hello. welcome to our viewer joining us from the united states and all around the world. we begin this hour in the u.s. where post tropical cyclone ian

is barreling through the carolina with high winds, heavy rain and the threat of floods. the storm has been downgraded from a hurricane but it still poses a threat as it makes its way inland. it has already caused considerable damage in south carolina where it made landfall on friday. in this video, you can see the storm ripping through a pier in north myrtle beach, causing part of it to collapse. it also submerged this neighborhood with a storm surge that was several feet high. so far there have been no reported deaths in south carolina. but in florida, at least 45 people have lost their lives, and we're getting a clearer picture of the damage the storm has left behind. entire neighborhoods that once were brimming with life are now flattened fields littered with debris. this is footage from fort myers beach where one woman's struggle to survive was captured in a phone call.

>> i am up to my neck in water. >> okay. all right. >> i am so cold. >> i'm losing you. i can't hear you. >> i love you. >> i love you. >> well, thankfully, the woman you heard there was later rescued. so far the coast guard said it has saved more than 275 people in florida. and the u.s. president is offering more help. >> i've directed that every possible action be taken to save lives and get help to survivors. every single minute counts. it's not just a crisis for florida. this is an american crisis. my message to the people of south carolina is simple. please listen to all the warnings and directions from local officials and follow their instructions. >> well, right now, about 2 million customers in four states are without power. in florida, some areas are starting to go restore

electricity. but the press has been challenging. >> i would say that the biggest challenge of power restoration will be in those areas that bore the brunt of that category 4, almost category 5 impact where it may have uprooted the existing infrastructure. >> we get more details now from cnn's brian todd in florida. >> reporter: the full extent of hurricane ian's destruction now coming fully into view. aerial damage assessments showing coastal areas with roofs flattened, house after house flooded or wiped out. some buildings with nothing left but the concrete slab. remote locations cut off from the mainland. this shows just how hard san ybl was hit. >> the only way to access it is by sea or air. >> reporter: so far more than

700 people rescued, the governor says. this car in orange county was filled with water up to the seats when the passengers were rescued. tell coast guard making rescues by air from food communities along the coast. here, 62er is lowered into the water. finds a woman in a house surrounded by water. >> make sure you have a bag and a dry pair of clothes with i.d., cell phone, wallets. >> reporter: the basket is low. she clutches her pet crate. volunteers pitching in as well, using boats to evacuate survivors stranded by the floodwaters. >> the search was higher than nine feet. >> reporter: harrowing stories from the deluge still emerging including from the survivor who took this video. >> initially, the water pushed me up the stairs and then it sucked me down as well. i got completely submerged in the water above my head. >> the stress and determination. >> how do you feel about all

this? >> i feel it's time for a remodel. >> reporter: that's a good outlook. can you rebuild? >> yes. >> reporter: even inland, in places like orlando, floodwaters were still high on friday. >> we saw in central florida was more standing water than what we saw in southwest florida where the big storm surge came in. >> reporter: authorities warning residents of the biggest dangers. >> what is the biggest danger they're facing now? >> downed power lines that might be reenergized. try to stay home. stay safe. call us if you need us. >> reporter: the death toll now over 40. more than 1 million customers without power. some could take days or weeks to restore. and the figures on property losses remain staggering, according to the property analytics firm. hurricane ian could have caused as much as $47 billion in insured losses. that could make it the most expensive hurricane in the history of the state of florida.

naples, florida. >> well, ian made its second u.s. landfall near georgetown 48 a as category 1 hurricane. power is being restored to impacted areas as officials assess the damage. nearly 80,000 homes and businesses are still without electricity throughout south carolina. shelters where people took refuge from the storm in charleston county, are set to close saturday afternoon. while the storm has weakened as it moves further inland, the governors of south and north carolina are warning that risks still remain. this doctor is an ems and emergency physician. he joins us now from fort myers in florida. sir, thank you very much for your time. it must be, well, an exhausting couple of days for you.

tell us, when did you arrive? what have you witnessed? >> yeah, it's been a very rough couple of several days here. both as a disaster physician and also as a medical director out hear. >> reporter: now, can you tell us a little more about what the state of the hospital is in the affected areas? and if people in those affected areas have any access to health care services? >> from what i've been told when we do our recon and information, they're still providing care as needed for everybody. but we are having problems with water and water temperature throughout the region, and so what has been going on behind the scenes is figuring out the best places for people to go to. spreading it out through collier county, broward county, et cetera. >> reporter: is there enough help for people who need it?

