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The storm and pandemic pose a dual threat. "I hate to say it this way, but we have a lot of people on ventilators today and they don't work without electricity," Louisiana Gov. John Bel Edwards said.
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At the same time, a surge of COVID-19 cases is overwhelming New Orelean-area hospitals.
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At least four of the nine oil refineries in Ida's path are believed to have paused their operations ahead of the storm. AAA says it's too early to know the full impact until power is restored.
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Hurricane Ida rapidly gained strength right before it hit Louisiana this weekend. Abnormally hot water in the Gulf of Mexico acted as fuel for the storm.
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Ida blasted ashore Sunday as one of the most powerful storms ever to hit the U.S., blowing roofs off buildings and reversing the flow of the Mississippi River.
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New Orleans residents who lived through Hurricane Katrina's devastation are now confronting another hurricane of epic scale. Some people are riding out the storm because they can't afford to leave.
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Photos: The Louisiana coast is left with serious damage after Hurricane Ida. Remnants of Ida brought historic flooding to the Mid-Atlantic and Northeast.
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Ida had sustained winds of 150 mph as it made landfall on Sunday, before the storm weakened slightly by evening. New Orleans and its surrounding areas have lost power entirely.
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Forecasters warned residents along the northern Gulf of Mexico coast to rush preparations. Ida is expected to bring winds as high as 130 mph, life-threatening storm surge and flooding rain.
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The rapidly expanding storm struck Western Cuba and is expected to hit Louisiana on Sunday as a major hurricane.