People walk along muddied roads scavenging the wreckage for food. Others jump into damaged stores in the hope of finding bottled water or other supplies.

As the death toll rises, residents of Black River are still searching for loved ones while they also battle to survive, days after Hurricane Melissa made this Jamaican port city ground zero of the devastation seen across the Caribbean.

Residents here say they have been living in a state of chaos the last three days since Melissa slammed into them as one of the most powerful category 5 storms ever recorded in the region.

The fierce winds and storm surge have decimated nearly everything, leaving roads unusable and a trail of destruction that has them increasingly desperate and isolated, with no electricity or running water.

Capsized boats lie curbside. Brick buildings are split in half. Giant sheets of twisted metal cling to tree branches. Vehicles sit in crumbled pieces.

Residents report no aid trucks have yet arrived, and they have resorted to eating whatever food they can find in debris among the coastal town, nearly 150 km (93 miles) west of Kingston.

Amidst the chaos, those who managed to take supplies from a partially destroyed supermarket tossed food and bottled water down to crowds below, while some resorted to looting local pharmacies and shops.

Demar Walker explained the dire situation, noting, We didn't be selfish, we had to throw food to other people. Others echoed the sentiment, with reports of total lawlessness as survival instincts took over in the face of desperation.

Local officials estimate around 90% of homes in Black River were destroyed, leading to a sense of community marooning. The mayor described understanding the looters' plight, stating, It is a delicate balance, reflecting the challenge for authorities amid an overwhelming humanitarian crisis.

As humanitarian aid begins to arrive at the main airport in Kingston, many smaller regional airports remain only partially operable, complicating relief efforts for this devastated region.

The entire town of Black River is devastated, local medic Michael Tharkurdeen noted, emphasizing the urgent need for food and medical supplies as people faced not only hunger but injury in the wake of the storm.

Amid this devastation, the overarching need for humanitarian aid looms, with survivors like Jimmy Esson summarizing their plight succinctly: We need food. We have no food. With the death toll climbing—at least 19 confirmed in Jamaica and more in neighboring Haiti—the calls for assistance echo through the ruins of Black River.