>> all the help is here for people as they need it. absolutely. it might be a little difficult to get it to them but it is there and we're getting to them quickly. >> reporter: what toll does an stream weather event like ian take on people's overall health? i understand this isn't why are big first natural disaster where you've been dispast patched. >> unfortunately, this is not may first rodeo. the storms and things like this bring out plenty of injuries. traumatic injuries like fractures and lacerations, and illnesses. at the same time, hurricanes don't make our normal co-morbidities, so people are still giving birth, being in labor, or they have their emphysema issues, heart attacks, everything else. none of that really takes a break. we have these injuries when people are trying to board their

houses up. or respond afterwards on top of everything else. at the same time, this also is a big time for spiders and things like that on top of everything else. >> on top of everything else. what are some of the main health hazards and the immediate aftermath of such a potent storm? >> the immediate aftermath, and we're talking, the afterwards, beyond the drownings and the collapses, basically, traumatic injuries. we're talking about broken bones, lacerations, major bleeding. that can easily go on when you're walking on unsteady things or things can fall on you as well. as well as people can be washed away. they think that water is standing still when really, it is flowing pretty quickly. and that can be extremely dangerous. whether by foot or in a car. it doesn't take many inches for an entire car to be just swept

away. that can lead to other issues. beyond that, then it starts getting into the respiratory issues, g.i. illnesses and everything else. >> what is your main message for people who are still in the affected areas? the hard-hit regions? how can they best keep themselves and their loved ones healthy and safe? >> the best thing people can do if they're still in these affected areas is listen to the local emergency disaster teams. it is, don't become a lay built. we're here to help you. and we're here for you. but at the same time, we're trying to help evacuate you. for a reason. and we would rather evacuate you than have to rescue you. >> dr. ben abo, ems emergency physician. thank you for your time. >> thank you very much. >> cnn meat meat karen

mcguinness joins us now with more. what will you be watching for in the hours to come? >> yes. we just received an update from the national hurricane center even though this is post tropical storm ian. i'll explain that for a second before we show you some video out of northern coastal regions of south carolina. right now, the winds are at 40-miles-per-hour. the last report, 11:00 p.m. eastern time, we had 50 miles per hour winds. don't think there's nothing left with this. still hey winds. still a heavy surf. and we're still looking at substantial rainfall. so these rivers and streams will really fill up with between three to six inches of rainfall. we could satisfy as many as eight inches. as the tied water area, also very fragile, and easily prone to flooding. take a look at what happened when ian made landfall. that was along the central coast of south carolina in the vicinity of georgetown.

this is cherry grove beach. if you went to myrtle beach, which is along the north coast, and go a few blocks more. there's whiccherry grove. everywhere you look. it's water. these homes are situations where the lower level usually houses a car or a recreational vehicle, or perhaps boats or that sort of thing. so you minute maze the living situation damage, which is typically on that second level. but you can imagine just how devastating that is for a lot of people to see. so this broad range shield still has the element, the potential for flooding all the way from norfolk into hampton roads, to roanoke, raleigh and winston-salem, they're under flash flood warnings because the rainfall is really coming down across this region. it will really ease up as we go late in the day saturday and then into sunday. still some gusty winds hear. we've seen some wind gusts

generally speaking in coastal south carolina, north carolina, and into virginia between about 25 and 50 miles per hour. and leila, it is good to have you hear on cnn. >> thank you. russia is pushing ahead with its plan to annex nearly a fifth of ukraine. as soon as the annexation ceremony was done, widespread condemnation was quick to follow. that's's ahead. plus, we'l'll have continui coverage of ian's impact on the eastern u.s. heart attack, or death. even at your a1c goal, you're still at ri ...which if ignored could bring u here... ...may put you in one of those... ...or even wor. too much? that's the point. get real about your risks and do something about it. talk to your health care provider about ways to lower your risk of stroke, heart attack, or death. learn more at getrealaboutdiabetes.com

