Flooded roads, broken piers and mass cell phone outages impeded efforts Friday to get food to about 2,000 hungry people, even as Hurricane Ike threatened to trigger more deadly floods across the water-logged city this weekend.
The rusty container ship Trois Rivieres, chartered by the U.N. World Food Program, arrived belching white smoke at a remote private port outside the city. It was guarded by Argentine peacekeepers brandishing assault rifles.
Within hours, the U.N. began distributing high-energy biscuits and water to emergency shelters where at least 40,000 people were marooned and increasingly desperate. Workers delivered aid to some 2,000 people in two shelters before operations were suspended at dusk, considering it too dangerous to work in the city after dark.
At an empty warehouse in the northern section of the city where floodwaters have receded, about 1,000 hungry and thirsty men and women, some cradling youngsters, pushed and shoved as civil protection authorities in orange T-shirts tried to get them in line. U.N. peacekeeping troops from Argentina stood by, assault rifles at the ready.
Anna Achelis, whose house was completely submerged, emerged from the melee holding one of her identical 3-year-old twin girls along with two bottles of water, five vitamin-enriched biscuits and a box of toiletries. She said she hoped the biscuits would stave off hunger for her five children and would try to make them last.
Some people who already had received food knocked cookies from the hands of other people, then scrambled on the floor to retrieve them.
At another shelter, U.N. peacekeepers had to leave the food in piles because shelter officials had not prepared to distribute it.
More than 10,000 people have left Gonaives on foot, swimming and wading through floodwaters and heading for the next town about 45 miles to the south, said Daniel Rouzier, Haiti chairman of Food for the Poor.
"The exodus out of Gonaives is massive," he said.
Marie Alta Jean-Baptiste, director of the Haitian civil protection department, said 163 deaths had been confirmed, including 119 in and around Gonaives.
Police director Godson Orleus, whose Artibonite region includes Gonaives, said officials fear fatalities could rise into the hundreds based on interviews with residents, but he disputed reports that hundreds more had died.
With the skies finally clear, aid also began to trickle in by air Friday. At least eight U.N. helicopters carrying personnel and food landed at the peacekeepers' base at the foot of a deforested mountain. A pair of U.S. Coast Guard helicopters brought in food donated by the U.S. Agency for International Development.