A magnitude 7.4 earthquake struck Colombia three weeks prior to the report, resulting in 331 confirmed deaths, 4,497 injuries, and 152 missing persons. ^[1] President Abelardo de la Espriella declared an economic emergency and authorized a relief and reconstruction plan totaling COP 30 trillion. ^[2] The municipality of Guatica in the department of Risaralda is currently facing water shortages that have forced the implementation of rationing measures in some communities. ^[3] Three weeks after a 7.4 magnitude earthquake struck western Colombia on August 10, the initial emergency phase has concluded, but thousands of people continue to face difficulties accessing medical care, mental health support, and food. ^[4] As of the reporting date, over COP 26 billion has been invested in emergency contracts, with COP 25.391 billion classified under 'manifest urgency'. ^[5] Although Guatica is currently the only municipality where a water shortage is reported, officials are concerned that the issue could spread to other areas if high temperatures persist. ^[6] Shadia López, an official with the Departmental Risk Management Coordination, explained that joint monitoring is being conducted with Empresas Públicas de Risaralda to identify changes in water levels and anticipate potential difficulties in other municipalities. ^[7] In Medio Baudó, indigenous communities faced flooding caused by the sudden rise of the Baudó River just two days after the earthquake, further aggravating living conditions. ^[8] Siham Hajaj, head of mission for MSF in Colombia, stated that the earthquake's effects were not concentrated in a single location but spread across territories separated by rivers and mountains, complicating the response. ^[9] Three weeks after the earthquake, reactions of anxiety, acute stress, hypervigilance, insomnia, and persistent fear of aftershocks remain frequent among the affected population. ^[10] Shadia López indicated that residents must be very conscious of their water usage and try to minimize consumption to the smallest possible amounts. ^[11]