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russia is moving ahead with its plan to carry out the largest annexation in europe since world war ii. a large ceremony in moscow on friday, president vladimir putin announced the annexation of close to one fifth of ukraine. the move follows so-called referendum in four partially occupied regions which the west dismissed as shams. as soon as mr. putin signed the annexation documents, western nations made it clear. the move will not be recognized. the u.s. and britain and other g-7 members are already pushing for new sanctions on moscow. the diplomatic tensions later spilled over into the u.n. security council. moscow vetoed a resolution that condemned the referendum and called for russian forces to leave ukraine. hospital in other country vetoed against it. in response, u.s. president joe biden is giving the russian leader a stern warning.

>> the united states is never going to recognize this and quite frankly, the world won't recognize it either. he can't seize his neighbor's territory and get away with it. as simple as that. america is fully prepared with our nato allies to defend every single inch of nato territory. every single inch. so mr. putin, don't misunderstand what i'm saying. every inch. >> keeping an eye on developments in russia and ukraine. how are these events being perceived? let start with the international reaction to president putin doubling down? >> reporter: as you can imagine from president joe biden, there has been widespread condemnation from the international community. this move to annex ukrainian territory did not come as a surprise as you outlined there. we saw the sham referendum held over the weekend and the results

announced earlier this week. this came as no surprise, of course. that was seen to be by members of the international community a pretext for potential annexation. we've heard the warnings from members of the international community, particularly here in the west over the last few days. now, of course, as we see president putin doubling down, formally proclaimed by the russian federation yesterday. we are seeing members of the international community condemning it, vowing not to recognize these annexed territories as russian territory. many describing this as illegal. let me walk you through some of the reaction we've had so far. from the nato secretary general describing this as the most serious escalation since the beginning of the invasion of ukraine. he said that president putin will not succeed in deterring support for ukraine. that was from europe leaders and

the baltic states. the alliance between yesterday describing this as illegal and also saying, this won't change anything. a certain european woman saying its support for the ukraine armed forces, and i heard that from president joe biden. we are expecting sanctions from the u.s. and also from the united kingdom. >> how has the ukrainian president responded? >> reporter: there has been a firm response from him from what was anticipated as the annexation taking place yesterday. we heard from zelenskyy warning president putin not to attempt to annex any ukrainian territory. we heard from other members of the ukrainian government vowing to ensure that the ukrainian armed forces were able to pull back the territory. that they will not give up any ukrainian sovereign territory. what was key from the message we heard from president zelenskyy yesterday was that ukraine is doubling down, launching a of the if a track bid to join the nato alliance. take a listen.

>> translator: today, here in kyiv, in the heart of our country, we are taking a decisive step for the security of the entire free nations. security has no alternatives. determination is needed to guarantee it. we are taking a decisive step by signing ukraine's application for accelerated access to nato. >> what we heard confirming the alliance's is that right for ukraine, he did say that decision would depend of course on nato's member states. no firm commitment there from the secretary general but as we've heard across the board, there is clearly support for ukraine. as we heard from president joe biden a little whale ago, president joe biden affirming they will defend every inch of nanato terriritory. >> thanks so much.

