At least 40 people have been killed across four states after Hurricane Helene barrelled its way across southeastern US.
Emergency crews are racing to rescue people trapped in flooded homes after Helene struck the coast of Floridaas a highly destructive Category 4 storm.
It generated a massive storm surge, wreaking a trail of destruction extending hundreds of miles north.
Millions are without power in Florida and neighbouring states.
Meanwhile, dozens of people are trapped on the roof of a flooded Tennesseehospital, with a “dangerous rescue operation” under way.
The Unicoi County Hospital is engulfed in “extremely dangerous and rapidly moving water”, according to Tennessee’s Ballad Health.
Image: Patients and staff are trapped on the roof of Unicoi County Hospital. (Pic: Erwin Police Chief Regan Tilson)
It said 54 people were relocated to the roof of the Unicoi County Hospital, while seven were in rescue boats.
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“The situation at the hospital is very dangerous and TEMA [The Tennessee Emergency Management Agency] and National Guard resources are engaged in what can only be described as a dangerous rescue operation,” Ballad Health added.
Local official Michael Baker told Sky News people are being moved from the roof “little by little”, describing the flooding as “unprecedented”.
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“We’ve never seen anything like this,” he said.
Image: Steinhatchee in the Big Bend area of Florida. Pic: Reuters
Image: Flooding has severely damaged property in Atlanta. Pic: AP
As of early afternoon, Helene, which has been downgraded to a tropical depression, was packing maximum sustained winds of 35 mph (55 kph) as it slowed over Tennessee and Kentucky, the National Hurricane Center said.
It struck overnight with maximum sustained winds of 140 mph (225 kph) in the rural Big Bend area, the northwestern part of Florida.
The National Hurricane Center said preliminary information shows water levels reached more than 15ft above ground in that region.
US President Joe Biden has approved emergency declaration requests from the governors of several southern states affected by Helene.
Georgia, Florida, Alabama, North Carolina and South Carolina are being supported by emergency response personnel including search and rescue teams, medical support staff and engineering experts.
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Georgia Governor Brian Kemp has said dozens of people are trapped in buildings damaged by the storm, with multiple hospitals in southern Georgia without power.
In western North Carolina, Rutherford County emergency officials have told residents near the Lake Lure Dam to immediately evacuate to higher ground, warning “Dam failure imminent”.
Meanwhile, Florida Governor Ron DeSantis said the damage from Helene in the area appears to be greater than the combined damage of Idalia and Hurricane Debby in August. “It’s demoralizing,” he said.
Image: Getting around by kayak is easier than car in St Petersburg, Florida. Pic: AP
Image: Rescue teams in Venice, Florida. Pic: Venice Police Department
Many stranded in places like Tampa could only be reached by boat, with officials warning the water could contain live wires, sewage, sharp objects and other debris.
More than four million properties are without power across Florida, Georgia, the Carolinas, Virginia, Kentucky, Tennessee and Ohio, according to the logging website, PowerOutage.
Despite Helene’s power, this hurricane season has been more remarkable for its lack of activity.
At the start of the hurricane season, which runs from 1 June to 30 November, sea surface temperatures were (and remain) off-the-charts warm.
It’s this ocean heat that fuels tropical storms.
This combined with a developing La Nina phenomenon led the US forecasters to predict 2024 would be a major hurricane season. Between 17 and 24 storms were expected, with eight to 13 developing into hurricanes.
Hurricane Beryl grazed the coast of Jamaica in July as a Category 5 hurricane. It was the earliest storm of that size ever recorded and was seen as a harbinger of the prediction. But, so far at least, it’s failed to materialise.
There have been just six hurricanes so far this year – slightly below average. But why?
It seems to be due to what’s happening on the other side of the Atlantic where ocean warming forced the African monsoon further north than usual.
This led to catastrophic flooding in central and west Africa displacing millions, but it also shifted the weather system that usually spawns hurricanes and spins them across the Atlantic.
There’s already abundant evidence our warming oceans and atmosphere are making storms more intense – but predicting where they will occur and how often is never simple – and perhaps getting even harder as our planet gets hotter.
Prior to the hurricane making landfall, officials in Florida begged residents to evacuate. The sheriff’s office in rural Taylor County issued a chilling warning to those who refused to leave.
