The hurricane resulted in 88 deaths and physical damage to 785 health facilities (80% of them in Cuba). PAHO supported rapid assessments of damaged health facilities to inform priorities for structural safety and service restoration, while coordinating humanitarian health actors. As of mid-January, 89% of health facilities nationwide (299 of 336) resumed service delivery, albeit many of these are outside the hurricane’s main path. Mental health, health workers, and recoveryBeyond physical damage and risks of disease outbreaks, Hurricane Melissa has taken a significant toll on the mental wellbeing of affected communities and health workers. Slow reconstruction timelines—compounded by pre-existing housing shortages—have left many households exposed to ongoing health risks and future severe weather events.