire Phase One Report findings on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Fire Safety Research Institute (FSRI) members Steve Kerber speaks about the Maui Wildfire Phase One Report findings during a press conference on Wed, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez and members of the Fire Safety Research Institute (FSRI) hold a press conference on the Maui Wildfire Phase One Report findings on Wednesday, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

Hawaii Attorney General Anne Lopez and members of the Fire Safety Research Institute (FSRI) hold a press conference on the Maui Wildfire Phase One Report findings on Wednesday, April 17, 2024, in Honolulu. (AP Photo/Marco Garcia)

FILE - A man views homes consumed by a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A man views homes consumed by a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Kyle Ellison shows the pots he used to help put out a wildfire along the gorge, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison shows the pots he used to help put out a wildfire along the gorge, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison stands in front of a fallen tree in the aftermath of a series of wildfires on Wednesday, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to yjr wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Kyle Ellison stands in front of a fallen tree in the aftermath of a series of wildfires on Wednesday, Sept. 27, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to yjr wildfires that burned on the island during a windstorm last August. (AP Photo/Mengshin Lin, File)

FILE - Janet Spreiter, whose home across the street was destroyed in the August wildfire, stands in front of a flooded parking garage in a destroyed business complex next to the Lahaina Shores Beach Resort on Front Street, Friday, Dec. 8, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Janet Spreiter, whose home across the street was destroyed in the August wildfire, stands in front of a flooded parking garage in a destroyed business complex next to the Lahaina Shores Beach Resort on Front Street, Friday, Dec. 8, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - A tub rests in the middle of a wildfire-destroyed home, Monday, Aug. 14, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Rick Bowmer, File)

FILE - A tub rests in the middle of a wildfire-destroyed home, Monday, Aug. 14, 2023, in Kula, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Rick Bowmer, File)

FILE - Firefighters clear debris in Kula, Hawaii, Tuesday, Aug. 15, 2023, following wildfires that devastated parts of the Hawaiian island of Maui. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Firefighters clear debris in Kula, Hawaii, Tuesday, Aug. 15, 2023, following wildfires that devastated parts of the Hawaiian island of Maui. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A Chinook helicopter scoops up water from the ocean near Lahaina, Hawaii, Wednesday, Aug. 16, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A Chinook helicopter scoops up water from the ocean near Lahaina, Hawaii, Wednesday, Aug. 16, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Search and rescue team members work in a residential area devastated by a wildfire in Lahaina, Hawaii, Aug. 18, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Search and rescue team members work in a residential area devastated by a wildfire in Lahaina, Hawaii, Aug. 18, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Photos of victims are displayed under white crosses at a memorial for the August 2023 wildfire victims, above the Lahaina Bypass highway, Dec. 6, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Photos of victims are displayed under white crosses at a memorial for the August 2023 wildfire victims, above the Lahaina Bypass highway, Dec. 6, 2023, in Lahaina, Hawaii. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Lindsey Wasson, File)

FILE - Clouds hang over a home destroyed in a wildfire in Kula, Hawaii, Tuesday, Aug. 15, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - Clouds hang over a home destroyed in a wildfire in Kula, Hawaii, Tuesday, Aug. 15, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A general view shows the aftermath of a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

FILE - A general view shows the aftermath of a wildfire in Lahaina, Hawaii, Thursday, Aug. 17, 2023. The Maui Fire Department is expected to release a report Tuesday, April 16, 2024, detailing how the agency responded to a series of wildfires that burned on the island during a windstorm last August. (AP Photo/Jae C. Hong, File)

BOCA RATON, Fla. (AP) — Florida's ban on most abortions after six weeks of pregnancy, before many women even know they are pregnant, went into effect Wednesday, and some doctors are concerned that women in the state will no longer have access to needed health care.

Dr. Leah Roberts, a reproductive endocrinologist and fertility specialist with Boca Fertility in Boca Raton, said the anti-abortion laws being enacted by Florida and other red states are being vaguely written by people who don't understand medical science. The rules are affecting not just women who want therapeutic abortions, meaning procedures to terminate viable pregnancies because of personal choice, but also nonviable pregnancies for women who want to have babies.

“We’re coming in between them and their doctors and preventing them from getting care until it’s literally saving their lives, sometimes at the expense of their fertility,” Roberts said.

The new ban has an exception for saving a woman's life, as well as in cases involving rape and incest, but Roberts said health care workers are still prevented from performing an abortion on a nonviable pregnancy that they know may become deadly — such as when the fetus is missing organs or implanted outside the uterus — until it actually becomes deadly.

“We’re being told that we have to wait until the mother is septic to be able to intervene,” Roberts said.

Besides the physical danger, there's also the psychological trauma of having to carry a fetus that the mother knows will never be a healthy baby, Roberts said.

“They’re feeling the kicks for months after they’re being told that they’re never going to have a live birth," Roberts said. “And it’s just horrifying when you could take care of it at 20 weeks, and they could move on, and they could get pregnant with their next pregnancy and be able to hold their babies that much sooner.”

