As I commented yesterday, this is the BIG issue, using aid effectively and getting it to the people who need it. Lacking transportation, communication, organization and widespread chaos in the area needing relief means that efficiency will be low. Nevertheless, the relief agencies must do the best they can and I'm sure they will.
I often think about where these experienced aid workers for the major relief groups come from. Will they be pulled from other areas of the world where they are already working? They obviously are not sitting around in some headquarters waiting for the next disaster.
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