Tropical Storm Nargis caused massive destruction in Burma, with estimates of at least 100,000 deaths and over a million people made homeless or without access to clean water and food. Local partners have started providing relief to 20,000 families in the worst-hit Irrawaddy delta region, distributing blankets, medicines, and water purification tablets from resources they had available, but many parts of the delta remain unreached and people are struggling to survive as diseases spread. The local partners are leading response efforts but have limited supplies that will run out unless the Burmese government allows more international aid into the country.