Yes, it is tough! They have only what is there, they can't go to any stores, as they are all closed. The ram pump is a good system. They are a mile from the river. I dont know about the elevation but they are close to the sea, so it is probably slight.
She is a sweet Lady, thanks for thinking about her!
@geordieprepper has just done a post and youtube video on Nicaragua & @cecicastor.
Wonderful, I will watch it!