Hurricane Irma left a wake of destruction on several islands in the eastern Caribbean. There has been wide- spread damage to infrastructure such as power, telecommunications and water services. Many homes have also been severely damaged. Health facilities have also suffered serious damages hampering the rapid delivery of critical emergency care assistance. As access to the islands is slowly being restored, it is anticipated that there will be immediate needs across the health, WASH, food security and shelter sectors. Cuba was the last one affected and teams are starting assessments.