North Carolina braced for a "long night" of strong winds and driving rain as Hurricane Dorian closed in on the coast Thursday after devastating the northern Bahamas, where it left at least 30 people dead and thousands homeless.
Authorities in the state of Florida -- which was largely spared by the storm -- blamed six more deaths on the hurricane, US media reported, though they occurred as the victims were preparing for the storm's arrival or were evacuation-related.
US weather forecasters warned that some areas of the Carolina coast could see dangerous storm surge of up to seven feet (2.1 metres) and between six and 12 inches of rain.
"We know we're in for a long night and we'll be eager to see the sunshine in the morning," North Carolina's Governor Roy Cooper told CNN.
The slow-moving monster storm also spawned several tornadoes but there were no immediate reports of casualties.
Many residents of coastal Carolina heeded evacuation orders while others battened down their homes with plywood and prepared to ride out the tempest.
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At 8:00 pm (0000 GMT), the Miami-based National Hurricane Centre (NHC) said Dorian was a Category 2 storm packing winds of 100 miles per hour (160 km per hour).
It was located about 30 miles (50 km) south of Cape Fear in North Carolina, and moving up the coast in a northeast direction at 10 miles per hour (17 km per hour).
US President Donald Trump tweeted that he had spoken to the governors of North and South Carolina, telling them he is "ready to assist".
Dorian was a Category 5 hurricane -- the highest on the five-level wind scale -- when it slammed into the northern Bahamas on Sunday, leaving a trail of unimaginable destruction.
An AFP team in the town of Marsh Harbour on Great Abaco on Thursday saw scenes of catastrophic damage with homes reduced to matchsticks, overturned cars, fields of jumbled debris, widespread flooding and beached boats.
Teams of men in masks and white protective suits were seen loading corpses encased in green body bags onto a flatbed truck.
Storm-dazed residents were out on the streets dragging suitcases containing their most precious possessions.
The full extent of the damage in the northern Bahamas was becoming known on Thursday as rescue teams fanned out searching for survivors and bringing relief to victims.
Prime Minister Hubert Minnis told CNN that at least 30 people were killed in the storm, which caused what he called "generational devastation." The death toll is expected to rise.
The United Nations said 70,000 people in the Bahamas were in immediate need of aid.
"It's hell everywhere," said Brian Harvey, a Canadian from Montreal, told AFP in Great Abaco.
"I was on my sailboat," Harvey said. "I lost everything." "We need to get out of here," he added. "It's been four or five days. It's time to move and get out of here."