as we come on the air, hurricane ian making landfall again. this time, hitting the coast of south carolina near georgetown. left side of your screen, that's what it looks like right now in myrtle beach as the storm starts to move onshore. you've got the wind blowing nearly 100 miles an hour in some spots. the hurricane, dropping nearly a foot of rain so far. storm surges as high as seven feet. we have our team live on the ground in south carolina. and there in florida, too, where we are only just starting to really get a grip on the extent

of ian's destruction. look at the pictures in front of you. this is what it looks like, including in lee county, where rescue crews, this is a live look now, a live look at that location, rescue crews are trying to get to people, with millions of floridians without power and water. we're going to take you live to the hardest-hit areas including lee county, which you're looking at now, for what is expected to be obviously a years-long recovery. i'm halle jackson in washington. let's get to shaq brewster live for us in charleston, south carolina, nbc news meteorologist janice is with us today. shaq ian has made landfall in the last 40 minutes. tell us what you're seeing. >> the landfall was several miles up here from charleston, and that does not mean that charles was not impacted by this storm. throughout the afternoon and into the morning, and throughout the afternoon, we saw heavy rain bands, heavy wind bands. that tropical storm weather, that was expected for many people here, and you know, you kind of get some winds right now, the rain has mostly

stopped, as the storm continues to move up north, and you actually are seeing some sun start to break out of the clouds here, and just so you can get an extent of the concern here, it is the flooding, and this is the area, the team talking to folks and residents, they're used to the flooding and they're used to what happens when you have severe rain and as much rain as they've dealt with over the past 24 hours. coming down, and in such a short period of time. but the wind that they saw, and the conditions that they saw, in the past couple of hours, or so, it led to the police department hunkering down. sheltering in place. and then advising many of their residents to do the same. so conditions are improving right now. the wind has died down. they're still getting some significant gusts, the rain has stopped, but it is going to be assessment time, here in charleston, as the conditions continue to improve, hallie. >> shaq, thank you. can you help us understand what folks in south carolina should be expecting now, janice, as the storm moves inland the next few hours? >> it is still going to be pretty powerful, especially with wind and rain for inland areas,

and i don't dying -- dying along the coast. 55 miles northeast of charleston. the storm made landfall around georgetown. sustained winds at 85 miles an hour with occasional gusts. here is the track. continuing inland throughout the rest of the night. myrtle beach this evening with 60 mile-an-hour winds. and north of charlotte by saturday morning. and then continuing northward into virginia so-so the impact will -- so the impact will spread to the north in those areas. and here are the wind gusts. tropical storm wind gusts expected. damaging in some areas. and there will be damage, with possibly their windows and doors, so it is still necessary to stay away from windows and doors, when you're seeing the gusty winds, those could be blocked by downed trees, and power lines, and so that's something to take into account, too. and the storm surge is still an issue for some coastal areas, depending on how the coast faces

the wind direction, so there's still the likelihood of some high storm surge, from charleston, up towards wilmington, and we saw myrtle beach with the third highest storm surge, on record here this afternoon. and 5.23 feet. so it still is an issue, but it will become less of an issue as the storm continues to move inland. heavy rainfall, for those inland locations, too, widespread flooding is possible. especially when you're expecting upwards of five, six, seven inches of rain, heavy rain from the carolinas to the northeast, an even in new york city, and atlantic city, there is the likelihood of some heavy rain, for saturday, and from the same tropical remnants that could bring some flooding in areas. four to eight inches, generally for the carolinas, coastal delmarva area, and where you could see upwards of maybe a foot of rain. because that system is going to sit there for a while, over the mountains, and that enhances the chance for some heavy rain and big storms. the flash flood risk, as a result of the rain coming down,

that will extend from charlotte, up to blacksburg virginia, so that will include the raleigh area and charlotte, and columbia, south carolina, too, and that is going to be an issue for today, and maybe even tonight, for some areas tomorrow. and there's also a severe weather risk. that is a big threat, too. for coastal areas. and with landfall and storms. those outer bands, they can create spin-ups, attorneys and that is the risk for the -- tornadoes, and that is the risk for the wind gusts 60 miles an hour and that could bring down power lines as well and cause power outages. and trees can come down on the power lines a free tornadoes, ice lated ones are possible. and pretty much along the coast up to virginia beach. inland areas as well. keep that in mind. no hail threat. it is mainly the wind, the rain, those are the biggest impacts. and maybe severe weather too for this area. through this afternoon, and this evening. and like i said, this is spreading northward to some of the northeastern states foreign tomorrow. back to you.

