Tropical storm Jeanne devastated the city of Gonaives in northern Haiti on Friday and Saturday, causing massive flooding and hundreds of deaths from drowning. International aid organizations like World Food Program and Oxfam, as well as the UN and regional relief efforts have been trying to distribute food, water and medical supplies. Cholera and water-borne disease are major concerns, since the supply of clean water is difficult to distribute and much of Gonaives is still under several feet of water and mud. Haitian officials have placed the death toll at over 1,110 with slightly more than that number still missing. The continuing tragedy comes during a trying, to say the least, year for Haiti, with thousands of deaths through violence and natural disasters.