With Haiti's major bridges crumbled, roadways flooded and an estimated one million people homeless, humanitarian and government groups struggled Monday to push relief supplies into the country and throughout the storm-ravaged Caribbean.
Four storms in rapid succession have demolished patches of the Caribbean from Cuba to Hispaniola to Jamaica to the Turks and Caicos Islands to the Bahamas, killing more than 350 people, sinking entire towns and hampering aid efforts.
''We need a flood of helicopters because there is a lot of food coming into Port-au-Prince and it cannot reach the provinces,'' Haitian President Rene Preval said in an interview with The Miami Herald.
In Haiti, rescue groups have no access to many interior villages across the southern region and to hard-hit Gonaives, north of the capital, which was cut off when a bridge collapsed.
A Red Cross truck trying to reach Les Cayes on the southern coast had to turn back because of impassable roads.