PORT-AU-PRINCE, Haiti — The staggering scope of Haiti's nightmare came into sharper focus Monday as authorities estimated 200,000 dead and 1.5 million homeless in the quake-ravaged heart of this tragic land.
Injured survivors still died in the streets, doctors pleaded for help, and looters slashed at one another in the rubble.
The world pledged more money, food, medicine and police. Some 2,000 U.S. Marines steamed into nearby waters. And ex-president Bill Clinton, special U.N. envoy, flew in to offer support. Six days after the earthquake struck, search teams still pulled buried survivors from the ruins.
But hour by hour the unmet needs of hundreds of thousands grew.
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Overwhelmed surgeons appealed for anesthetics, scalpels, saws for cutting off crushed limbs. Uncounted hundreds of survivors sought to cram onto buses headed out of town. In downtown streets, others begged for basics.
"Have we been abandoned? Where is the food?" shouted one man, Jean Michel Jeantet.
The U.N. World Food Program (WFP) said it expected to boost operations from feeding 67,000 people on Sunday to 97,000 on Monday. But it needs 100 million prepared meals over the next 30 days, and it appealed for more government donations.
"I know that aid cannot come soon enough," U.N. Secretary-General Ban Ki-moon said in New York after returning from Haiti.
"Unplug the bottlenecks," he urged.
In one step to reassure frustrated aid groups, the U.S. military agreed to give aid deliveries priority over military flights at the U.S.-run airport, the WFP announced in Rome. The Americans' handling of civilian flights had angered some humanitarian officials.
Looting and violence flared again Monday, as hundreds clambered over the broken walls of shops to grab anything they could — including toothpaste, now valuable for lining nostrils against the stench of Port-au-Prince's dead. Police fired into the air as young men fought each other over rum and beer with broken bottles and machetes.
Medical teams sometimes had to take time away from quake victims to deal with gunshot wounds, said Loris de Filippi of Doctors Without Borders. In the Montrissant neighborhood, Red Cross doctors working in shipping containers and saying they "cannot cope" lost 50 patients over two days, said international Red Cross spokesman Simon Schorno.
Amid the debris and the smoke of bodies being burned, dozens of international rescue teams dug on in search of buried survivors. And on Monday afternoon, some 140 hours after the quake, they pulled two Haitian women alive from a collapsed university building. At a destroyed downtown bank, another team believed it was just hours from saving a trapped employee.
The latest casualty report, from the European Commission citing Haitian government figures, doubled previous estimates of the dead from the magnitude-7.0 quake, to approximately 200,000, with some 70,000 bodies recovered and trucked off to mass graves.
If accurate, that would make Haiti's catastrophe about as deadly as the 2004 Indian Ocean tsunami, which killed an estimated 230,000 people in a dozen countries.
European Commission analysts estimate 250,000 were injured and 1.5 million were made homeless. Masses are living under plastic sheets in makeshift camps and in dust-covered automobiles, or had taken to the road seeking out relatives in the safer countryside.
On the capital's southern edge, thousands of people struggled to get onto brightly painted buses heading out of town.
"We've got no more food and no more house, so leaving is the only thing to do," said Livena Livel, 22, fleeing with her 1-year-old daughter and six other relatives to her father's house in Les Cayes, near Haiti's western tip.
"At least over there we can farm for food," she said.
The European Union and its individual governments boosted their aid pledges for Haiti to $606 million in emergency and long-term aid, on top of at least $100 million pledged by the U.S.
The U.N. humanitarian chief, John Holmes, said in New York that not all 15 planned U.N. food distribution points were up and running yet. "That's a question of people, trucks, fuel, but the aid is scaling up very rapidly," he said.
The 1,700 U.S. troops on the ground in Port-au-Prince were to be reinforced by 2,000 Marines, who Marine Corps Capt. Clark Carpenter, a spokesman, said were offshore Monday. Other U.S. help was on the way, including two U.S. civilian crane ships that could unload cargo at the quake-damaged port.
In New York on Monday, U.N. chief Ban asked for 1,500 more U.N. police and 2,000 more peacekeeping troops to join the 9,000 or so U.N. security personnel in Haiti.
The Security Council was expected to approve the reinforcements today.