Here, in the tiny fishing village of Scott's Head in Dominica - which was slammed by the full force of catastrophic Hurricane Maria last week - basic medication is as woefully absent as food and water.
Up to Sunday, its 800 residents were yet to receive any official aid, almost a week after being flattened by the country's first category five storm in recorded history.
According to Prime Minister Roosevelt Skerrit, not a single street island-wide was spared the fury of Maria's 280km/h (175mph) winds, which islanders described as the sound of a "demented animal".
Indiscriminate in its destruction, the storm tore apart homes, ravaged businesses, and wiped out infrastructure and agriculture; the 'nature isle' demolished by nature itself.
Latest reports state 27 lives have been claimed so far, with dozens more still missing.
"I cry, I laugh, I scream, I am angry, I am traumatised," one woman tells the FOW24.
Grown men break down in tears as they point to the wreckage of their lives, a crude mass of debris where their home once stood.
Somewhere under the rubble of 75-year-old Ashton Thomas's coastal house is the body of his wife Lucy, 74, who slipped from his grasp as they tried to escape the surge of ocean water which hurtled inside.
"I have lived here for 27 years," he says, "I never thought a storm could do this. I was holding on to Lucy with one hand and the wall with the other. I managed to get her back once but she slipped away again. If I hadn't let go, she would still be alive. How do I explain this to my daughter?"
In a school high up on the hill, accessed by picking one's way over a precarious mass of loose stones unleashed from the sea, elderly people sheltering here since the storm stare vacantly at the wall.
The loss of the coconut palms means there is no reprieve from the scorching sun. Scott's Head has intermittent mobile phone reception but no electricity or running water.
People's clothes are stiff from being washed in sea water, and hunger and thirst are omnipresent. The grim reality for those who have lost everything, including basic dignity, is now sinking in.
Among a group of women optimistically watching the horizon for incoming boats, two children play with salvaged dolls. "This is horrible," squeals a little boy in a pretend Barbie voice.
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Marie Lewis says her four-year-old daughter now sticks her fingers in her ears every time it rains.
"I am still in shock," she imparts, gazing across at the ruined remains of the gas station and community centre. "I can't believe the village I have been in my whole life looks like this. It's unrecognisable."
In the next village of Soufriere, people say a relief helicopter dropped supplies the previous day but not enough for all of its 1,400 inhabitants.
"If you live on top of the hill, by the time you get to the bottom, all the food is gone," says mother-of-six Anne-Marie Williams.
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