>> janice, thank you. and shaq brewster, thanks. and before i let you go, janice, looking at pictures on the other side of the screen as you were delivering the report as what is going on down in the carolinas. safe to say that while it is a serious hurricane where shaq is, along the carolina coast, it was not close to the major, you know, category four hurricane that we saw slam lee county and this area of southwest florida. >> exactly. we want to get that, to let everyone know it, is not the extent of the catastrophic type of damage that you've seen with that hurricane, with the storm when it came in as a category four, almost five. this is a weaker storm. but still, a dangerous and important storm especially for inland areas now with the rain. >> really important. janice, thank you. shaq, thank you. we will check back in with both of you. live pictures from lee county. this is coming in. let me stipulate, we don't have control of this camera. and the helicopter pilot there, you can see the extensive damage here along the coast of lee

county. this is where ian made landfall. this is what folks are trying to clean up, and it looks like a marina, the boats tossed like match sticks quite frankly. and some units, some homes, that were ripped apart. again, just the beginning, just the beginning of understanding what destruction people are going to have to clean up. the head of the coast guard, rescues are still happening. and over 100 people have been trapped and rescued after the storm. it is a deadly storm in florida. 14 deaths confirmed. as of this afternoon. the rescues are still happening. nearly two million people still do not have power. this is not just horrific. it is traumatic. emotionally and psychologically for so many people, including one woman that our team spoke with about what this all means for her family. >> it was scary. it is the worst feeling in the world. i would mom had two feet of water in her apartment. or in her house. my grandma's house was

destroyed. these are houses i lived in my whole life. it is going to be a long road. it is definitely going to be a long road. >> we want to bring in blayne alexander in fort myers beach which is also i believe in lee county. and you have been talking to people coming back home and looking at the live pictures from up in the air. >> yes, we talk about that destruction, seeing it from all different angles and nothing that compares to the person who owns that structure, the person who lives there. the person who has made their livelihood there. coming back, and seeing it for the very first time. and that's unfortunately what we have seen, several times, throughout the day. this really is for so many people, the first time that they're laying eyes on this destruction that used to be their business, or used to be their home. and you know, it is much different when they see it up close and i spoke with the gentleman who owned the building that used to be the building behind me, a popular marina and where people rent boats and do water sports and he told me he

spent the better part of the morning digging out some of the things he used to rent. some of the kayaks. they weren't here. they were several roads down. very far away from here and he dragged over here and salvaging what he could. and i spoke to another woman who said she is on the way to see what was their shop. and here is a little bit of this woman and what she told me. take a look. >> it is under water. that you could see the road, but all of the boats are gone. and they don't know where they're at. and the boats are up and over the road and over a fence. >> so as people there are still looking at that damage for the first time, the other thing that we're seeing, and i think it is so important to point out, is that while some people are kind of moving through that phase of how do i sift through the damage and see what it is that is going on, and it is still very much an

emergency situation, chief among them sanibel island, the island completely cut off from the mainland and can only be accessed by chopper, or by some sort of vessel, some sort of boat. every now and then you can hear one right now, we hear choppers overhead. we hear a military chopper. we hear military choppers overhead, heading that way, toward sanibel island to try to take search and rescue crews over. there we understand what they're doing, they're touching down and going literally door to door knocking on doors to try to see if there are people there and people who need help getting out. and then trying to evacuate them as best he had can. that's a dire situation. the county has a number of hospitals that are actively evacuated 16 hospitals in the system there is no electricity and no running water and the situation is untenable so they're trying to move patients to hops nearby. and the final thing to point out, there is no water, no

electricity and that is certainly complex, but when you think about the population, florida has one of the highest elderly populations in the country and when you're seeing temperatures topping 80 degrees, getting the electricity on and air back on, certainly the top concern as well. >> blayne alexander on the ground for us there in fort myers beach, thank you. let's turn back now to south carolina. where ian has just made landfall in the last hour. and with us now is charleston county emergency management director joe coats. thank you very much for being with us on what i know is a very intense afternoon for you. >> yes, we are very blessed that we were spared from the worst of the storm. the storm made landfall up in georgetown county, about 60 miles from charleston. >> so how are things holding up for folks where you are? >> we did receive high winds and also storm surge, first

