Hurricane Fiona left 1 million without running water in Dominican Republic and much of Puerto Rico without power. Now it's slamming the Turks and Caicos - CNN

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Hurricane Fiona is threatening more deadly flooding as it slams the Turks and Caicos islands Tuesday, having devastated Puerto Rico – cutting power for the vast majority of its 3.1 million residents – before leaving more than 1 million without running water in the Dominican Republic.

Fiona, having strengthened early Tuesday to a major hurricane – a Category 3 with sustained winds of more than 111 mph – was centered just off Grand Turk Island around 8 a.m. ET. Its heavy rains were threatening "life-threatening flooding" through the afternoon in the Turks and Caicos, a British territory of about 38,000 people, the Miami-based National Hurricane Center said.

Still dealing with Fiona's ruinous path are the Dominican Republic – where Fiona's outer bands still could cause flooding after it traversed the Caribbean nation Monday – and Puerto Rico, which Fiona crossed a day earlier, causing a near blackout and leaving damage not seen there since Hurricane Maria made landfall five years ago Tuesday, officials said.

Nearly 800 people were brought to safety by emergency workers in the Dominican Republic, according to the country's emergency management director of operations, Juan Manuel Mendez. At least 519 people were taking refuge in the country's 29 shelters Monday, he said.

Photos: Hurricane Fiona slams Caribbean

Alejandro Granadillo/AP

Streets are flooded on Salinas Beach after Hurricane Fiona moved through Salinas, Puerto Rico, on Monday, September 19.

Photos: Hurricane Fiona slams Caribbean

Ricardo Arduengo/Reuters

Members of the Puerto Rico National Guard rescue a woman stranded in her house in Salinas on Monday.

Photos: Hurricane Fiona slams Caribbean

Ricardo Arduengo/Reuters

A member of the Puerto Rico National Guard searches for people to rescue in Salinas on Monday.

Photos: Hurricane Fiona slams Caribbean

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Residents affected by Hurricane Fiona rest at a storm shelter Monday in Salinas.

Photos: Hurricane Fiona slams Caribbean

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A woman stands outside her flooded house in Salinas on Monday.

Photos: Hurricane Fiona slams Caribbean

Ricardo Arduengo/Reuters

Children play in a flooded street in Salinas on Monday.

Photos: Hurricane Fiona slams Caribbean

Alejandro Granadillo/AP

A woman clears debris on her flooded property in Salinas on Monday.

Photos: Hurricane Fiona slams Caribbean

Alejandro Granadillo/AP

Nelson Cirino looks at his bedroom after the winds of Hurricane Fiona tore the roof off his house in Loíza, Puerto Rico, on Sunday, September 18.

Photos: Hurricane Fiona slams Caribbean

Ricardo Arduengo/Reuters

People clear a road from a fallen tree in Yauco, Puerto Rico, on Sunday.

Photos: Hurricane Fiona slams Caribbean

NOAA/AP

This satellite image provided by NOAA shows Hurricane Fiona in the Caribbean on Sunday.

Photos: Hurricane Fiona slams Caribbean

Alejandro Granadillo/AP

Nelson Cirino secures the windows of his home as the winds of Hurricane Fiona blow in Loíza on Sunday.

Photos: Hurricane Fiona slams Caribbean

Ricardo Rojas/Reuters

Workers of the Social State Plan prepare food rations in preparation for Fiona in Santo Domingo, Dominican Republic, on Sunday.

Photos: Hurricane Fiona slams Caribbean

Alejandro Granadillo/AP

Jetsabel Osorio stands in her house damaged five years ago by Hurricane Maria in Loíza on Saturday, September 17.

Photos: Hurricane Fiona slams Caribbean

Ricardo Arduengo/Reuters

Boats sit secured to mangroves as Fiona approaches in Cabo Rojo, Puerto Rico, on Saturday.

At least four people have died the severe weather, including one in the French territory of Guadeloupe, which Fiona slammed late last week; two in Puerto Rico; and one in the Dominican Republic, according to officials.

