At least 64 people have been killed after Hurricane Helene barrelled its way across the southeastern US, causing billions of dollars of destruction.
Emergency crews raced to rescue people trapped in flooded homes after Helene struck the coast of Florida as a highly destructive Category 4 hurricane.
It generated a massive storm surge, wreaking a trail of destruction extending hundreds of miles north.
NBC News, Sky’s US partner network, put the total at 65 deaths after a tree hit a house in Greenwood County, South Carolina.
Hundreds of thousands of customers remain without electricity, including more than 1.5 million in the Carolinas and more than 600,000 in Georgia.
Meanwhile, dozens of patients and staff have been rescued from the roof of a flooded East Tennessee hospital following a “dangerous rescue operation”.
Tennessee Senator Bill Hagerty said more than 50 people are now safe after becoming stranded on the Unicoi County Hospital, which was engulfed in “extremely dangerous and rapidly moving water”, making a boat rescue too treacherous, according to Tennessee’s Ballad Health.
A police helicopter was ultimately able to land on the roof after other helicopters failed to reach the hospital due to the storm’s winds.
Hundreds of water rescues
It was one of hundreds of water rescues as North Carolina saw the worst flooding in a century and two feet (60cm) of rain fell on the town of Spruce Pine from Tuesday through to Saturday.
Atlanta was inundated by almost half that amount over 48 hours, the most the city has seen over two days since records began in 1878.
Helene struck late on Thursday night with maximum sustained winds of 140mph (225kph) in the rural Big Bend area, the northwestern part of Florida, where estimated water levels reached more than 15ft above ground in some areas.
US President Joe Biden approved emergency declaration requests from the governors of several southern states affected by Helene.
Georgia, Florida, Alabama, North Carolina and South Carolina are being supported by emergency response personnel including search and rescue teams, medical support staff and engineering experts.
‘Like a bomb went off’
Georgia Governor Brian Kemp said on Saturday it “looks like a bomb went off” after viewing the widespread destruction wrought on the state by the storm from the air.
Dozens of people were trapped in damaged buildings, he said, and multiple hospitals in the south of the state were without power.
Western North Carolina was isolated because of landslides and flooding that forced the closure of Interstate 40 and other roads.
People living near the inland Lake Lure Dam were told to get to higher ground immediately, as officials warned of “imminent dam failure”.
Meanwhile, Florida Governor Ron DeSantis called the damage from Helene “demoralising”.
Many stranded in places like Tampa could only be reached by boat, with officials warning the water could contain live wires, sewage, sharp objects and other debris.
Warning issued to anyone not leaving
Prior to the hurricane making landfall, officials in Florida begged residents to evacuate. The sheriff’s office in rural Taylor County issued a chilling warning to those who refused to leave.
“Please write your name, birthday, and important information on your arm or leg in a permanent marker so that you can be identified and family notified,” the post on Facebook said.
The storm, now a post-tropical cyclone, was expected to hover over the Tennessee Valley on Saturday and Sunday, the National Hurricane Centre said.
Several flood and flash flood warnings remained in effect in parts of the southern and central Appalachians, while high wind warnings also covered parts of Tennessee and Ohio.
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