At least 15 people are dead and 20 others are missing on Dominica after Hurricane Maria, the Caribbean island’s prime minister has said.
It was a miracle that the death toll was not in the hundreds, PM Roosevelt Skerrit tearfully told a local television station.
Hurricane Maria ripped through Dominica as a category four storm late on Monday, damaging hundreds of homes.
The storm later devastated Puerto Rico, leaving the whole island without power.
Mr Skerrit said he has spent the last 24 hours surveying by air the destruction caused by the powerful storm.
“It has been brutal,” he said on Thursday on the nearby island of Antigua. “We’ve never seen such destruction.”
Homes have been flattened, schools have been destroyed, telecommunications have been cut off and the island’s main hospital is still without electricity, he said.
The hospital’s generators had to be set aside because of flooding and officials were still working to see if they could be turned on.
He added the island is “going to need all the help the world has to offer”.
Meanwhile, authorities in Puerto Rico are urging residents to seek higher ground ahead of flash flooding in the aftermath of Maria.
The island’s Governor Ricardo Rossello described the hurricane as “the most devastating storm in a century” and said that Maria had hit the island’s electricity grid so badly that it could take months to restore power.