responders are out doing surveys right now, so we should have a good idea of how well we faired here shortly. >> it all became pretty clear that the carolinas would take a hit. do you feel like you had time to prepare, to get ready? >> yes, we had multiple hurricanes in the past five or six years, and so our plans are always updated and ready to go, and our emergency operations center and our staff are always prepared and ready at a moment's notice. >> i know you've seen images, we just showed some of them, of what ian did down in florida. as somebody who does what you do, what are some lessons to draw, about preparations and folks obviously trying to get ready and only so much you can do in the face of a monstrous storm like that. >> it is, and we will hopefully

be able to send some responders down there to be able to assist. a lot of the times, we learn from others, and bring back a lot of information, and new ideas about how to do our job a little bit better. so our hearts are with those that are down south of us, and also that's in georgetown above us, that received the brunt of the storm. >> phil coats, from charleston county, thank you very much. coming up, a dramatic rescue with dozens of people saved from waist high water insides a nursing home. we're live in orlando with those details. plus, take a look at some of this video out of naples florida, after being almost totally submerged in water. this is what the city looks like now. how do you start to come back from this? we will talk to somebody leading the recovery. first a reminder of the trauma families are facing. jose diaz balart speaking with a family in fort myers who lost everything when the storm hit. saying today they feel lucky to be alive.

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in collier county, florida, teams are looking for survivors stranded by the devastating storm surges. the city of naples, south of where hurricane ian made landfall, saw surges of nine feet. you are looking at that aftermath, what it looks like afterwards, half the county roughly, 130,000 people do not have power. joining me now by phone is amy patterson. thanks for being on the show

this afternoon. amy, do i have you? >> can you hear me? >> i can. thank you. >> i appreciate you being on. i know that you were talking with some of my colleagues earlier this morning on msnbc, or the county commissioner was, rather, talking about the idea that there is a pretty big elderly population there. there is the potential that people rode out the storm in their homes and now still stranded inside. do you have any sense of who might be out there and any update on the rescue efforts here? >> well, so far collier county has yesterday, has spent time trying to get our arms around any of those folks who need wellness checks or people who rode out the storm in their homes or in their cars even and found themselves stranded, they were wrapping those efforts up last night and continuing on today, and the damage, the beginning of our damage assessment phase, they were out some yesterday as well. so that would also include going through the houses that had damage and looking at them for

the structural soundsness as well as making sure any residents that stayed behind are okay and evaluating any kind of needs we might be able to help them with. >> for anybody who left and has not come back yet is, now a good time to come back? would you advise they wait? >> i advise they would wait as long as they can, i know people are anxious to get their eyes on their property and their homes and there is still a great amount of infrastructure that we're evaluating as well as widespread debris, boats, cars, all sorts of things, where they're not supposed to be, as well as the challenges with the electricity. >> how is cell service? i wonder for people who have not been able to reach their loved ones yet, how is that where you are? >> cell service is spotty. it can depend where you're standing sometimes. it seems we're having better luck with texts and calls. not any luck with sending pictures or things like that. but some places, it's okay and other places, it is not

available at all. >> and now that you have been actually see the damage and to be able to get out there and take stock essentially, what sur sense if you have one yet, for a time line for recovery here? >> it's going to be a long haul. definitely a marathon more than a sprint. just extensive damage on the coastline. all types of damage to the infrastructure, as well as homes and businesses. it will take time to evaluate it let alone put together a plan on how to rebuild and we are working currently on the debris management plans in order to be able to get ways, for people to be able to get these items, the things that are ruined, things this are wet out and away from their homes. >> amy patterson, thank you very much for the assessment, for keeping us up to date. we appreciate it. >> thank you very much. and now over to central florida, to orlando, where it has been a ton of damage to buildings, to roads, because of not so much the wind, but the

rain. it fell just in huge amounts. nursing homes forced to evacuate. look at this. the people are paddle boarding through the streets basically. and this shot is just breathtaking. fire rescuers wading through water to get people out of a nursing home. 3,500 in various nursing homes around the state have been evacuated so far. i want to bring in nbc news correspondent jesse kirsch live for us in orlando. bring us up to speed. >> you were talking about water rescue. that is something that can be treacherous in a flooding situation and we're always talking about how residents should not be themselves wading back into those waters. there is an added reason why. here in this part of florida. these waters behind me, they are alligator infested. and we have actually seen an alligator -- >> you know that for sure -- >> just within the last half hour or so. sorry? >> i said, do you know that for sure? and clearly you do because your eyeballs confirmed it. >> i do. repeatedly, we have repeatedly