She said a huge issue with the ban is that the doctors who perform emergency abortions have to learn the procedures by performing therapeutic abortions. So if most abortions are banned, the next generation of doctors won't be able to develop the skills needed to perform an emergency abortion.

Roberts said she's concerned the restrictions will also prompt veteran doctors to leave Florida, as they have in other states that have enacted abortion bans.

“We’re going to have less access to care for our general population, even if it’s just basic maternity care and normal OB-GYN care, because people are leaving,” Roberts said.

In addition, women are going to have to travel far from home to get abortions. Florida Access Network executive director Stephanie Pineiro said the organization, which helps provide funding for abortions, expects costs to increase dramatically. She estimates it will cost around $3,000 for a woman to travel to another state for an abortion. The closest place after 12 weeks would be Virginia or Illinois, but before 12 weeks would be North Carolina.

“It’s very emotionally draining and challenging to deal with these types of barriers and have to leave your home,” Pineiro said.

The Florida Supreme Court, with five of its seven members appointed by Republican Gov. Ron DeSantis, ruled 6-1 last month to uphold the state's ban on most abortions after 15 weeks of pregnancy, which cleared the way for the six-week ban. The 15-week ban, signed by DeSantis in 2022, had been enforced while it was challenged in court. The six-week ban, passed by the Legislature a year later, was written so that it would not take effect until a month after the 2022 law was upheld.

Republican state Sen. Erin Grall, who sponsored the six-week ban, previously said bodily autonomy should not include abortions.

“We live in a time where the consequences of our actions are an afterthought and convenience has been substitution for responsibility," Grall said, “and this is unacceptable when it comes to the protection of the most vulnerable.”

Voters may be able to enshrine abortion rights in Florida's constitution after a separate state Supreme Court ruling allowed a proposed constitutional amendment to be on the November ballot. The proposal says, “no law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient’s health, as determined by the patient’s healthcare provider.” It provides for one exception that is already in the state constitution: Parents must be notified before their minor children can get an abortion.

Florida Democrats hope young voters would vote to enshrine abortion rights, as a way to combat the 900,000 voter registration edge Republicans have over Democrats in the state. They hope moderate views of the ballot initiative will turn out younger voters to vote Democrat when faced with the binary choice between a six-week abortion ban or protecting abortion until viability.

Jayden D'Onofrio, chairman of the Florida Future Leaders political action committee, said young Florida voters have a “real opportunity to shape the electoral landscape." Being that abortion rights have prevailed in elections nationwide, he thinks that Florida can engage young voters to register and vote for Democrats.

Nathan Mitchell, president of Florida Atlantic University College Republicans, said he would support a total abortion ban, and he hopes the amendment doesn't pass. Mitchell said he's seen most people want restrictions on abortion, usually for bans within 10 to 15 weeks of gestation.

Most Republican-controlled states have adopted bans or restrictions on abortions since the U.S. Supreme Court overturned Roe v. Wade in June 2022. A survey of abortion providers conducted for the Society of Family Planning, which advocates for abortion access, found that Florida had the second-largest increase in the total number of abortions provided since the decision. The state’s data shows that more than 7,700 women from other states received abortions in Florida in 2023.

Florida Democratic leaders are encouraging women to seek help from abortion funds and resources. On Tuesday, Senate Minority Leader Lauren Book encouraged women to access abortion travel funds and urged them to avoid “taking matters into your own hands.”

Matat reported from West Palm Beach, Florida.

FILE - Florida Gov. Ron DeSantis answers questions from the media, March 7, 2023, at the state Capitol in Tallahassee, Fla. Florida's ban on abortions after six weeks of pregnancy, before many women even know they are pregnant, went into effect Wednesday, May 1, 2024. The Florida Supreme Court, with five of its seven members appointed by DeSantis, ruled 6-1 last month to uphold the state's ban on most abortions after 15 weeks of pregnancy, which cleared the way for the six-week ban. (AP Photo/Phil Sears, File)

FILE - Florida Gov. Ron DeSantis answers questions from the media, March 7, 2023, at the state Capitol in Tallahassee, Fla. Florida's ban on abortions after six weeks of pregnancy, before many women even know they are pregnant, went into effect Wednesday, May 1, 2024. The Florida Supreme Court, with five of its seven members appointed by DeSantis, ruled 6-1 last month to uphold the state's ban on most abortions after 15 weeks of pregnancy, which cleared the way for the six-week ban. (AP Photo/Phil Sears, File)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, looks through a microscope while discussing Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, looks through a microscope while discussing Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

Dr. Leah Roberts, a reproductive endocrinologist-fertility specialist, discusses Florida’s six-week abortion ban, which took effect Wednesday, May 1, 2024, in her office and laboratory in Boca Raton, Fla., Tuesday, April 29. (AP Photo/Daniel Kozin)

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