Elbow Cay is an cay in the Abaco Islands of the Bahamas. Originally populated by British loyalists fleeing the newly independent United States of America in 1785, it has survived on fishing, boat building, and salvage. Its main village of Hope Town surrounds a protected harbor with a noted red-and-white-striped lighthouse built in 1863. On September 1, 2019, Elbow Cay took a direct hit from Category 5 Hurricane Dorian, with sustained winds of 185 mph (295 km/h). The lighthouse survived. Geography Elbow Cay is located about east of Marsh Harbour on Great Abaco Island. Most visitors fly into Marsh Harbour and take the ferry to either Hope Town at the Northern end of Elbow Cay or White Sound, a mid-island harbour and settlement developed in 1960. At the Southern end of the island is Tahiti Beach near Doros Cove. The Atlantic Ocean runs along the entire Eastern coast of Elbow Cay, while the South Abaco Sound is on the western coast. Elbow Cay is between Man-O-War Cay to the north and Tiloo Cay to the south. Lubbers Quarters Cay is west of the southern End of Elbow Cay. History Although visited by Lucayan Indians earlier, the first known permanent residents arrived in 1785 in what was known as Great Harbour. Wyannie Malone, originally from Charleston, South Carolina and other British Loyalists left the United States for the nearest British territory in the Bahamas. Elbow Cay and the Abacos were very isolated until the Marsh Harbour Airport was built in 1959. Before that, the residents survived by fishing, limited trading, and salvage of ships wrecked on Elbow Reef. Since then, contact with the outside world has brought in additional residents and tourism. Hopetown originally served as the administrative centre of the Abacos, until it switched over to Marsh Harbour in the 1960s. Today Hopetown is the largest settlement which contains several grocery stores including Vernons Grocery run by a descendant of Wyannie Malone, rental properties and restaurants. Cars and golf carts can drive up to, but not through Hopetown. Further south, there are more residences and rental properties spread out along the roads to the narrow part of the island near White Sound. The Abaco Inn and Seaspray properties offer rooms and restaurants. At the Southern end of the island is Tahiti Beach with a beautiful sand beach and nearby snorkelling in Tiloo Cut, the inlet separating Elbow Cay from Tiloo