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welcome back to our viewers in the u.s., canada and around the world. you're watching cnn newsroom. the loss of life and property from hurricane ian is so staggering along florida's gulf coast that no one can yet quantify how devastating it truly is.

countless vacation home, hotels, businesses, boats and vehicles were pulverized by the category 4 storm. one analysis predicts the uninsured losses, or the insured losses in the state will be nearly $50 billion. tragically, florida's death toll continues to climb as search and rescue teams look for more victim. ian is now a post tropical cyclone after making landfall in south carolina on friday. so far, at least 45 storm-related fatalities have been confirm in florida. officials fear the final tally will be much higher. the u.s. coast guard says many people are still stranded by deep water. >> we're finding that many of the people are not critically injured or distressed but they're stranded. they're stuck on islands, either manmade islands that have been

there for some time and surrounded by water, but more importantly, the areas that weren't islands before and now they're surrounded by water. >> well, after making landfall near fort myers, the storm has swept across central flrd and dumped enormous amounts of rain. residents in an orlando neighborhood say they often get standing water after heavy rain. but the situation there now is more than they can handle. cnn's ryan young has their story. >> this is really the situation in orlando. neighbors are frustrated by what they see. look all around. you can see the flooding that has taken over this neighborhood. we got on this boat because neighbors are helping neighbors. they're trying to get out and see if they needed to get on a boat. some of them had to know rescued yesterday. emergency service, firefighters, that was the national guard. a day later, they're wondering, where is the help from the government? they're hoping more people will come into this neighborhood to provide them critical need.

obviously they need power, they need to get to their medicine, and they need to assess the damage to their homes. these folks are no stranger to this sort of situation. in fact, over and over again, after a heavy hurricane, their streets flood but not normally this hey. we've seen homes with the doors wide open. people coming back to rescue their pets. as we talked to several people, some of the pets did not make it. and will this has been heart breaking for them. nobody wanted to leave their loved ones or their pets behind. there are some older people who live in this neighborhood. they decided not to leave. there are people who don't trust that people won't come in and loot. they didn't leave either. you can see the situation on the ground and you can their frustration in this woman's voice as she talks about the fact that no one is hear to help. >> their front doors are open. some of the trunks are open. some of the cars are slid in the road. it doesn't make sense. we have to catch a boat. somebody come pick people up. taking them to get food and stuff.

i'm about to cry. i don't want to cry. just to see people up and down. the dogs paddling in the road and everything is just, it's just sad. it's scary. we want to move. >> reporter: you can hear her frustration. she's hoping someone will see her on tv and provide this neighborhood much needed help. cnn, orlando, florida. >> orange county, florida, sent a message about their dogs and cats. it said pets are family. period. the county showed photos of animals being rescued from flooded streets, apartments and assisted living facilities. it recommends owners prepare pet disaster kits in advance with vital information such as rabies certificates as well as extra come arkss leashes in sealed bags. don't forget toys and treats to help ease anxiety during the emergency. now, if you would lake to safely and securely help people

affected by hurricane ian, who may be in need of shelter, fad andert with a, please go to cnn.com/impact. you will find several ways that you can help. an horrific attack in kabul leaves more than two dozen people dead and many more injured. we'll have the update, next. i know there's conflicting information about dupuytren's contracture. i thought i couldn't get treatment yet? well, people may think that their contracture has to be severe be treated, but it doesn't. if you can't lay your hand flat on the table, talk to a hand specialt. but what if i don't want surgery? well, then you should find a hand specialist certified to offer nonsurgical treatments. what's the next step?

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the death toll from friday's suicide attack in afghanistan has risen to at least 25. dozens of others were wounded. here's the latest on the horrific attack. >> reporter: a place of learning turned into a sea of carnage. this is the aftermath of a suicide bombing on an education center in kabul. students were taking a practice university entrance exam when at around 7:30 local time, a blast ripped through the classroom, killing and wounding dozens. i saw so many people of flesh in the air, this eyewitness said. people were so panicked. some were injured and some were crying. i wanted to help them. i helped carry some of the dead bodies. the private center serves young women and men dreaming of going to college. eyewitnesses say most of the

victims were female. the blast happened right between where the girls were sitting. they were sitting at the front row and the boys were sitting behind them. unicef called the attack acceptable and urged all parties to respect education. children and adolescents are not and must never be the targets of violence. the bombing took place in a neighborhood that has been group by extremists, including isis. the taliban government has done little to protect the persecuted community, according to human rights watch. a taliban spokesperson condemned the attack saying authorities will find and punish the perpetrators but since the takeover of the taliban a year ago, the situation appears to be deteriorating. under its rule, life for women and girls grows bleaker. the taliban have banned girls from attending secondary school, that's second grade and above. for the few who still have

