By Jonathan Matisse and Terry Spencer
Associated Press
NASHVILLE, Tenn. 鈥� Patients and their caregivers sought shelter Friday on a Tennessee hospital鈥檚 roof after flooding caused by Hurricane Helene drove them from the building鈥檚 interior and conditions made rescue efforts difficult.
The dramatic scene at Unicoi County Hospital near the North Carolina border was one of several that played out across the southern U.S. in Helene鈥檚 wake, as flooding caused by its storm surge and rain sent thousands of police officers, firefighters, National Guard members and others on rescue missions. Hundreds were saved, but at least 40 died.
Unicoi County Hospital tried to evacuate 11 patients and 43 others Friday morning after the Nolichucky River overflowed its banks and flooded the facility, but the water was too treacherous for boats sent by the Tennessee Emergency Management Agency. The decision was made to take everyone to the roof.
鈥淭he water there simply came up faster with more debris than was safe to operate in the rafts to ferry from a dry point back to the hospital,鈥� said Patrick Sheehan, Tennessee鈥檚 emergency operations director.
After other helicopters failed to reach the hospital because of the storm鈥檚 winds, a Virginia State Police helicopter was able to land on the roof. Three National Guard helicopters with hoist capabilities were on the way, officials said.
As of 4:40 p.m., Virginia State Police Aviation assets from Abingdon, Va., along with assets from Ballad Health and the Tennessee National Guard, have completed the rescue of approximately 54 people from the roof of the Unicoi County Hospital in Erwin, Tenn.
— VA State Police (@VSPPIO)
鈥淲e ask everyone to please pray for the people at Unicoi County Hospital, the first responders on-scene, the military leaders who are actively working to help, and our state leaders,鈥� said Ballad Health, the hospital鈥檚 owner, on social media.
Meanwhile in Florida, the efforts of 1,500 search-and-rescue personnel will be concentrated on securing and stabilizing affected communities through the weekend, said Kevin Guthrie, the state鈥檚 emergency operations director. The Category 4 storm made landfall on the Northwest Florida coast late Thursday, but it created flooding from storm surge all along the state鈥檚 Gulf Coast.
鈥淎s those sorts of rescue missions happen today, and continue, please do not go out and visit the impacted areas,鈥� Guthrie said at a Friday news conference in the Florida capital of Tallahassee. 鈥淚 beg of you, do not get in their way.鈥�
The reported rescues ranged from life-threatening situations to people trapped in their homes by waist-high water and unable to flee on their own.
Five people died in Pinellas County and dozens were rescued after the storm surge hit an unprecedented 8 feet (2.4 meters), forcing some to seek shelter in their attics. Sheriff Bob Gualtieri said the deaths all occurred in neighborhoods where authorities told residents to evacuate, but many ignored the warnings.
He said survivors told deputies they didn鈥檛 believe the warnings after other residents told them the surge wouldn鈥檛 be that bad.
鈥淲e made our case. We told people what they needed to do, and they chose otherwise,鈥� Gualtieri said.
Gualtieri said his deputies tried overnight to reach those who had been trapped, but in some neighborhoods it just wasn鈥檛 safe. Pinellas County includes St. Petersburg.
鈥淚 was out there personally. We tried to launch boats, we tried to use high-water vehicles and we just met with too many obstacles,鈥� Gualtieri said. He said the death toll could rise as emergency crews go door-to-door in the flooded areas to see if anyone remains.
In neighboring Hillsborough County, which includes Tampa, the sheriff鈥檚 office rescued more than 300 people overnight from storm surge. Spokesperson Amanda Granit said those included a 97-year-old woman with dementia and her 63-year-old daughter, who got surprised by the surge and needed help fleeing their flooded home; and a 19-year-old woman whose car got stuck as she drove in the rising water and couldn鈥檛 get out.
Granit said deputies were conducting rescues in such large numbers they had to request county transit buses to get the people to safety.
鈥淒eputies couldn鈥檛 move them fast in enough in their patrol vehicles,鈥� Granit said.
In the Tampa Bay-area city of South Pasadena, rescue video shows a house burning early Friday amid flooded streets. Other counties along the Gulf reported more than 100 rescues.
When water from the storm surge reached Kera O鈥橬eil鈥檚 knees inside her Hudson home, 45 miles north of Tampa, she knew she and her sister needed to flee with her two cats.
鈥淭here鈥檚 a moment where you are thinking if this water rises above the level of the stove, we are not going to have much room to breathe,鈥� she said.
O鈥橬eil and her sister waded into the chest-deep water with one cat in a plastic carrier and another in a cardboard box. They found refuge on a neighbor鈥檚 more elevated property before Pasco County firefighters on a raft rescued them and three others.
鈥淚鈥檓 a Florida girl, and we have been here since we were kids,鈥� she said. 鈥淲e have never experienced anything like this.鈥�
At sea, the Coast Guard said it rescued three boaters and their pets from the storm in separate incidents. In a Thursday helicopter rescue captured on Coast Guard video, a man and his Irish setter were stranded 25 miles offshore in the Gulf on their 36-foot sailboat in heavy seas.
The video shows the man putting his dog into a yellow rescue vest and pushing it into the raging sea before jumping in himself. A Coast Guard swimmer helped them into a rescue basket and they were hoisted into the copter.
In North Carolina, more than 100 swift-water rescues had occurred as Helene鈥檚 rains caused massive flooding Friday, particularly in the state鈥檚 western section. Gov. Roy Cooper said the flash floods are threatening lives and are creating numerous landslides.
鈥淭he priority now is saving lives,鈥� Cooper said, begging people to stay off the roads unless they were seeking higher ground.
鈥淲ith the rain that they already had been experiencing before Helene鈥檚 arrival, this is one of the worst storms in modern history for parts of western North Carolina,鈥� Cooper said.
In Georgia, Gov. Brian Kemp said crews are working to rescue people trapped in more than 115 homes.
Helene鈥檚 rains flooded homes in Hanover West, a neighborhood in north Atlanta. Emergency personnel rescued several people from their homes, said Richard Simms, a resident in a nearby neighborhood.