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According to ABC News, President Donald Trump said Thursday the federal government cannot keep the Federal Emergency Management Agency in Puerto Rico “forever,” even as the U.S. territory continues to reel from the devastation wrought by Hurricane Maria in September.

“We cannot keep FEMA, the Military, the First Responders, who have been amazing (under the most difficult circumstances) in P.R. forever!” Trump tweeted.

San Juan Mayor Carmen Yulin Cruz slammed Trump’s tweets as “adding insult to injury” and “unbecoming.”

“Your tweets and comments just show desperation and underscore the inadequacy of your government’s response to this humanitarian crisis. It is not that you do not get it, it is that you are incapable of empathy and frankly simply cannot get the job done,” Cruz said in a statement.

Puerto Rico Gov. Ricardo Rossello also responded to Trump’s tweets Thursday morning by arguing that Puerto Rico is simply asking for the “support that any of our fellow citizens would receive.”

The island is still in crisis mode as it struggles to restore power. Residents still do not have access to clean water, and more than 5,700 residents are living in shelters, according to Rossello’s office. Reports of leptospirosis, a bacterial disease, are beginning to surface. According to Puerto Rican officials, 64 percent of people have access to water.

The death toll since the hurricane has risen to 44. The Department of Defense said Wednesday that 16 percent of the island’s residents have power, although the Puerto Rico Electric Power Authority puts the figure closer to 10 percent after an outage at one nuclear plant.

A news release from the Environmental Protection Agency on Wednesdaysaid there are “reports of residents obtaining or trying to obtain drinking water from wells at hazardous waste Superfund sites in Puerto Rico.” The EPA also warned that raw sewage is seeping into Puerto Rico’s waterways and will continue to do so until power is restored and repairs are made.

The House of Representatives will vote Thursday on legislation that would include $18.7 billion for FEMA’s disaster relief fund and $16 billion for debt relief for the National Flood Insurance Program.

The bill also includes a provision for the Disaster Nutrition Assistance Program, which allows low-income residents in Puerto Rico to receive the same emergency nutrition aid that hurricane-affected states can receive.

Trump visited Puerto Rico on Oct. 3 to survey the damage and meet with victims of the hurricane. He was criticized for throwing supplies into the crowd and for saying that local officials “can be proud” of the low death toll (which was 16 at the time of his visit), compared with the “thousands” lost in Hurricane Katrina in 2005.

He said during a Hispanic Heritage event at the White House last week, “We will not rest” until Puerto Rico has recovered from Maria.

“We will be there all the time to help Puerto Rico recover, restore, rebuild,” Trump said.