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The death toll from Hurricane Ian rose to at least 68 and about 700,000 homes and businesses across Florida remained without power on Sunday, four days after the Category 4 beast slammed ashore along the state’s Gulf Coast.

Confirmed fatalities included 61 in Florida, four in North Carolina and three in Cuba, where Ian made its first landfall Tuesday. The count remained fluid Sunday. 

Water levels kept rising in some flooded areas of Florida, inundating homes and streets that were passable a day or two earlier. Notices advising that water for human consumption be boiled were issued to at least parts of 23 counties.

Over 4,000 people have been rescued by local, state and federal authorities, FEMA and U.S. Coast Guard officials said.

“There’s more urban search and rescue teams in Florida now than in any one place in American history since Sept. 11,” Gov. Ron DeSantis said.

A large percentage of those rescued rode out the storm on barrier islands – and Sanibel and Pine islands were rendered inaccessible by land. Parts of the causeway to Sanibel collapsed, and the bridge to Pine, the largest barrier island off Florida’s Gulf Coast, was destroyed by the storm. Some residents were evacuated by helicopter. 

“The water just kept pounding the house and we watched boats, houses – we watched everything just go flying by,” resident Joe Conforti said. “When the water’s at your door, and it’s splashing on the door and you’re seeing how fast it’s moving, there’s no way you’re going to survive that.”

Florida Power & Light, the state’s largest power company, said it had restored electricity to nearly 1.7 million customers, including all hospitals in its service area by Sunday night. More than 20,000 workers were involved in the restoration effort.