Emergency workers on Monday delivered truckloads of food and water to Wilmington, a city of 120,000 people mostly cut off from the rest of North Carolina by Florence's still-rising floodwaters, as helicopters and boat pulled people from homes swamped by swollen rivers.
The deadly storm still had abundant rain and top winds around 50 km/h early Monday, and forecasters said it was expected to gradually pick up forward speed and complete a big turn toward the Northeast, which is in for as much as 15 centimetres of rain.
Flooding worries increased in West Virginia and Virginia, where roads were closed and power outages were on the rise. About 500,000 homes and businesses were in the dark.
In some places, the rain stopped after Florence moved on, and the sun peeked through, but North Carolina Gov. Roy Cooper urged residents who were evacuated from the hardest-hit areas to stay away because of closed roads and flooding.
"There's too much going on," he told a news conference.
Watch as cleanup crews assess damage in storm's path through the Carolinas:
The tropical storm cut a destructive path through the Carolinas, with cleanup crews assessing the damage. 0:59
The death toll climbed to 18 as authorities found the body of a one-year-old boy who was swept away after his mother drove into floodwaters and lost her grip on him while trying to get back to dry land.
Florence was still massive, despite being downgraded to a tropical depression from a once-fearsome Category 4 hurricane. Radar showed parts of the sprawling storm over six states, with North and South Carolina in the bull's-eye.
North Carolina emergency response officials tweeted that 23 truckloads of military meals and bottled water were delivered overnight to Wilmington, the state's eighth-largest city.
One route into the city was reopened by midday Monday, officials said, but it wasn't clear which road was open and whether it available to the general public.
Signs on a flooded highway leading out of town said "ROAD CLOSED," and many streets that weren't flooded were blocked by fallen timber. The smell of cracked pine trees wafted through hard-hit neighbourhoods.
Residents waited for hours outside stores and restaurants for water and other basic necessities. Police guarded the door of one store, and only 10 people were allowed inside at a time.
Desperate for gas to run a generator at home, Nick Monroe waited in a long line at a Speedway station even though the pumps were wrapped in plastic. His power went off Thursday before Florence hit the coast, but he couldn't recall exactly when.
"It's all kind of a blur," Monroe said.
County commission chairman Woody White said officials were planning for food and water to be flown into the coastal city, located on a peninsula with the rising Cape Fear River to the west and more water to the east.
To the north in Pollocksville, Coast Guard members used a basket suspended from a helicopter to rescue a man from the roof of a flooded home.
Oliver Kelly, Age 1, cries as he is carried off the sheriff's airboat during his rescue from rising floodwaters in the aftermath of Hurricane Florence in Leland, N.C. The spreading disaster has killed at least 17 people. (Jonathan Drake/Reuters)
About 115 kilometres away from the coast, residents near the Lumber River stepped from their homes directly into boats floating in their front yards. River forecasts showed that the scene could be repeated in towns as far as 400 kilometres inland as waters rise for days.
Fears of what could be the worst flooding in the state's history led officials to order tens of thousands to evacuate, though it wasn't clear how many had fled or even could.
Victor Merlos was overjoyed to find a store open for business in Wilmington since he had about 20 relatives staying at his apartment, which still had power. He spent more than $ 500 US on cereal, eggs, soft drinks and other necessities, plus beer.
"I have everything I need for my whole family," Merlos said. Nearby, a Waffle House restaurant limited breakfast customers to one biscuit and one drink, all takeout, with the price of $ 2 per item.
Julie Lamb, with her 15-month-old twins, stepped off a Coast Guard boat after being rescued from her parents' house, where the yard was submerged and water was still rising at Lumberton. Another boat was going back to get her husband, four-year-old daughter and their pug dog.
"We decided to stay with mom and dad here. During (Hurricane) Matthew the water never reached their house," she said. "But the water keeps coming up in their yard."
As rivers swelled, state regulators and environmental groups monitored the threat from gigantic hog and poultry farms in low-lying, flood-prone areas.
The industrial-scale farms contain vast pits of animal feces and urine that can pose a significant pollution threat if they are breached or inundated by floodwaters. In past hurricanes, flooding at dozens of farms also left hundreds of thousands of dead hogs, chickens and other decomposing livestock bobbing in floodwaters.
Some stream gauges used to monitor river levels failed when they became submerged, but others showed water levels rising steadily, with forecasts calling for rivers to crest at or near record levels. The Defence Department said about 13,500 military personnel were assigned to help relief efforts.
Four-year-old Iva Williamson, centre, joins neighbours and pets in fleeing rising floodwaters in the aftermath of Hurricane Florence in Leland, N.C. Downgraded to a tropical depression, Florence is still massive. (Jonathan Drake/Reuters)
Thousands of people were ordered to evacuate homes along rivers. The evacuation zone included part of the city of Fayetteville, population 200,000.
Near the flooded-out town of New Bern , where about 455 people had to be rescued from the swirling flood waters, water completely surrounded churches, businesses and homes. In the neighbouring town of Trenton, downtown streets were turned to creeks full of brown water.
The rain was unrelenting in Cheraw, a town of about 6,000 people in northeastern South Carolina. Streets were flooded, and police Chief Keith Thomas warned people not to drive, but the local food and gas store had customers.
"As you can tell, they're not listening to me," he said.
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