"For now, the most critical needs are mental health support, and water and sanitation," says Concha Fernández, the project coordinator for two of the MSF teams currently responding to medical needs in Ecuador. "That’s why in the next few days, three psychologists and one logistician from the MSF team in Colombia will join us here. In Esmeralda, we will do small interventions in shelters in Chamanga, Muisne, Portete and Cabo de San Francisco."