Haiti is once again in the grip of a cholera outbreak which has already killed hundreds, most of them children.
And it is just the latest tragedy of a never ending series of humanitarian crises.
Since the president was assassinated last summer the security situation in the country has deteriorated, with the government there calling last week for an international armed intervention to restore order.
Despite President Biden backing this idea – he is yet to commit troops.
Warning: This report contains images that some might find distressing from the start.