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In Haiti hundreds of thousands of people affected by Hurricane Matthew are still waiting for aid.

The death toll is in the hundreds and is expected to rise. The Haitian president calls the situation in the southwest a catastrophe.

People are trying to get on with their lives in Les Cayes, a town of some 80,000 residents. Amid the felled power lines and destroyed buildings, street vendors have gone back to selling mangoes and fried plantains. Stores have reopened.

Despite this attempt to get life back to normal, aid agencies say the needs are huge. Hundreds of thousands of people had their homes partially or totally destroyed. Crops have been wiped out.

Haiti’s Storm Refugees Want To Know: What’s The Plan?

Photo: Jason Beaubien/NPR

After providing urgent medical care, MSF has launched a major distribution of building materials, hygiene kits, water storage equipment, blankets, and energy bars to benefit 10,000 families living in the remote mountain of Sud-Ouest, the region of Haiti most severely affected by Hurricane Matthew.

MSF has relied on a partnership with community members to ensure the success of the initiate. “In the presence of MSF staff, the beneficiary collects the items for his or her family [an average of 7 people] from a community representative who previously accepted the items at the time they were delivered,” explains field distribution coordinator, François Giddey.

More than 205 MSF national staff and 39 international staff are still active in the post-Matthew  response. MSF has carried out emergency response in departments of Grande Anse, Sud, and Nippes.