The psychological toll of recovering the bodies of flood victims in Texas is drawing increased attention as the death toll grows.

Emergency responders kept hope alive as they combed through fallen trees and other debris that littered hard-hit central Texas communities on the fifth day after devastating floods killed more than 100.

According to local authorities, at least 109 people died on July 4 and 5, most of which were swept up in floodwaters from campgrounds along the Guadalupe River. That’s just shy of the 118 deaths reported as a result of Hurricane Rita in 2005.