be dragged out of their homes", but anyone who stays behind will be on their own once the storm hits.

Forecasters warned that Michael could ultimately dump 30cm of rain in western Cuba, triggering flash floods and mudslides in mountain areas.

Disaster agencies in El Salvador, Honduras and Nicaragua reported 13 deaths as roofs collapsed and residents were carried away by swollen rivers. Six people died in Honduras, four in Nicaragua and three in El Salvador. Authorities were also searching for a boy swept away by a river in Guatemala. Most of the rain was blamed on a low-pressure system off the Pacific coast, but Hurricane Michael in the Caribbean could have also contributed.

Scott declared a state of emergency for 35 Florida counties, from the Panhandle to Tampa Bay, activatedhundreds of Florida National Guard members and waived tolls to encourage evacuations.

He also warned caregivers at north Florida hospitals and nursing homes to do all possible to assure the safety of the elderly and infirm. Following Hurricane Irma last year, 14 people died when a South Florida nursing home lost power and air conditioning.

"If you're responsible for a patient, you're responsible for the patient. Take care of them," he said.

Escambia County Sheriff David Morgan bluntly advised residents choosing to ride it out that first-responders won't be able to reach them while Michael smashes into the coast.

"If you decide to stay in your home and a tree falls on your house or the storm surge catches you and you're now calling for help, there's no one that can respond