El Salvador is reeling from the double hit of a volcanic eruption and a hurricane.
Rescue workers have been pulling bodies and survivors from the wreckage of homes destroyed by torrential rain.
The eruption of the Santa Ana volcano, which has been dormant for 100 years, forced the evacuation of thousands of villagers over the weekend.
Then Hurricane Stan struck. It claimed 49 lives in El Salvador. There have also been fatalities in Honduras, Guatemala and Nicaragua. Stan has now moved into Mexico and has been downgraded to a tropical storm.
But the damage has been done, with widespread flooding swamping villages and towns in impoverished El Salvador. The government has declared a state of emergency and says 60 per cent of the country is in danger of landslides.
More than 8,000 people have been forced to flee their homes.