Hurricane Matthew killed more than 800 people and left tens of thousands homeless in its rampage through Haiti before it lashed Florida with rain and howling winds.
The number of fatalities in Haiti, the poorest country in the Americas, surged to at least 842 on Friday as information trickled in from remote areas previously cut off by the storm, according to a Reuters tally of death tolls given by officials.
Matthew, the first major hurricane that could hit the United States head on in more than a decade, triggered mass evacuations along the coast from Florida through Georgia and into South Carolina and North Carolina.
Southern Florida escaped the brunt of the storm overnight, but U.S. President Barack Obama and other officials urged people not to get complacent in the face of a storm that could be the most severe to strike northeast Florida in more than 100 years.
"I just want to emphasize to everybody that this is still a really dangerous hurricane, that the potential for storm surge, loss of life and severe property damage exists," Obama told reporters after a briefing with emergency management officials. "People continue to need to follow the instructions of their local officials over the next 24, 48, 72 hours."
Matthew had smashed through the tip of Haiti's western peninsula on Tuesday with 145 mph (233 kph) winds and torrential rain. Some 61,500 people were in shelters, officials said, after the storm pushed the sea into fragile coastal villages, some of which were only now being contacted.
At least 175 people died in villages clustered among the hills and coast of Haiti's fertile western tip. At least three towns reported dozens of fatalities, including the farming village of Chantal, where the mayor said 86 people perished, mostly when trees crushed houses. He said 20 others were missing.
"A tree fell on the house and flattened it, the entire house fell on us. I couldn't get out," said driver Jean-Pierre Jean-Donald, 27, who had been married for only a year.
"People came to lift the rubble, and then we saw my wife who had died in the same spot," Jean-Donald said, his young daughter by his side, crying "Mommy."
Cellphone networks were down and roads were flooded by sea and river water in Haiti.
FLORIDA POWER CUTS
Matthew swiped Florida on Friday with winds of 120 miles per hour (195 kph).
The city of Jacksonville could face significant flooding, the state's governor, Rick Scott, said. The storm had cut power to some 600,000 households in Florida, he told a news conference.
At 11:00 a.m. EDT (1500 GMT), Matthew's eye, or center, was brushing the northeast Florida coast, the U.S. National Hurricane Center said. It was moving at around 12 mph (19 kph) on a path that would likely take it near or over the coast of northeast Florida and Georgia through Friday night and near or over the coast of South Carolina on Saturday.
No significant damage or injuries were reported in cities and towns in south Florida where the storm brought down trees and power lines, CNN and local media reported.
Craig Fugate, director of the Federal Emergency Management Agency, said he was concerned that relatively light damage in the south of Florida so far could give people farther up the coast a false sense of security.
"People should not be looking at the damages they're seeing and saying this storm is not that bad," Fugate told NBC. People should also be aware the hurricane carried more than just ferocious winds, he said.
"The real danger still is storm surge, particularly in northern Florida and southern Georgia. These are very vulnerable areas. They've never seen this kind of damage potential since the late 1800s," Fugate said.
In Cape Canaveral, Florida, home to the country's main space launch site, the storm downed power lines and trees and destroyed billboards.
Matthew lessened in intensity on Thursday night and into Friday morning, the National Hurricane Center said, but was still a Category 3 storm on the five-step Saffir-Simpson scale of hurricane intensity. Category 5 is the strongest.
The U.S. National Weather Service said the storm could be the most powerful to strike northeast Florida in 118 years. The last major hurricane, classified as a storm bearing sustained winds of more than 110 mph (177 kph), to make landfall on U.S. shores was Hurricane Wilma in 2005.
Damage and potential casualties in the Bahamas were still unclear after Matthew passed near the capital, Nassau, on Thursday and then moved out over Grand Bahama Island.
The NHC's hurricane warning extended up the Atlantic coast from central Florida through Georgia and into North Carolina.
Some Floridians were resisting calls to evacuate.
In the historic city of St. Augustine just south of Jacksonville, about half of the 14,000 residents have refused to heed evacuation orders despite warnings of an eight-foot (2.4 meter) storm surge that could sink entire neighborhoods, Mayor Nancy Shaver said in a telephone interview from the area's emergency operations center.
Even as power started to dim and water to the city was shut off in St. Augustine, the oldest U.S. city and a major tourism attraction, residents, especially elderly and the working poor, refused to budge, she said.
"There's that whole inability to suspend disbelief that I think really affects people in a time like this," Shaver said.
In addition to those who simply did not believe the storm was a major threat, some of the city's residents lacked vehicles or other means to evacuate, said Shaver, who said she was now advising the people to hunker down in whatever shelter they could find.
Lack of means to move was one reason some people stayed in New Orleans before it was hit by Hurricane Katrina in 2005. The storm killed more than 1,800 people there and along the U.S. Gulf Coast.
As of Friday morning, about 22,000 people were in Florida shelters and more had moved inland or to the state's west coast, Scott said. Georgia and South Carolina had also opened dozens of shelters for evacuees.
South Carolina officials warned residents of potentially damaging flooding and storm surge once Matthew makes its way to the state.
"There is nothing safe about what's getting ready to happen," South Carolina Governor Nikki Haley told a news conference.