The Associated Press

PORT-AU-PRINCE, Haiti — At least 20 people died when Hurricane Tomas brushed past Haiti, more than double the number initially reported, Haiti's civil protection department said Monday.

Seven others remain missing and dozens were injured. More than 30,000 people remain in shelters and Tomas left nearly 6,000 families homeless. Others, already homeless from the Jan. 12 earthquake, lost their tents.

The hurricane struck Haiti's southern peninsula on Friday and traveled up the coast, triggering floods and landslides. But its strongest winds and rain stayed far to the west of the capital, sparing most of the encampments where an estimated 1.3 million people have been living for nearly 10 months.

Officials are now turning their attention back to a worsening cholera epidemic that has killed more than 500 people and hospitalized more than 7,300. Flooding is expected to spread the disease while damage to roads and buildings could make it harder for those sickened to get medical care.