seen an alligator, and even just behind me, what should be a roadway, and of course, there is a sign that says slow, children playing, so this is a community, and that it has an alligator moving through it, and we saw people wading through the knee-deep water earlier and we gave them a shout to tell them that we saw an alligator and they turned around and hopefully they're okay. that is one thing to contend with here. and that is something that is going to be an extra deterrent to stop people from trying to get back into their homes right now. and for context, it has been dry all day. it was dry for a good amount of yesterday and we are more than 100 miles from where ian first made landfall in the united states, but again, this is the aftermath of that flooding. that was the biggest concern here and the concerns came to pass. officials reporting around 16 inches at max of rain at this point, and we know that there are nearly 27,000 customers still without power in the orlando area according to officials and that number will

obviously become more and more concerning as we get hotter weather. yesterday, it was cool. and that is important because you want to have air conditioning, right? if it's hot out. and now we're getting to the point where that ac becomes more necessary, and there are still people without power. we know there are around a thousand people in shelters still as well, and there are of course people who don't expect to be able to return to their homes here, and so there's a long road of cleanup ahead for this community. >> jesse kirsch live for us in orlando, thank you. still ahead, some super long lines for gas in the fort myers area. after that area was battered by hurricane ian. our team is on the ground with the latest on the recovery. and a live look now at south carolina pawley's island and you can see the storm track as it continues to move inland, into southern virginia over the weekend. we'll be back. my active psoriatic arthritis can slow me down.

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hurricane ian right now coming onshore along the coast of south carolina. look at the radar on the left-hand side of your careen. you can see it. the wind whipping around the

backside there hitting just south of myrtle beach, heading further in from the coast, past charlotte, up into southern virginia over the weekend. as florida, by the way, is just starting to see the catastrophic damage that ian left behind. you can see it here, right, left side, fort myers beach fishing pier, that looks like a couple of days ago and on the right there, is really no more pier. that's what happened. and that is just the beginning of the destruction. look at these buildings, these homes, sticks at this point. a lot of people today don't have power. not only do they not have houses, they don't have power, they don't have water, even if they have a structure to sleep in. >> i think i lost everything i own. and it is time to be brave and to know that my family is safe and i'll worry about all of that other stuff later. >> i am 67. lived here five years. and now it's gone. it's under water. >> i want to bring in wendy in

charleston, south carolina. tell me what it is like where you are. >> reporter: i can't tell you what a difference an hour makes. we were just inundated with torrential rain, and fierce winds all morning long, and now, once ian made landfall, as forecasters predicted, the back end of this storm is really not so bad. the rain has stopped. the wind has definitely slowed down. and the skies are certainly clearing here. just outside of the charleston downtown area. take a look though. there's still damage. we got gusts of up to 92 miles an hour in this area, and it snapped trees, and can you believe, the people, there are people who rode out this storm, in those boats, in the marina, behind me. and this parking lot that is below our hotel, that was swimmable earlier today, but the waters have receded, and all morning long, you're looking at

downtown charleston, and now you can see the bridges that go into it and you can see the cars that are driving over them, and things seem to be improving dramatically here in charleston. definitely dodged a bullet. and worrying about the people who are in florida in that devastation. there will be damage to assess here. and they're still asking for people to stay in their homes while they see what kind of power lines and trees are down. roads still closed. but certainly a much better situation than our friends down in florida. at this point, though, we're all glad to see ian go. and apparently, it's going to dis spate once it goes into north carolina and virginia tomorrow. >> a lot of relief for folks there. and thanks for that information. appreciate it. and we bring in jeremy greenberg, director of fee pla operations division. mr. greenberg, thanks for being on. just even in the last 30 minutes, as we've been on the air here, some of the live