access to education, just studying for an exam can cost a girl her life. cnn, london. for the second time this year, burkinal faso's government has been taken by a coup. the new leader is army captain, who has suspended the stags, closed the borders and declared a nightly curfew. the announcements cap a day that began with gunfire in the capital. an explosion near the presidential palace, and interruptions to state television programming. one man who lives near the presidential palace explains the fear he felt in his own backyard during the unrest. >> translator: when i entered the courtyard, i couldn't even reach my door. i heard a burst of gunfire that lasted a few seconds. what alerted me was that the bullets that were fired caused the damage you see in the yard.

there are even bullets lodged in the walls of the house. >> in a statement, they said the national stake holders will be indicted soon to document a new transitional charter and designate a new civilian or military president. brazilians head to the polls on sunday in one of the nation's most divisive presidential elections in years. polls indicate the right wing incumbent trails the leftist who hopes to be returned to the office he held between 2003 and 2010. the contest is so heated, the recent poll says two-thirds of brazilian voters fear being physically attacked because of their political views. guns have been banned near polling stations on election day. thank you for joining us for our inteternational viewers. marketplace e is next. if you're in north america, i'll bebe back with more news. and make every moment more.b,

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hurricane ian is shaping up as one of the deadliest and most costly natural disasters in florida's history. hundreds upon hundreds of rescues have been carried out. this man was stranded in a flooded area until the coast

guard lifted him to safety. at least 45 fatalities have been reported with fears that many more victims still haven't been found. people who run fishing businesses are especially hurting with many of the boats wrecked or tossed far from the water. cnn's randi kaye spoke with one man aboard his floating hotel. >> reporter: have you ever seen a storm like this? >> not like this. >> reporter: when hurricane ian hit fort myers beach, he was in for the ride of his life. >> surreal. >> reporter: he had decided to ride out the storm on his boat docked at this fort myers beach marina. it is made of steel so he thought it would be safer than home. he showed me video. >> you will see the building that collapsed over there.

you can see it in a minute. right on the edge, holding the boats in place. there is the building. >> wow! >> reporter: he tied the boat he was on to another boat he owned. both weigh about 50 tons, he says. but even that was no match for hurricane ian. about 3:00 a.m., all of a sudden mike was lifted up by the force of the water and the wind. >> we didn't get dragged around until the very, very end. >> reporter: what was that feeling like being carried along as the storm was going? >> we knew it was out of our control at that point. we were happy we were blowing inland because we knew we would be thrown over land. we knew we were in the parking lot. we didn't know where we would stop. >> reporter: in the end after a wild 15 hours, mike and his boats, which were still tied together, landed in the street. whale they aren't a total loss, ian sure took a chunk out of this boat mike used for his

business. a floating hotel. >> that's cabin six, actually. one of the nicest cabins. hit a private deck. that wasn't even from a hit. we were watching it. the wind just started peeling the side back. >> reporter: and tore it right off. so for now mike is staying on the boat that he was on during the storm. he does have a generator on it. he does have water on it. he would like to get it back in the water as soon as possible. that's because, one, it's not insured. so he would like to get it back in the water. and also, it is leaning against the power pole. the electric company, if they deep his boat is in the way of restoring power, they will destroy it. randi kaye, cnn. fort myers beach, florida. if president vladimir putin made the declaration at a

ceremony in moscow on friday. the western nations are making it clear, the move will not be recognized. with many readying more economic sanctions on moscow after the anextation ceremony, the russian consulate in new york was vandalized with red paint. police are investigating it as a possible bias incident. in the meantime, president biden said the annexation move means things aren't going well for russia on the battlefield. m.j. lee reports. >> reporter: not for the first time during this war, we heard president biden directly addressing vladimir putin in public remarks, in response to putin's declaration that he was going to annex these four regions in ukraine. the president saying in his remarks that putin's actions are wholly unacceptable, that they also demonstrate that he is struggling in this war. here's what he said. >> america's allies are not

