People living on a remote island in
the north-west of Vanuatu are having to drink harmful saltwater
following last week's cyclone, the BBC has discovered.
Residents of Moso say they are still waiting for outside help to arrive.
Aid
agencies have begun trying to access the country's small outer islands,
but flooding has stopped their planes from landing in some areas.
One pilot said the lush landscape had been transformed and now looked as if it had been destroyed by a bush fire.
In
addition to drinking water shortages, officials say there is also a
desperate need for food and shelter, with tens of thousands of people
now homeless.
Drinking saltwater is damaging as the more a person drinks, the more
water already present in the body is rerouted to help dilute the excess
of salt.
It can lead to dehydration and death.
The United
Nations has revised the official number of people killed by the cyclone,
bringing it down to 11 from an earlier figure of 24.
The relatively low number of casualties has been attributed to the advance warnings that were issued.
Four
days after the cyclone struck, aid agencies say that outlying areas of
Vanuatu hit by Cyclone Pam suffered "significantly worse" damage than
the island nation's capital, Port Vila.
Prime Minister Joe Natuman told the BBC that the full extent of the damage across the islands was still not clear.
He said that the more heavily populated islands of Tanna and Efate received most of the damage.
"The other islands should be okay," he said, "except maybe one group."
Local people and aid agencies say that the rebuilding effort will be immense. At the scene: BBC's Jon Donnison in Moso
Four days after Cyclone Pam ripped through Vanuatu the full extent of
the damage is still not known. Many of the more than 60 inhabited
islands remain cut off.
We travelled by boat to Moso, the first
people to visit since the cyclone struck. Villagers in the community of
Taseriki told us they had received no help whatsoever since the storm.
Many houses are completely flattened.
There are no shops, people
grow their own food, and their crops have been destroyed. One man told
us his children were going hungry, having to scavenge what they could
find.
Villagers have been having to drink saltwater for two days.
You cannot survive like that for long. The death toll across Vanuatu
remains thankfully low. But the suffering is immense. Getting aid to the islands has proven difficult because of a lack of landing strips or deepwater ports.
Teams
carrying medical supplies, food, water and shelter equipment landed on
the outer islands of Tanna and Erromango, agencies said.
The government is planning to set up a relay system known as "air
bridges", where a large plane goes to a provincial capital, with lighter
aircraft or boats being dispatched to surrounding islands.
Tanna
island has a population of about 30,000 people and is about 200km (124
miles) south of Port Vila. It was directly in the path of the cyclone
and all of its crops and most of its houses have been destroyed.
Tom Perry from Care Australia said relief workers in Tanna reported the hospital was functioning but had no roof.
Similar
damage was reported by Save the Children in Tongoa - a small island
that has about 3,000 people - where 95% of homes are estimated to have
been destroyed.
Communication to many of the other 80 islands in the archipelago is
still down and officials have warned survivors could quickly run out of
food.
The category five storm hit Vanuatu on Saturday, bringing wind gusts of up to 300km/h (185mph).
Many
people have lost their homes or face extensive rebuilding.
Telecommunications, power and water supplies have all been badly
affected.
In Port Vila, power and water have been restored in
some areas, with officials reporting good progress in the clear-up
operation, despite up to 90% of homes being damaged.
"The main roads around the island are expected to be cleared by tomorrow," a Unicef spokeswoman said.
One woman in Port Vila told the BBC that the scale of the destruction was immense - with curled up corrugated iron everywhere.
The president, returning from a conference in Japan, has described the storm as a "monster" linked to climate change, citing changing weather patterns, rising seas and heavier-than-average rain in Vanuatu.
Australia announced on Tuesday that it was sending more personnel,
including a search and rescue team, and three more military planes
carrying aid. How poor is Vanuatu?
About two-thirds of people make a
living from agriculture. Fishing, tourism and offshore financial
services are the other main industries
Australia estimates that about 70% of
the population of 250,000 live on remote islands or in rural areas, with
few services and limited access to clean drinking water, transport or
electricity
Australia is Vanuatu's main donor, giving A$60.7m (£31.45m: $46.5) in 2013/4, about 60% of total aid
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