materials , plastic sheeting , medications and -- with a cold front expected to sweep into the area Tuesday -- clothes , Alvarado said . Fumigation efforts were slated to begin Tuesday to reduce the chances of disease . `` There 's a lot of work to do , '' he said . Guatemala , Spain and other countries were helping , Mata said . At the 139-bed Hospital Santa Gertrudis in San Vicente , 33 patients sought help overnight in the emergency room , mostly for trauma , broken bones and abrasions , said Dr. Ana Luisa Velazquez , the hospital director . Patients had to be removed from the pediatric unit and women 's surgery unit , both of which were built on low-lying ground and were inundated , she said . Though the hospital had fresh water from its own well , fresh water was in scarce supply in San Vicente , she said . Mata visited the town Sunday . `` All three access roads were completely wiped off , '' she told CNN 's Jonathan Mann . `` You could only get there by one lane . Everywhere -- mud , huge rocks . ''
-LRB- CNN -RRB- -- At least 130 people have died and dozens are missing after heavy rains triggered flooding and mudslides that buried communities Sunday and left a swath of destruction in El Salvador , officials said Monday . The death toll was `` preliminary , '' said Raul Murillo , subdirector of the Department of Civil Protection in San Salvador . Another 13,680 people were staying in emergency shelters , he said . Laura Mata , communications manager for World Vision in El Salvador , said 40 percent of the dead were children . About 60 people were still missing Monday afternoon , said Carlos Alvarado , communications director for the government 's rescue efforts . The most affected departments are San Salvador , La Paz , Cuscatlan , Usulatan and San Vicente . He described the latter as the most heavily affected . The government 's Web site said there were 108 landslides , 209 destroyed buildings and another 1,835 damaged ones . In all , 18 bridges were affected , it said . Private , government and U.N. donations have all been promised , but the needs exceeded supplies , with high demand for food , construction