“Please write your name, birthday, and important information on your arm or leg in a permanent marker so that you can be identified and family notified,” the post on Facebook said.
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Child and dog rescued from floods
Forecasters now expect the storm to continue weakening across Tennessee and Kentucky.
It is feared heavy rain over the Appalachian Mountains could cause mudslides and flash flooding.
“Liberation day” was due to be on 1 April. But Donald Trump decided to shift it by a day because he didn’t want anyone to think it was an April fool.
It is no joke for him and it is no joke for governments globally as they brace for his tariff announcements.
It is stunning how little we know about the plans to be announced in the Rose Garden of the White House later today.
It was telling that we didn’t see the President at all on Tuesday. He and all his advisers were huddled in the West Wing, away from the cameras, finalising the tariff plans.
Treasury Secretary Scott Bessent is the so-called ‘measured voice’. A former hedge fund manager, he has argued for targeted not blanket tariffs.
Peter Navarro is Trump’s senior counsellor for trade and manufacturing. A long-time aide and confidante of the president, he is a true loyalist and a firm believer in the merits of tariffs.
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His economic views are well beyond mainstream economic thought – precisely why he appeals to Trump.
The third key character is Howard Lutnick, the commerce secretary and the biggest proponent of the full-throttle liberation day tariff juggernaut.
The businessman, philanthropist, Trump fundraiser and billionaire (net worth ranging between $1bn and $2bn) has been among the closest to Trump over the past 73 days of this presidency – frequently in and out of the West Wing.
If anything goes wrong, observers here in Washington suspect Trump will make Lutnick the fall guy.
And what if it does all go wrong? What if Trump is actually the April fool?
“It’s going to work…” his press secretary said when asked if it could all be a disaster, driving up the cost of living for Americans and creating global economic chaos.
“The president has a brilliant team who have been studying these issues for decades and we are focussed on restoring the global age of America…” Karoline Leavitt said.
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‘Days of US being ripped off are over’
Dancing to the president’s tune
My sense is that we should see “liberation day” not as the moment it’s all over in terms of negotiations for countries globally as they try to carve out deals with the White House. Rather it should be seen as the start.
Trump, as always, wants to be seen as the one calling the shots, taking control, seizing the limelight. He wants the world to dance to his tune. Today is his moment.
But beyond today, alongside the inevitable tit-for-tat retaliation, expect to see efforts by nations to seek carve-outs and to throw bones to Trump; to identify areas where trade policies can be tweaked to placate the president.
Even small offerings which change little in a material sense could give Trump the chance to spin and present himself as the winning deal maker he craves to be.
One significant challenge for foreign governments and their diplomats in Washington has been engaging the president himself with proposals he might like.
Negotiations take place with a White House team who are themselves unsure where the president will ultimately land. It’s resulted in unsatisfactory speculative negotiations.
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Treasury minister: ‘We’ll do everything to secure a deal’
Too much faith placed in the ‘special relationship’?
The UK believes it’s in a better position than most other countries globally. It sits outside the EU giving it autonomy in its trade policy, its deficit with the US is small, and Trump loves Britain.
It’s true too that the UK government has managed to accelerate trade conversations with the White House on a tariff-free trade partnership. Trump’s threats have forced conversations that would normally sit in the long grass for months.
Yet, for now, the conversations have yielded nothing firm. That’s a worry for sure. Did Keir Starmer have too much faith in the ‘special relationship’?
Downing Street will have identified areas where they can tweak trade policy to placate Trump. Cars maybe? Currently US cars into the UK carry a 10% tariff. Digital services perhaps?
US food? Unlikely – there are non-tariff barriers on US food because the consensus seems to be that chlorinated chicken and the like isn’t something UK consumers want.
Easier access to UK financial services maybe? More visas for Americans?
For now though, everyone is waiting to see what Trump does before they either retaliate or relent and lower their own market barriers.
A senior Democrat has taken to the Senate floor to speak against US President Donald Trump – with the 17-plus-hour speech still ongoing.
Cory Booker, a New Jersey senator, began speaking around 7pm (midnight in the UK) and said he intended to disrupt the “normal business of the United States Senate for as long as I am physically able”.