pictures from down in fort myers beach, elsewhere, charlotte county, excuse me, lee county, et cetera, in florida, it looks bad. what is the number one focus for fema right now? >> thanks for having me on. the biggest focus in florida is to make sure that those who have survived the storm that have needs that we're meeting those needs. in fema and other partners, we are conducting search and rescue operations in the heavily impacted area, doing evacuations, and making sure that shelters are set up for those whose homes are too damaged. and that is the primary operation right now. >> let me ask you, one thing that our teams have heard, that i have heard, as we've been talking to people who are stuck essentially, that fema kind of said, call or go online, call or go online, some people have no access to phones or no access to the internet, how are you supposed to get fema's help? ho what are the steps people should take? >> right now with the state of florida with federal responders going door to door to make sure people who don't have power, are

being brought to places where they can go and register. so shelters are open. throughout the impacted area. they're being moved to those locations. so he had can get access to telephone communications and to start the registration process, and move to recovery. >> let's talk about what fema has done. the administrators on the ground now in florida, there is now an emergency declaration for south carolina, we've been looking, we just had a live report from charleston there and taking a live look at what is happening in myrtle beach now, and we've also got more money, more aid, going down to florida, where we already talked about the destruction, is it safe to say here, that this is really only the start of federal help in these hard-hit areas? >> yes, that's right. so let's talk about florida first. as you indicated, the administrator, as well as over a thousand personnel are on the ground in florida, and finishing up the search and rescue operations, and move can into that more life-sustaining operation, to ensure that everybody has sustained food, water, shelter and power, as it starts to come back online. those citizens will then start

the recovery process, to include filing with their insurance companies, and then seeking eligible assistance from fema, after filing. what you're seeing in south carolina is, as ian just made landfall and moving through, we're still in that immediate response phase, so i would encourage everyone, even though the storm has dis spated in some areas, to heed the warnings of local individuals about sheltering in place. if you're sheltered in place, make sure you have plans to be there for a little bit of time, some shelf stable meals, battery powered flashlights and weather radios to listen to the officials when they give an all clear. >> jeremy greenberg, fema operations director, thank you very much for being on the show. i know again, like all who have been on it, has been a very busy week for you. appreciate it. >> thank you. next up, live in south carolina, as the state gets hit with hurng hurricane ian's second landfall. heavy winds and lots of rain, shaking the camera. i'm talking to somebody on the ground who is working overtime to try to get ready for what is

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learn more at viking.com the white house this hour hitting back at russian president vladimir putin who moved today to illegally take four ukrainian regions. here's national security adviser jake sullivan just within the last couple of minutes. watch. >> this act is a flagrant violation of international law and it has no legitimacy. unfortunately, it is also not surprising. it's straight out of putin's playbook of deceit, disinformation, and aggression, and the united states will never recognize these actions, the world will never recognize these actions. >> the ukrainian president zelenskyy has a fast track application with his country to join nato. zelenskyy says he needs

membership now. erin mclaughlin is on the ground with the latest. and a strong response from the u.s. >> yes, that's right, in fact, the nato secretary general is calling this the biggest escalation in this war since the invasion back in february. it is also being considered as the biggest land grab that europe has seen since world war ii. so, you know, ukrainian officials that i've been talking to are extremely concerned, they're calling this a new phase of this war, and in the words of one ukrainian official, he believes that president putin simply is burning all bridges behind him, because in effect, what this so-called annexation does, while universally being recognized by the west as illegal, it essentially, from a constitutional perspective, it obligates putin and the kremlin to defend 15% of ukraine as its own, and what putin has been

alluding to, for days now, is that he will do whatever is necessary to do that, essentially a veiled threat at the nuclear option. we have heard from secretary blinken earlier today say that so far while this loose talk from the kremlin about this nuclear threat is irresponsible, so far, they have seen no sign that the russians are moving in that direction in any sort of concrete way. and it certainly is a concern among ukrainian officials that i have been speaking to, going forward, as president putin has simply given himself no way out of this crisis, but to continue on with this brutal war. >> tell me more, erin, about those conversations and what you're hearing from ukrainians on this. >> i've been speaking with ukrainians in some of these occupied areas that look, in the coming days, it will be formally announced, formalize can the

annexation, it is finalized on october 4th, they're dreading that moment, they're absolutely terrified, they're concerned about the idea that they could be mobilized to fight their own home country as part of putin's mobilization. speaking to one contact in kherson who was telling me so far russian officials on the ground have indicated that will not happen and this week, they opened the border back up to men aged 18 to 35, allowing them out again, but that situation could change pretty much at any moment, and he said he's terrified. he's also terrified for his partner, while he is above the age of 35, which is out of the range of mobilization, his partner is in his 20s, and he is very concerned about what could happen to him, looking for hiding places for his partner at this point. so this is reality, this is the eralt facing ordinary ukrainians living in these occupied areas. meanwhile i was speaking to

