Bambang Suharjo, an official at the provincial Disaster Management Agency put the official death toll from Monday's 7.7-magnitude earthquake at 311, while 379 people were listed as missing and around 400 were injured.
As many as 4, 000 villagers were homeless and staying at temporary shelters or had sought refuge on higher ground after the tsunami swept away their houses, he said.
He added that more food and other aid was expected. "More assistance is on its way. But to reach there will take some time," Suharjo said.
Other officials explained that reaching the quake-ravaged islands by ferry would take up to 10 hours from the provincial capital of Padang.
Nelis Zuliasri, a spokeswoman for the National Disaster Management Agency, said aid from Jakarta arrived at around midnight Wednesday.
Around 2, 400 displaced people in Pagai Selatan district had not received any assistance, she said, due to difficult road access to the area.
A shortage of fuel had also prevented vehicles from distributing aid, she added.
Medical supplies at the public health centres were running low, Mentawai disaster relief agency official Joskamtir was quoted as sayin by the state-run Antara news agency.
"We also desperately need hundreds more body bags, face masks for the survivors because the stench began to sting, especially at night," he said. More bodies had been discovered but rescue workers did not have enough body bags and he said he feared the onset of diseases.
President Susilo Bambang Yudhoyono was scheduled to fly to Mentawai on Thursday monitor the conditions there. Yudhoyono cut short a visit to Vietnam after the country was hit by the quake and tsunami, as well as a volcanic eruption in Central Java.
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