A single house is left standing on the waterfront near Gilchrist, Texas, USA on 14 September 2008 following the destruction along the Texas coast. As Hurricane Ike slowed to a tropical depression after carving a path of destruction through Texas, rescuers were using everything from dump trucks to boats and helicopters to reach stranded residents. The victims, many of whom had ignored mandatory evacuation orders, were trapped on rooftops or amid debris in unstable houses without electricity or clean water.  EPA/SMILEY N. POOL/ POOL

Aerial view of Gonaives, Haiti, 10 September 2008, where some areas are still covered by mud and water. The United Nations lauched today a call to collect 100 million dollars to help Haiti to resolve the situation caused by the floodings provoked by 'Hanna' and 'Ike', which have killed at least 317 people in all the country.  EPA/ORLANDO BARRIA

A girl sleeps at the Liceo de Matancitas, in Nagua, Dominican Republic, 06 September 2008, where hundreds of people seek refuge, during the passing of hurricane Ike. The COE, Centre of Emergency Operations of Dominican Republic issued a red alert on the North side of the island due to the pass Ike.  EPA/ORLANDO BARRIA

People crossing flood waters in a country boat in North Lakhimpur district of Assam about 400km away from Guwahati city, northeast India, 16 June 2008. Two district of Assam and parts of Arunachal Pradesh totally cut of with rest of the country since June 14th, as the flash flood washed away a portion of the National Highway No. 52 in North Lakhimpur district.

The flash floods in Arunachal Pradesh following incessant rains were believed to be the main cause for the situation turning worse in Lakhimpur which claims 18 lives so far. More than 1.60 lakh people of over 150 villages of the district have been affected by the first wave of floods in Assam. EPA/STR

Earthquake survivors carry their rations of flour back to their village on the way to Qingchuan, China's southwest Sichuan province, 12 June 2008. 12 June 2008 marks one-month since the 7.9 earthquake occurred and China continues to face the overwhelming challenge of housing and feeding the 5 million refugees as well as cleaning up numerous townships that have been annihilated.

The official death toll from the 12 May earthquake is almost 70,000 people with about 17,500 others still missing and over 374,000 injured. EPA/DIEGO AZUBEL

A landslide falls on the road that connects the Colombian capital, Bogota with the city of Manizales at Savinas, 29 May 2008. Rains and floodings leave 16 deads and more than 124.000 affected people in the departments of Antioquia, Tolima, Nariño, Caldas, Quindío, Risaralda, Valle del Cauca, Arauca and Meta.  EPA/John Jairo Bonilla

A picture made available 27 May 2008 shows a woman standing on the rooftop of a building damaged by the 12 May 2008 earthquake, as workers behind begin to dismantle a water tower that threatens to collapse in Zhundao town, Mianzhu, Sichuan province, China, 26 May 2008.  EPA/MICHAEL REYNOLDS

A very determined looking lady.

A picture made available on 26 May 2008 showing a man standing amidst debris 11 May 2008 in Yekyaw , near Labutta, Myanmar 11 May 2008, hit by Cyclone Nargis. Myanmar military supremo Senior General Than Shwe assured United Nations Secretary Gernal Ban Ki-moon 23 May 2008 that the regime would allow "all" foreign aid workers unhindered access to the country and disaster zones.  EPA

I doubt we will ever know the full toll in Burma.