Much-needed aid is slowly beginning to arrive in flood-ravaged Pakistan but still only a fraction of the six million people desperate for food and clean water have received any help.
And despite warnings from the United Nations that up to 3.5 million children could be in danger of contracting deadly diseases carried through contaminated water, donor fatigue continues to hamper aid agencies.
Pleas for cheques not just pledges so that purification tablets can be bought immediately will dominate Thursday’s special UN session on the disaster.
With hundreds of villages still marooned, the challenge of delivering what aid there is becomes obvious.
“Initially, we are still using mules for example in some parts to get at least some urgent deliveries through in this initial stage until some of the infrastructure like streets and bridges will at least be rehabilitated to a state so we can use trucks,” said Dirk Kamm of the German Red Cross.
Despite conditions on the ground proving difficult, aid workers are distributing what they have and as quickly as they can. But supplies are rapidly exhausted, leaving those in need nowhere to turn.