LES CAYES, Aug 17 (AP) — A hospital in southwestern Haiti, where a powerful earthquake flattened homes, shops and other buildings over the weekend, was so overwhelmed with patients that many had to lie in patios, corridors, verandas and hallways. Then a looming storm expected to bring heavy rains Monday night forced officials to relocate them as best they could given the hospital’s poor conditions.

Even those patients were somewhat fortunate. Haiti’s Civil Protection Agency on Monday raised the death toll from Saturday’s earthquake to 1,419 and the number of injured to 6,000, many of whom have had to wait under the burning heat, even on an airport tarmac, for help.

“We had planned to put up tents (in hospital patios), but we were told that could not be safe,” said Gede Peterson, director of Les Cayes General Hospital.

It is not the first time that staff has been forced to improvise. The refrigeration in the hospital’s morgue has not worked for three months, but after the earthquake struck Saturday, staff had to store as many as 20 bodies in the small space. Relatives quickly came to take most to private embalming services or immediate burial. By Monday only three bodies were in the morgue.

The quake, centered about 125 kilometers (80 miles) west of the capital of Port-au-Prince, nearly razed some towns and triggered landslides that hampered rescue efforts in a country that is the poorest in the Western Hemisphere. Haiti already was struggling with the coronavirus pandemic, gang violence, worsening poverty and the political uncertainty following the July 7 assassination of President Jovenel Moïse when the earthquake sent residents rushing to the streets.

The devastation could soon worsen with the arrival of Tropical Depression Grace, predicted to bring strong winds, heavy rain, mudslides and flash flooding. Les Cayes began to see light rain Monday evening, but it could reach 15 inches (38 centimeters) in some areas, the Civil Protection Agency said. Port-au-Prince was already seeing heavier rains.