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So far, international relief efforts have been unorganized, disjointed and insufficient to satisfy the great need. Doctors Without Borders says a plane carrying urgently needed surgical equipment and drugs has been turned away five times, even though the agency received advance authorization to land.
A statement from Partners in Health, co-founded by the deputy UN envoy to Haiti, Dr. Paul Farmer, said the group's medical director estimated 20,000 people are dying each day who could be saved by surgery.
The reasons are varied:
_ Both national and international authorities suffered great losses in the quake, taking out many of the leaders best suited to organize a response.
_ Woefully inadequate infrastructure and a near-complete failure in telephone and Internet communications have complicated efforts to reach millions of people forced from their homes.
_ Fears of looting and violence have kept aid groups and governments from moving as quickly as they would like.
_ Pre-existing poverty and malnutrition put some at risk even before the quake hit.
Governments have pledged nearly $1 billion in aid, and thousands of tons of food and medical supplies have been shipped. But much remains trapped in warehouses, or diverted to the neighboring Dominican Republic. Port-au-Prince's nonfunctioning seaport and many impassable roads complicate efforts to get aid to the people.
Aid is being turned back from the single-runway airport, where the US military has been criticized by some of poorly prioritizing flights. The US Air Force said it had raised the facility's daily capacity from 30 flights before the quake to 180 on Tuesday.
About 2,200 US Marines established a beachhead west of Port-au-Prince on Tuesday to help speed aid delivery, in addition to 9,000 Army soldiers already on the ground. Lt. Cmdr. Walter Matthews, a US military spokesman, said helicopters were ferrying aid from the airport into Port-au-Prince and the nearby town of Jacmel as fast as they could.
US Defense Secretary Robert Gates said the military will send a port-clearing ship with cranes aboard to Port-au-Prince to remove debris that is preventing many larger aid ships from docking.
The UN was sending in reinforcements as well: The Security Council voted Tuesday to add 2,000 peacekeepers to the 7,000 already in Haiti, and 1,500 more police to the 2,100-strong international force.
"The floodgates for aid are starting to open," Matthews said at the airport. "In the first few days, you're limited by manpower, but we're starting to bring people in."
The WFP's Alain Jaffre said the UN agency hoped to help 100,000 people by Wednesday.
Hanging over the entire effort was an overwhelming fear among relief officials that Haitians' desperation would boil over into violence.
"We've very concerned about the level of security we need around our people when we're doing distributions," said Graham Tardif, who heads disaster-relief efforts for the charity World Vision. The UN, the US government and other organizations have echoed such fears.
Occasionally, those fears have been borne out. Looters rampaged through part of downtown Port-au-Prince on Tuesday, just four blocks from where US troops landed at the presidential palace. Hundreds of looters fought over bolts of cloth and other goods with broken bottles and clubs.