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    Hurricane Helene is one of the most powerful storms ever to hit the United States with wind gust speeds of 140 mph (225 km/h) and heavy rain.

    The storm made landfall in Florida overnight on Thursday as a category four hurricane but was downgraded to a tropical storm as it moved rapidly more inland.

    It was the strongest storm on record to hit Florida's Big Bend, and it moved north into Georgia and the Carolinas.

    At least 45 people have died and millions have been left without power.

    Insurers and financial institutions say damage caused by the storm could run into the billions of dollars.

    Getty Images An aerial view of damaged houses next to the coastGetty Images

    In Horseshoe Beach, Florida, an aerial view shows debris from damaged houses. One resident from the area told Reuters that although the risk of hurricanes is the "price you pay for wanting to live on the coast", there is a point when "enough is enough"

    Getty Images A house is pictured with one side ripped of, with piles of bricks next to itGetty Images

    A home furniture shop in Valdosta, Georgia, is destroyed. The shop, called Chez What, posted a message on Facebook, saying their hearts were "heavy"

    Reuters A man walks through a room which has its ceiling falling down and furniture damagedReuters

    A man, Nash Harris, looks for some salvageable clothing in his home in Steinhatchee in Florida's Big Bend

    Reuters Children walk past the collapsed portion of a bridge after flood waters destroyed it, in Boone, North CarolinaReuters

    Children walk past the collapsed portion of a bridge after flood waters destroyed it in Boone, North Carolina

    Reuters A local resident helps free a car that became stranded in a stretch of flooding road on the outskirts of Boone, North Carolina.Reuters

    A local resident helps free a car that became stranded in a stretch of flooding road on the outskirts of Boone, North Carolina

    EPA Members of the Atlanta Fire Rescue Department's Water Rescue Team rescue a man in Atlanta, GeorgiaEPA

    Members of the fire department's water rescue Team help a man in Atlanta, Georgia

    Across the region many would wake to find damage from flooding.

    Jonathan Drake/Reuters Flood waters wash over Guy Ford Road bridge on the Watauga River as Hurricane Helene approaches the North Carolina mountains Jonathan Drake/Reuters

    Flood waters wash over Guy Ford Road bridge on the Watauga River as Hurricane Helene approaches the North Carolina mountains

    Joe Raedle/Getty Images Flood waters in Tarpon Springs, FloridaJoe Raedle/Getty Images

    Flood waters in Tarpon Springs, Florida

    Erik Lesser/EPA-EFE Peachtree Park Apartments resident Candice Ocvil (left) and Jibri Tolenrow through flood waters from Peachtree Creek, GeorgiaErik Lesser/EPA-EFE

    Peachtree Park Apartments resident Candice Ocvil (left) and Jibri Tolenrow KAYAK through flood waters in Peachtree Creek, Georgia

    In Peachtree Creek some residents took to boats to navigate the flood water while another set about cleaning up.

    Erik Lesser/EPA-EFE Peachtree Park Apartments resident Andrea Palese begins to clean upErik Lesser/EPA-EFE

    Peachtree Park Apartments resident Andrea Palese begins to clean up

    Tampa Bay Times/ZUMA Press Wire/REX/Shutterstock A home at Harbor Lights Club mobile home park in Pinellas County in the aftermath of Hurricane Helene Tampa Bay Times/ZUMA Press Wire/REX/Shutterstock

    A home in Pinellas County, close to Tampa in Florida, was badly hit by the storm

    Marco Bello/Reuters Power lines and fallen trees lay on the ground in Crawfordville, FloridaMarco Bello/Reuters

    Power lines and fallen trees lay on the ground in Crawfordville, Florida

    As the flood water receded along the west coast of Florida, it left behind damaged or destroyed buildings.

     Cristóbal Herrera/EPA-EFE A destroyed building in Cedar Key, Florida Cristóbal Herrera/EPA-EFE
     Cristóbal Herrera/EPA-EFE View of damage left behind by Hurricane Helene in Cedar Key, Florida, Cristóbal Herrera/EPA-EFE
    EPA View of damages left behind by Hurricane Helene in Keaton Beach, Florida.EPA

    An oak tree fell on a home in Anderson, South Carolina.

     Ken Ruinard/The Anderson Independent Mail/USA TODAY NETWORK via REUTERS A large oak lies on a home in Anderson, South Carolina Ken Ruinard/The Anderson Independent Mail/USA TODAY NETWORK via REUTERS

    Emergency teams, like these Marine deputies, were on hand to rescue those who required assistance.

    Below an airboat transports residents rescued from flood waters due to storm surge in Crystal River.

     Luis Santana/Tampa Bay Times/ZUMA Press Wire/REX/Shutterstock An airboat transports residents rescued from flood waters due to storm surge in Crystal River Luis Santana/Tampa Bay Times/ZUMA Press Wire/REX/Shutterstock

    Off the coast of Florida, a man and his dog were rescued by the US Coast Guard, while in St Petersburg a capsized boat washed ashore.

    US Coast Guard/Handout via REUTERS A US Coast Guard Air Station crew rescues a man and his dog during Hurricane Helene after his sailboat became disabled and started taking in water off Sanibel Island, Florida US Coast Guard/Handout via REUTERS
    Joe Raedle/Getty Images A capsized boat washes ashore in Saint Petersburg, Florida Joe Raedle/Getty Images

    Even before its arrival, the storm had caused power outages for more than one million people and severe flooding in several areas.

    Trucks belonging to Duke Energy were pictured in line waiting to repair damage once the storm had passed.

    Stephen M. Dowell/Orlando Sentinel/Tribune News Service via Getty Images Charles Starling, a lineman with Team Fishel, is pelted with rain as he walks by a row of electrical line trucks staged in a field in The Villages, Florida Stephen M. Dowell/Orlando Sentinel/Tribune News Service via Getty Images

    Ahead of the Hurricane many residents moved to shelters like this one at a school in Tallahassee.

    Octavio Jones/Reuters Amber Hardin, 27, spends time with her dog Ducky while taking shelter from Hurricane Helene at Leon High School near downtown Tallahassee, Florida Octavio Jones/Reuters
    Kathleen Flynn/Reuters Lindsay Smith, her four-month-old son Maze Crawford, and mother Dieonne Smith, wait for the arrival of Hurricane Helene at Lincoln High School, which was opened as a shelter in Tallahassee, Florida Kathleen Flynn/Reuters

    President Joe Biden and state authorities had urged people to heed official evacuation warnings before Helene hit, though some chose to stay in their homes to wait out the storm.

    People boarded up windows and prepared their properties as best they could.

     Cristóbal Herrera/EPA-EFE People boarding up windows to prepare for Hurricane Helene, in Old Town, Florida Cristóbal Herrera/EPA-EFE

    Those who chose to stay stocked up with food to wait out the storm.

     Cristóbal Herrera/EPA-EFE People buying groceries at a convenience store with windows covered with plywood as the town prepares for Hurricane Helene, in Old Town, Florida Cristóbal Herrera/EPA-EFE

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