There was no food, water or medicine on Sunday for the 85 surviving residents of the Port-au-Prince Municipal Nursing Home, just a mile from the airport where a massive international aid effort was taking shape.
One man has already died, and administrator Jean Emmanuel said more would follow soon unless water and food arrive immediately.
The dead man was Joseph Julien, a 70-year-old diabetic who was pulled from the partially collapsed building and passed away on Thursday for lack of food.
On Sunday his body was still laying on a mattress close to those who were still alive.
With six residents killed in the quake, the institution now has 25 men and 60 women camped outside their former home.
Only some have a mattress in the dirt to lie on.
One resident said some of them had pooled their money to buy three packets of pasta, which the dozens of pensioners shared on Thursday, their last meal.
Since there was no drinking water, some didn't touch the noodles because they were cooked in gutter water.
Many residents were wearing diapers that hadn't been changed since the quake.
The diapers were beginning to attract rats.
Nobody knows how many died in Tuesday's quake in Haiti.
Haiti's government alone has already recovered 20-thousand bodies - not counting those recovered by independent agencies or relatives themselves, Prime Minister Jean-Max Bellerive told The Associated Press.
The Pan American Health Organisation now says 50-thousand to 100-thousand people perished in the quake.
Bellerive said 100-thousand would "seem to be the minimum."
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