ukrainian soldiers here in kherson, and -- here in kharkiv rather, they're telling me they will do whatever it takes to liberate every single part of their country. >> erin mclaughlin live in kharkiv, thank you for being on the ground for us and for that reporting. appreciate it. still ahead we are in hard-hit lee county florida back here at home with an upstate from one hospital official and how they're recovering especially with evacuation of patients right now and what they need most and how soon he had could get it, next. d could get it, ne xt pain hits fast. so get relief fast. only tylenol rapid release gels have laser drilled holes. they release medicine fast for fast pain relief. and now get relief without a pill with tylenol dissolve packs. relief without the water. think he's posting about all that ancient roman coinage? no, he's seizing the moment with merrill. moving his money into his investment account in real time and that's... how you collect coins.

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guard down just yet. on the ground in charleston, nbc's shaq brewster and i think that is an important point, right? it seems like things are fine and calm but the governor is saying hey, sit tight, let's make sure everything is okay. >> reporter: you can kind of see and feel here the sense and why you're getting that warning from the governor, the rain has stopped, you have the wind going a little bit, but it's nothing like what this area was experiencing just a couple of hours ago. it doesn't give you the feeling that this is dealing with a major storm a few hours ago, and starting this morning. i mean this area, charleston, clocked in wind gusts according to the national weather service, exceeding 70 miles an hour. we saw about seven inches of rain over the past 24 hours. and right now, when you look at the, what we're hearing from the power companies, dominion energy, about 90,000 people in this area are without power. so you get the sense that, yes, it may seem as if things are calm right now, but the effects of the storm are still being

felt. not just here in charleston but as you go along the south carolina coast, to where the eye of hurricane ian really made impact, that's where you're seeing the greater impacts, closer to myrtle beach as you saw there in that video, pawley island, where you saw the entire pier collapse, and you have the police department there describing the flooding that they saw as catastrophic. now, they have since updated and said that the water there is receding. so things are improving. but this definitely had an impact, although we have many people in south carolina, many of the local officials, understanding and acknowledge can the fact that hurricane ian did not have the punch that they feared it would initially. >> shaq brewster live for us, thank you. we're looking at pictures in charleston, and myrtle beach, on the other side of the screen, and let's take you to florida, to lee county where ali velshi is in fort myers. what are you seeing? >> kind of incredible. everything to my right, your left here, it was a marina. these are slips. they would have all been filled with boats.

you can see one boat remaining here. the rest of them are across the road. and this area here was marina, a bait shop, a retail shop, a cafe right where i'm walking. this is all of the structure next to me, it is all blown it blown over. there are wine bottles, there are tables, there's fishing reels, there's a mattress right there. you know why there's a mattress? because on the second story were two airbnbs, two apartments. randy is going to pan over and show you there's a bathroom. you can see the shower in a bathroom, that's all that's left. there was an office in the back there. that's gone. i was talking to the owner who has been milling about the property. he has been on the roof looking for stuff. i said, what are you trying to do, he said i'm looking for my safe. i have my papers i need, maybe i can't find it, maybe it blue

blew across the road, maybe somebody too it. there's been a lot of looting here. we have been camped out here, we haven't seen looting, but he said it has been a big problem here. there are houses where we see a lot of damage done. there's stuff strewn all over the place. in fact, the owner and his friends just put this barbecue back up because they're actually hoping to start to use it and serve up some food. there's a shelter just up the road where there are people gathered. there are actually 20,000 people that we know of in this state who are in shelters right now. there are still a lot of people without power. what the state has basically done is say no more, we don't need any more national guard. the new jersey national guard was going to come down here. they said we don't need more of that right now, but there's a lot of infrastructure help that they need. we've seen power going back on across the state. in fact, i started off in naples earlier today. the power went on. when you go up and down the streets, you see a few things happening. you see the power cherry picker trucks going and fixing lines.