In Puerto Rico, a 58-year-old man was swept away by a swollen river behind his home in Comerío and another man in his 30s died in a fire accident that occurred while he was trying to put gasoline in his generator while it was turned on, officials said.

As of Monday afternoon, at least 1,018,564 customers across the Dominican Republic had no access to running water as 59 aqueducts were out of service and several others were only partially functioning, according to Jose Luis German Mejia, a national emergency management official.

Some were also without electricity Monday as 10 electric circuits went offline, emergency management officials said. It's unclear how many people are impacted by the outages.

Fiona intensified into a Category 3 storm as it moved away from the Dominican Republic's northern coast early Tuesday. Around 8 a.m. ET, it had maximum sustained winds of 115 mph, with higher gusts, according to the hurricane center.

This is the first major hurricane – Category 3 or higher – of this year's Atlantic hurricane season.

"Heavy rains around the center of Fiona impact the Turks and Caicos through (Tuesday) afternoon with continued life-threatening flooding," the hurricane center said.

Those islands could see 4 to 8 inches of rain Tuesday on top of what they received earlier, as well as storm surges – ocean water pushed onto land – of 5 to 8 feet, according to the hurricane center.

Hurricane conditions will likely be seen in Turks and Caicos through Tuesday morning, and tropical storm conditions – winds of at least 39 mph – were expected to spread over the southeastern Banahamas on Tuesday morning.

Strengthening is expected as Fiona turns from the Turks and Caicos. It could be a Category 4 storm – sustained winds of 130-156 mph – by early Wednesday over the Atlantic. It is forecast to pass near or well west of Bermuda early Friday, and could still be at Category 4 when it does, forecasters say.

Over the weekend, Fiona may make landfall in eastern Canada as a hurricane. It is too early to know exactly where or how strong it might be.

Fiona's outer bands still were lashing Puerto Rico late Monday, soaking regions already struggling under dangerous flooding and destruction.

As Tuesday marks the 5-year anniversary of Hurricane Maria's catastrophic landfall, some who lived through the 2017 crisis say Fiona's flooding destruction could be even more severe.

Juan Miguel Gonzalez, a business owner in Puerto Rico, told CNN that his neighborhood had still not finished its recovery from Maria when Fiona struck. But this time, he says, the flooding brought even deeper damage to their homes.

"A lot of people – more than (during) Maria – lost their houses now … lost everything in their houses because of the flooding," Gonzalez told CNN on Monday. "Maria was tough winds. But this one, with all the rain, it just destroyed everything in the house."

Most of the damage inflicted on the island is rain-related, Puerto Rico Gov. Pedro Pierluisi told CNN on Monday evening.

More than 1.18 million of the island's roughly 1.47 million utility customers still were without power as of early Tuesday, according to estimates from PowerOutage.us, which notes updated information on restoration efforts is limited.

Pierluisi said he hopes it will be "a matter of days" to restore power for most customers. The company that oversees the territory's power grid, LUMA Energy, previously said transmission line outages were contributing to the blackout, and on Tuesday said it had restored power to more than 280,000 customers.

Critically, power was restored to one of Puerto Rico's most vital medical facilities on Monday, according to the territory's health secretary Dr. Carlos Mellado López.

"The power system at all the hospitals in the Medical Center Complex has been restored," Mellado said in a Sunday night tweet. "Our patients are safe and receiving the medical care they need."

Many of those without power also have no water, as rain and flooding impacts to filtration systems left only about 35% of customers with water service as of Monday, the governor said.

Emergency crews battled against unrelenting rain to rescue approximately 1,000 people as of midday Monday, said Maj. Gen. José Reyes, adjutant general of the Puerto Rico National Guard.

In addition to the hundreds of Puerto Rican National Guard members aiding in rescue and recovery efforts, the White House said Monday that President Joe Biden told Pierluisi during a phone call that federal support will increase in the coming days.

"As damage assessments are conducted, the President said that number of support personnel will increase substantially," the White House said.

New York Gov. Kathy Hochul also announced the state would send 100 state troopers to assist relief efforts in Puerto Rico. She also said teams from New York Power Authority are available to help with power restoration.

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