Referring to Mr Trump’s presidency, he said: “I rise tonight because I believe sincerely that our country is in crisis.”
As of 5pm in the UK, Mr Booker was still speaking, having spoken for more than 17 hours. He has remained standing for the entire duration, as he would lose control of the floor if he left his desk or sat down.
Image: As of 4pm, Cory Booker has held the Senate floor for more than 16 hours. Pic: Senate Television / AP
Other Democrat senators have joined Mr Booker to ask questions so he can rest his voice, including Senate minority leader Chuck Schumer.
At the start of his speech, Mr Booker said: “These are not normal times in our nation. And they should not be treated as such in the United States Senate.
“The threats to the American people and American democracy are grave and urgent, and we all must do more to stand against them.”
Overnight, he referenced Strom Thurmond of South Carolina, who filibustered for 24 hours and 18 minutes against the Civil Rights Act of 1957.
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“You think we got civil rights one day because Strom Thurmond – after filibustering for 24 hours – you think we got civil rights because he came to the floor one day and said ‘I’ve seen the light’,” he said.
“No, we got civil rights because people marched for it, sweat for it and [civil rights leader] John Lewis bled for it.”
Only Mr Thurmond and Republican Senator Ted Cruz – who spoke for 21 hours and 19 minutes against the Affordable Care Act in 2013 – have held the Senate floor for longer than Mr Booker.
Mangione has not yet been asked to enter a plea to the federal charges.
Here’s what we know about him.
Wealth, private school and Ivy League education
Mangione was born and raised in Maryland and has links to San Francisco and Hawaii.
His social media lists him as being from Towson, a well-to-do area to the north of the city of Baltimore.
He is the grandson of a wealthy property developer and philanthropist and the cousin of a current Maryland state legislator.
He attended Gilman School – a private all-boys school in Baltimore. The school’s annual fees are up to $37,690 (around £29,000) and it boasts alumni including NFL stars and former senators.
After graduating in 2016, Mangione went to the University of Pennsylvania, one of America’s elite Ivy League schools.
According to his social media, he studied computer science and launched a group named UPGRADE (UPenn Game Research and Development Environment).
A university spokesperson said he earned undergraduate and graduate degrees there.
He later co-founded his own computer game company, which focused on small, simplistic games.
Image: Mangione went to a prestigious Ivy League university. Pic: LinkedIn
‘No complaints – a great guy’
According to his LinkedIn page, Mangione moved to California in 2020 and worked for the car-buying website TrueCar. The firm’s boss said he left last year.
Mangione currently lists himself as from Honolulu on LinkedIn, with pictures on Instagram showing him on the Hawaiian island.
In the first half of 2022, he reportedly lived at Surfbreak, a co-living space aimed at remote workers in Honolulu’s Waikiki neighbourhood.
“Luigi was just widely considered to be a great guy. There were no complaints,” Josiah Ryan, a spokesperson for Surfbreak’s owner, told the AP news agency.
“There was no sign that might point to these alleged crimes they’re saying he committed.”
Mr Ryan said Mangione left to get surgery on the US mainland for chronic back pain he suffered from since childhood.
Document reveals back condition
Mangione wrote about his health issue online, saying he has spondylolisthesis – a condition where one of the bones in the spine slips forwards.
He details the severity of his “injury” as “low grade two” and goes into fitness goals, diet advice and notes about the condition.
Image: The suspect’s notes say he has back condition spondylolisthesis
Image: His X banner image shows a back X-ray
It’s unclear if the condition is linked to the motive, which police have not publicly identified, but it gives context about his health issues.
Analysis of his Goodreads profile also shows he read books including Crooked: Outwitting The Back Pain Industry and Getting On The Road To Recovery, and Why We Get Sick: The Hidden Epidemic At The Root Of Most Chronic Disease – And How To Fight It.
A banner image on his X account also features an X-ray of a lower back with screws.
Law enforcement officials told NBC News they are looking at whether the X-ray is Mangione’s or from a relative and whether it’s connected to the shooting.
‘Violence is necessary to survive’
Mangione appears to have had an active social media presence.
His X account regularly shared and reposted pieces about topics such as artificial intelligence (AI), philosophy, and the future of humanity.