you see roads suddenly get closed as police and authorities try to move boats and cars and other debris from the street. randy might be able to show you some of the boats i was telling you about. those are the boats that were in the marina. there are no boats in the marina as we speak. that's the situation in fort myers beach. there's a lot more like this around florida. the good news, two days of good and dry weather is helping to get things moving here, but, as you can see, hallie, lots and lots and lots of work to be done. >> that image, ali, of the heavy boat across the street gives you a sense of the power of this storm. >> reporter: yes. >> just in a microcosm of what the storm did along the coast there by fort myers. >> reporter: i spoke to the owner of this place and, you know, i said how do you feel. he said, well, i feel bad for people who lost their lives and their homes. he said this is just a business, but he said this is a real message that you have to heed the warnings. he said it is hard, people don't take flooding and water as

seriously as they should, particularly if you live in florida because you are so accustomed to it. it is the reason you live in florida, at least coastal florida. this needs to be a reminder to people this is a big issue. this is the owner, bob. he and a bunch of people are trying to lift up some tools that were in an oil shed that is also blown away and destroyed, hallie. >> ali velshi, thank you for being there in fort myers beach. appreciate your reporting. you might have seen the ambulance going through his shot as he was speaking. worth noting many of the hospitals in the area he is don't have water or power. at one you have patients being evacuated for the second day in a row. florida's emergency management teams are sending more than 4,000 gallons of diesel to try to get water to hospitals which obviously need running water to function. i want to bring back in dr. larry antanucci. thank you for being back on.

we spoke almost 24 hours ago on this show. you were talking about the need to evacuate two of your four hospitals including a children's hospital. what is the status of your operations now? >> we are still without power in our hospitals and we are operating on generators, and we are without water in two of the hospitals. it is those two hospitals we are actively evacuating. we have evacuated over 125 patients to other hospitals in the state, including 48 neonates. this is an ongoing process. it is going to take time. the challenge we have is we have more patients coming into our emergency department, and there's a balancing act who you are bringing in versus who you are trying to get out. it is really a very, very difficult scenario right now. >> so people know when you say 48 neonates, you mean 48 sick babies, babies who need hospital care. are they all okay? >> that's right. we have sent out 48 babies less

than 28 days old who were in the intensive care unit. these are sick babies. that's why it is taking time because you have to do this right, you have to do it carefully, and it takes a tremendous team effort to make that happen. >> and the status of all of those children, i assume these patients have made it to other hospitals safely and soundly? >> that's right. 48 of them have. we have 11 more we will be moving over the next 24 to 36 hours. >> i imagine the terror that their parents must feel. you talk about the balancing act, sending some patients out but also bringing other patients in. have you seen an influx of patients seeking help now that the storm has passed? >> we have definitely seen an increase in our emergency department volume, and we anticipated that. we knew as the roads cleared people would be coming in, and we are seeing more and more people coming in with injuries related to the hurricane, mostly minor so far, lacerations, exposure, et cetera. but the volumes are definitely increasing in our emergency departments.

>> what is the coordination you are doing with nearby counties, with the state, for example, to determine not just where patients go but what resources you need to get back up and running? >> we are working with everyone from the federal government to fema, the army corps of engineers in attempts to try to get the water supply back on. our state agencies, our state regulatory agencies, the florida hospital association, all have been working in concert to be able to not only get patients where they need to be, but try to restore the basic infrastructure that we need to continue to operate. >> any timeline as to when that basic infrastructure may end up restored? >> it is very hard to say because the challenge they're facing is broken water lines, and they haven't really even been able to identify where those lines are broken. they've established the pumping stations are working so it is not a pumping issue. it is as you would expect after a storm like this, a lot of the

water mains are broken. they have to get out there and repair them and get the water pressure back up to operate our fire mitigation systems, our chillers and air conditions, et cetera. >> dr. larry antonucci, thank you for the update. a lot of people thinking but and the patients who need help the most. appreciate it. i thanks to all of you for watching this hour of msnbc. "deadline: white house" with nicolle wallace starts right after the break. e wallace startt after the break. (dock worker) right on time. (vo) make it even smarter. we call this enterprise intelligence. why give your family just ordinary eggs when they can enjoy the best? eggland's best. the only eggs with more fresh and delicious taste. plus, superior nutrition. which matters now more than ever. because the way we care... is anything but ordinary.

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♪♪ hi, everyone. it is 4:00 in new york. for the second time in three days a large swath of our country is facing the wrath of hurricane ian. two hours ago the storm made landfall on the south carolina coast as a cat 1 hurricane, which is far weaker than what it was when it made landfall in florida. its impact will be felt far and wide. tropical storm force