Rescue efforts are underway across the Caribbean after Hurricane Melissa tore through the region as one of the most powerful Atlantic storms in more than 150 years.

Hurricane Melissa made landfall in Cuba overnight after battering Jamaica as one of the most powerful landfalling storms in Atlantic basin history.

The prime minister ordered mandatory evacuations as officials braced for tens of thousands to be displaced. Three people were killed and 13 others injured during preparations for the storm, the health minister said.

Follow live updates on Hurricane Melissa as the death toll reaches 38 people. Recovery efforts are underway in Jamaica, Haiti, Cuba and the Dominican Republic.

Communities across the Caribbean are reeling in the wake of Hurricane Melissa, which ripped through Jamaica, Cuba and Hispaniola, the island comprising Haiti and the Dominican Republic, this week. While officials said that damage assessments remained underway to determine the full scope of the destruction,

The news “underscores the profound ecological toll that Hurricane Melissa will have on Jamaica’s biodiversity,” said one expert on the island.

Melissa, now a Category 2 hurricane, will bring heavy rain from the Mid-Atlantic to New England as it heads toward Bermuda and Newfoundland, Canada.

Parts of the Caribbean began surveying the damage caused by the deadly Hurricane Melissa, which made landfall in Jamaica as a powerful Category 5.