This photo released by the German relief organization Malteser International, Wednesday May 7, 2008 shows local aid workers who pack medical supplies in Yangoon, Tuesday May 6, 2008, for the Dawbon and Tantabin districts. State media in military-ruled Myanmar said 22,464 people died when Cyclone Nargis blasted the country's western coast on Saturday. (AP Photo/Malteser Hilfsdienst/ho)