This is an extract from the diary of Dr. Malcolm Smith (MGH)

Went to capital yesterday to raid essential supplies. Was successful but complete confusion, major problems with multiple teams having to work out policies. We have it much better as a group here came back happy. Got back to find 5 pts had died and moral dipped, team pulling together and working. Saw lots of confusion in Port au Prince, clear that non coordinated aid is worse than no aid as it blocks very limited transport resources. Logistics essential with coordination. Have ortho supplies just for us on synthes private jet loaded and ready to leave with landing time set with military ATC for this evening thank you art leary. Love any help situation here and in capital worsening as infected patients die. The ship is here but no news of transfers Will need co-ordinated surgical supply but planning for restocking very difficult as country has no distribution network. PIH have been very good at helping have 2 reps at airport to meet plane currently any help has to be coordinated through them but situation changes by the minute. Much more numerical need in capital and from visit clear that if/when cholera hits thousands will die. But surgical risks same here with numbers of cases outstripping resources worried that we will get Completely stopped by something we have not thought about