Medical doctor Johan Von Schreeb from Sweden and a Philippino medical staff are consulting a patient at a clinic of Guiuan, in the east of Samar island, an area hit first and hard by the typhoon. The damage there is extensive and the needs huge. Almost all the buildings in the town were destroyed. The local medical facilities are also severely damaged and not functional. MSF's emergency team has started its support to a health centre and seeing the first patients. Most patients came for wounds that have become infected.