Vanuatu warned Tuesday it faces imminent food shortages as accounts emerged of huge damage to a large outer island, days after one of the fiercest cyclones on record pummeled the Pacific archipelago.
Relief agencies say conditions are among the most challenging they have faced, with concerns mounting that disease and a lack of clean water could add to the current toll of 24 confirmed fatalities.
Communications were still down to many of Vanuatu's 80 other islands, most only accessible by boat, and Prime Minister Joe Natuman said it would be at least a week before authorities had a better sense of the destruction.
President Baldwin Lonsdale has appealed for the world to help after Severe Tropical Cyclone Pam roared ashore on Friday night.
World leaders, including from Australia, Britain and the EU have pledged aid. French President Francois Hollande pledged to step up France's relief efforts in "the coming days, to respond to the urgency of the situation".
The scale of the disaster became clearer with the first teams of aid workers reaching Tanna island, home to 30,000 people. It is some 200 kilometers (125 miles) south of the capital Port Vila, itself badly damaged.
"The impression they got from their initial observations was that the damage is significantly worse than Port Vila," Tom Perry from CARE Australia told AFP. He added that the hospital was functioning but had no roof.
Australian Foreign Minister Julie Bishop said reconnaissance by the country's military "confirmed significant damage in the southern islands".
"Particularly Tanna island, where it appears that more than 80 percent of houses and buildings have been partially or completely destroyed," she said.
"Not only buildings flattened, but palm plantations, trees. It's quite a devastating sight."
Natuman said while initial assessors had been able to enter the eastern and western parts of the island chain, northern and southern areas were still largely inaccessible.
"It'll be at least a week or two. Right now we are sending teams to do ground assessments to see how many people are homeless," he told reporters at Port Vila airport, where he welcomed home Lonsdale as he returned from Japan.
Benjamin Shing, from Lonsdale's office, said survivors would quickly run out of food.
"The first week we are relying on the fact that the food crops and the gardens are still edible and they can be used for the first week, but after the first week we'll need to get some rations on the ground," he told the Australian Broadcasting Corporation.
With crops wiped out, Shing feared the worst for a country that largely relies on subsistence farming, warning "there might be a lot of fatalities".
The U.N. Office for the Coordination of Humanitarian Affairs said in a situation report "there are 24 confirmed fatalities" across Vanuatu so far and some 30 injured.
Perry said at least five of the dead were from Tanna, adding that "food running out is of great concern" for CARE Australia.
Local woman Sale Chilia said residents living in Mele, a village two kilometers south of Port Vila, were starting to worry about where they could find their next meal.
"We only have the leftovers now," she said.
In Port Vila, access to water and electricity was partially restored after the storm brought down an estimated 80 percent of power lines and damaged most homes.
Stores also began reopening, but entire neighborhoods remained without power as locals struggled to rebuild their homes.
In the capital, leaves and branches lined the streets while residents began clearing metal roof sheeting from the roads around their houses and used machetes to hack through fallen trees.
Personal belongings, household items, mattresses and clothes were spread out on the ground and hung on washing lines as people dried them out, as the cyclone slowly weakened.
Samuel Toara, 25, thought he was going to die when the storm barreled ashore. He sheltered in the pitch black with two other young men as the tempest roared past his home.
"It was very hard. The cyclone sounded like a big plane flying very low," he told AFP.
As heavy rain pounded his house, made of corrugated metal and timber, part of the roof blew off.
"The rain and wind was like white smoke and it flooded up to my knee. But I told the boys, don't worry about the water," he said. "As long as we survive."
The United Nations said there were at least 3,300 people sheltering in 37 evacuation centers around the country.
UNICEF has estimated that 60,000 children have been affected by the cyclone and virtually all schools were closed.
Emergency specialist Mioh Nemoto expressed concern about what they would eat.
"Food security is likely to be a continual problem and we need to start thinking now about how children will stay well fed."
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