In fact, 1.4 million Haitians are in need of assistance out of 2.1 million affected by the hurricane. Food, medicine and fresh water has been arriving at the main city in the area but is slow to reach increasingly desperate remote communities. Clean water and antibiotics are missing. Even a police station is serving as a clinic in the nearby town of Marfranc. Cholera is an infection of the small intestine by some strains of the bacterium Vibrio cholerae. It spread easily in communities if clean water is not accessible. There were 40 cases of cholera in the city of Jeremie and eight people have died of cholera in Grand-Anse. Many patients were under age 10. The official death toll from Matthew increased to 372. The disease was accidentally introduced to Haiti by peacekeepers who dumped sewage into a river after the 2010 earthquake. The outbreak has since infected hundreds of thousands of people , killed more than 9,000 and now there are conditions to kill more.