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Through Kilometres per hour, United Nations and Western Hemisphere

During Matthew's passage, high winds, heavy rainfall, and deadly tides lashed the Tiburon Peninsula in southwest Haiti. Nationwide, the hurricane nearly or completely destroyed around 200,000 homes, leaving 1.4 million people in need of humanitarian aid. Monetary damage was estimated at US$2.8 billion. Nearly complete crop damage occurred in Grand'Anse and Sud departments, leaving the impoverished population without a source of food. Communication networks and the road system were also compromised. After the hurricane washed away the Petit-Goâve Bridge, southwestern Haiti was temporarily unreachable from the remainder of the country, which slowed the distribution of emergency aid. The ongoing cholera outbreak worsened after the hurricane, killing at least 29 people.

With insufficient resources to respond to the hurricane damage, the Haitian government requested assistance from other countries. The United Nations launched an emergency appeal for nearly US$120 million in aid, and countries throughout the world provided money, supplies, and logistical support. Before and after the hurricane's landfall, UN agencies provided food, materials, and a peacekeeping force to residents, which was supplemented by various non-government organizations.

Preparations

On September 30, the Haitian government issued a tropical storm watch for Haiti's Tiburon Peninsula toward the border with the Dominican Republic, although the forecast at the time was for Matthew to pass over Jamaica. Following an eastward shift in Matthew's predicted track, this was changed to a hurricane watch and later warning that encompassed the entire country. The government activated its National Emergency Operations Center, ordered a halt to coastal shipping, and started issuing evacuation notices. Residents on outlying islands of Haiti were evacuated to the mainland. Provisional President Jocelerme Privert addressed the nation on October 2, urging those living along the coast and in poorly constructed homes to evacuate and comply with authorities. On the same day, the government issued a red alert, advising residents to listen to instructions from authorities, secure their property, and prepare food kits.

Although government officials held meetings on storm preparation, Radio France Internationale reported that Haiti did not have the logistical capability to handle a large-scale disaster. Only 576 shelters, with a collective capacity of 90,000 people, were listed for all of southern Haiti. Despite pleas from officials, many residents refused to leave their homes. A total of 1,300 shelters were readied with a total capacity of 390,000 people, insufficient for the population threatened in the storm path. Citing this problem and civic responsibility, officials asked residents in secure homes to welcome vulnerable neighbors. The Haitian government sent funds to 145 municipalities, after mayors complained that they had insufficient supplies. Government offices remained open during the storm, while schools were closed from October 3–10 to serve as shelters, causing the school calendar to be adjusted. By the day before the storm made landfall, 340,000 people had evacuated to these shelters. At least 500 people evacuated from Jérémie, and patients at the Les Cayes hospital were evacuated. In Ouest, which contains the capital Port-au-Prince, about 55,000 people evacuated ahead of the storm. Although civil protection officials took to the streets to warn people, many residents were unaware that Matthew was even approaching the country a day before its expected landfall. Evacuations continued through the hurricane's landfall with the total number of people in shelters reaching 9,280 by 2:00 a.m. local time on October 4. Hundreds of prisoners were also evacuated to safer areas during the storm passage.

More than 18,000 volunteers and members of the Red Cross, community intervention teams, municipal committees, and local emergency services were readied to assist residents. According to the International Organization for Migration (IOM), 55,107 internally displaced persons remained in camps or hosting sites without adequate protection from the hurricane. Ahead of the storm, the Agency for Technical Cooperation and Development (ACTED) sent a crew of 35 people to seven shelters in southwestern Haiti, capable of disaster assessment and providing relief in the storm aftermath. The United Nations Disaster Assessment and Coordination also sent a team to assist the efforts of the Haitian government, and the United States Agency for International Development (USAID) also activated its crew within the country. Ahead of the storm, officials shut down the Hugo Chávez and Toussaint Louverture international airports, causing several flights to be canceled. The airport in Port-au-Prince remained closed until October 6, only allowing in planes carrying humanitarian aid. Officials also halted travel by cars during the storm's passage until October 5.

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