going to be intimidated. not going to be intimidated by putin and his reckless words and threats. he's not going to scare us and, or intimidate us. putin's actions are a sign he's struggling. the sham referendum he carried out. the sham routine that he put on this morning showing the unity as people holding hands together. the united states will never recognize this. quite frankly, the world won't recognize it either. he can't seize his neighbor's territory and get away with it. >> reporter: this comes after the u.s. and its allies announce a new round of sanctions against russia to try to punish it and cripple it even further. we also heard president biden for the first time weighing in against these nord straem pipeline leaks, using pretty blunt language. he said this is a deliberate act of sabotage. he said the russians are pumping

out disinformation and lies about it. he did stop short of directly accusing russia of those leaks. of course, there is currently an ongoing investigation and u.s. officials saying there needs to be more work to exactly figure out what happened there. meanwhile, the death toll on a convoy in zaporizhzhia has gone to 30 people. 88 others were wounded in the russian strike. we want to warn you the images you're about to see are graphic. the strike happened 48 at a used car market where vehicles were gathering to go into russian held territory. president zelenskyy said russia fired 60 missiles on the area. although it's unclear how many hit the convoy. ukraine says there were no military targets there. ukraine is claiming more progress on the front lines in the east. a local official said russian

officials are now, quote, trapped. all this after reports that ukrainian troops were close to encircling the city. >> reporter: hidden but unstoppable. ukraine has not bragged much about its march south from kharkiv toward the prize of donetsk. but every roof top or tree line suggests they've just been too busy advancing. day by day, reducing how much of occupied ukraine moscow is about to falsely declare russian territory. with the ultimate goal encircling the vital railway town close. no quarter given. all the way through the forests to the monastery town. the drive to this point, probably the most depressing two hours we spent on the road for the whole six months of this war, just laying bare the utter ferocity of the fighting, and so, too, the speed of ukraine's

advance to this town which itself is shocking. eight years ago, at the start of the conflicted, i lived on and off here for six months and just learned to appreciate its normality. its peace amid all the pines here. and that's just gone. it is the most fragile who remained when russia moved in. anna is one of nine people left on her block. she almost didn't make it. >> translator: the scariest was when the russians were firefighting in my courtyard. i was in the doorway and tried to hold the steel door shut. a shoulder pulled at the door. he tore open the door, shot his gun into the darkness and it is many -- he missed me. >> reporter: the monday starry looks down on the mass. this person asked me if they'll come back. the russians. they made such a mess of their new post office, she says.

on her shirt, a lock of hair from her local beloved priest killed by shelling in june. i taxed it as a protective amulet, she says. tell me, can i leave now? even the carcass still rocked by shelling. the church bells finally rang again two days ago. they brought this person to tears. it rang and i heard it, she says, i heard it and it got louder. they are now out of the church basement where they hid from the bombs and still try to live. she is saying it is cold. you can feel that. seven months underground. anxious to not show their faces. their plight is their private tragedy, one says. a disabled son was taken to hospital, she says. she last saw him alive but that is all she knows down here.

there is little salvation here. only ruin turning to rust. there is no let-up in ukraine's advances. or of moscow's imminent annexation. the absurd claim, this land is actually russian territory. the land here testimony to how the clicks between this right and that wrong shred the very thing now covered. cnn, ukraine. and that wraps this hour of cnn newsroom.. i'll be back in just a moment with more coverage of the impact of h hurricane ian. some desescn intense burning sensation or an unbearable itctch. this painful, blistering rash can disrupt your life for weeks. it could make your workday feel impossible. the virus that causes shingles is likely alread inside of you.

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us from the united states and all around the world. thousands of americans in the carolinas are braving the wrath of a powerful storm. hurricane ian is moving in as a post tropical cyclone. officials are warning that it is threatening with heavy rain and wind and flood. the storm has caused considerable damage in south carolina. you can see it ripped through a pier and caused part of it to collapse. it is also havina