His Goodreads account also gave a four-star review to Industrial Society And Its Future – by notorious US terrorist Theodore Kaczynski.
The piece, which rails against technological advancement, became known as the Unabomber Manifesto after its author began a mail bombing campaign which lasted nearly 20 years.
Three people were killed and dozens were injured before Kaczynski’s arrest in 1996.
The Goodreads review said: “When all other forms of communication fail, violence is necessary to survive. You may not like his methods, but to see things from his perspective, it’s not terrorism, it’s war and revolution.
“‘Violence never solved anything’ is a statement uttered by cowards and predators.”
Image: Luigi Mangione. Pic: Facebook
Why are some calling Mangione a ‘hero’?
A search of social media sites such as Reddit reveals a thread of people who are sympathetic to the suspect.
Highly rated comments on the site include: “Screw the McDonald’s employee that ratted him out” and “Only a matter of time till shirts with #FreeLuigi start popping up”.
To many, these are shocking comments about someone accused of carrying out a cold-blooded killing. But what’s behind them?
Many in the US pay thousands in expensive insurance premiums to cover themselves and their family, while others rely on the Medicare federal insurance programme.
Support for Mangione appears to come from resentment over this and accusations that companies go to great lengths to avoid paying for treatments in order to maximise their profits.
“He got charged with murder quicker than insurance companies deny claims”, said a comment on Reddit with nearly 7,000 likes.
One post that went viral on X before the suspect’s arrest was from Anthony Zenkus, a Columbia University professor.
He wrote: “We mourn the deaths of the 68,000 Americans who needlessly die each year so that insurance company execs like Brian Thompson can become multimillionaires.”
Image: Police shared this picture of the suspect following the shooting. Pic: NYPD
A chart shared widely on X claims to show denial rates by UnitedHealthcare exceed those of competitors, using data from consumer finance website ValuePenguin. This is consistent with publicly available data from 2023 analysed by Sky News.
Other people online appear to be angry about what they say is the disparity between the resources put into Mr Thompson’s case and how less well-off people are treated.
One comment on Reddit with 4,000 likes says: “The murdered guy in death, like in life, is still sucking up a huge undeserved and unwanted portion of resources.
“How many underprivileged people’s murders are going unsolved because NYPD and the feds are spending millions on this overpaid, rich, morally questionable millionaire’s murder.”
Arrested in McDonald’s with ‘ghost gun’
Mangione was detained in a Pennsylvania McDonald’s after a five-day search, carrying a gun that matched the one used in the shooting and a fake ID, police said.
He was arrested in Altoona, around 230 miles (370km) west of New York, after a tip-off from a McDonald’s employee who recognised him from the police appeals.
Mangione also had a fake New Jersey ID matching one used by the suspect to check into a hostel before the killing, said New York police commissioner Jessica Tisch.
He was found carrying a “handwritten document” that Ms Tisch said “spoke to both his motivation and mindset”.
Joseph Kenny, New York’s chief of detectives, said it appeared to show “some ill-will towards corporate America”.
Pennsylvania prosecutor Peter Weeks said Mangione was found with a passport and $10,000 (£7,840) – $2,000 of it in foreign currency.
‘Message’ on bullets
Brian Thompson, 50, was chief executive of UnitedHealthcare – the fourth-largest public company in the US behind Walmart, Amazon, and Apple – and was paid about $10m (£7.8m) a year.
It’s the largest provider of Medicare Advantage plans and manages insurance for employers and state and federally funded programmes.
Mr Thompson – who was married with two sons – was shot on 4 December as he was walking to a New York hotel where his company was holding an investors’ conference.
Image: CCTV showed a person shooting Mr Thompson from behind. Pic: NYPD/Reuters
As Mr Thompson walked towards the Hilton hotel on Sixth Avenue, a gunman appeared behind him from between parked cars.
He was shot in the back and calf and died from his injuries.
The words “defend”, “deny”, and “depose” were written on the cases of bullets found at the scene – similar to the title of a book that criticises health insurance companies.
Mr Thompson’s wife said he was an “incredibly loving father to our two sons” and a “loving, generous, talented man who truly lived life to the fullest”.
UnitedHealthcare called him a “highly respected colleague and friend to all who worked with him”.