Hurricane Melissa has caused devastating flooding in Haiti, leading to at least 20 deaths on the island. Many homes have been washed away in the floodwaters and people have been clearing debris with their bare hands, Pascal Bimenyimana from the World Relief NGO says.

Hurricane Melissa brought devastation and death to the Caribbean as it tore through the region as one of the most powerful storms on earth in more than 150 years.

Tropical Storm Melissa is expected to strengthen into a hurricane, threatening the northern Caribbean with massive rainfall and life-threatening flooding

Cuba: Hurricane-force winds are occurring within the warning area, and the eastern part of the country is likely to face life-threatening and potentially catastrophic flash flooding with numerous landslides. It is also warning of a dangerous storm surge.

Tropical Storm Melissa joins a growing number of storms that are putting on the brakes and increasing the risk of dangerous impacts as a result.

Hurricane Melissa is expected to hit eastern Cuba after passing Jamaica. NBC News’ Ed Augustin reports on how the island is dealing with power cuts, food shortages and an outbreak of tropical diseases as the storm approaches.