A massive tornado that tore a 6-mile (10-kilometer) path across southwestern Missouri killed at least 89 people as it slammed into the city of Joplin, ripping into a hospital, crushing cars like soda cans and leaving a forest of splintered tree trunks behind where entire neighborhoods once stood.
Authorities warned that the death toll could climb as search and rescuers continued their work. Their task was made more miserable Monday morning as a thunderstorm with strong, gusty winds and heavy rain pelted part of the city with hail.
City manager Mark Rohr announced the number of known dead at a pre-dawn news conference outside the wreckage of a hospital that took a direct hit from Sunday's storm. Rohr said the twister cut a path nearly 6 miles (10 kilometers) long and more than a half-mile (a kilometer) wide through the center of town, adding that tornado sirens gave residents about a 20-minute warning before the tornado touched down on the city's west side.
Much of the city's south side was leveled, with churches, schools, businesses and homes reduced to ruins. Fire chief Mitch Randles estimated 25 percent to 30 percent of the city was damaged, and said his own home was among the buildings destroyed as the twister swept through this city of about 50,000 people some 160 miles (260 kilometers) south of Kansas City.
An unknown number of people were injured in the storm, and officials said patients were scattered to any nearby hospitals that could take them.
Authorities conducted a door-to-door search of the damaged area Monday morning, moving gingerly around downed power lines, jagged debris and a series of gas leaks that caused fires around the city overnight.
Early Monday, Gov. Jay Nixon said fires from gas leaks still burned across the city.
Residents said the damage was breathtaking in scope.
"You see pictures of World War II, the devastation and all that with the bombing. That's really what it looked like," said Kerry Sachetta, the principal of a flattened Joplin High School. "I couldn't even make out the side of the building. It was total devastation in my view. I just couldn't believe what I saw."
The Joplin twister was one of 68 reported tornadoes across seven Midwest states over the weekend, stretching from Oklahoma to Wisconsin, according to the National Weather Service's Storm Prediction Center. One person was killed in Minneapolis. But the devastation in Missouri was the worst, eerily reminiscent of thetornadoes that killed more than 300 people across the South last month.
Sunday's storm in Joplin hit a hospital packed with patients and a commercial area including a Home Depot construction store, numerous smaller businesses and restaurants and a grocery store. Jasper County emergency management director Keith Stammer said an estimated 2,000 buildings were damaged.
Among the worst-hit locations in Joplin was St. John's Regional Medical Center. The staff had just a few moments' notice to hustle patients into hallways before the storm struck the nine-story building, blowing out hundreds of windows and leaving the facility useless.
In the parking lot, a helicopter lay crushed on its side, its rotors torn apart and windows smashed. Nearby, a pile of cars lay crumpled into a single mass of twisted metal. Matt Sheffer dodged downed power lines, trees and closed streets to make it to his dental office across from the hospital. Rubble littered a flattened lot where a pharmacy, gas station and some doctors' offices once stood.
St. John's patients were evacuated to other hospitals in the region, said Cora Scott, a spokeswoman for the medical center's sister hospital in Springfield.
Early Monday morning, floodlights from a temporary triage facility lit what remained of the hospital that once held as many 367 patients. Police officers could be seen combing the surrounding area for bodies.
Miranda Lewis, a spokeswoman for St. John's, was at home when the tornado sirens began going off. Early Monday, she had no details on any deaths or injuries suffered at the hospital in the tornado strike, although she had seen the damaged building.
"It's like what you see someplace else, honestly," Lewis said. "That's a terrible way to say it, but you don't recognize what's across the street."
"I've been to about 75 disasters, and I've never seen anything quite like this before," Spencer said. "You don't typically see metal structures and metal frames torn apart, and that's what you see here."
Triage centers and shelters set up around the city quickly filled to capacity. At Memorial Hall, a downtown entertainment venue, nurses and other emergency workers from across the region were treating critically injured patients.
At another makeshift unit at a Lowe's home improvement store, wooden planks served as beds. Outside, ambulances and fire trucks waited for calls. During one stretch after midnight Monday, emergency vehicles were scrambling nearly every two minutes.
Winds from the storm carried debris up to 60 miles (100 kilometers) away, with medical records, X-rays, insulation and other items falling to the ground in Greene County, said Larry Woods, assistant director of the Springfield-Greene County Office of Emergency Management.
Travel through and around Joplin was difficult, with Interstate 44 shut down and streets clogged with emergency vehicles and the wreckage of buildings.
Emergency management officials rushed heavy equipment to Joplin to help lift debris and clear the way for search and recovery operations. Nixon declared a state of emergency, and President Barack Obama said the Federal Emergency Management Agency was working with state and local agencies.
Jeff Lehr, a reporter for the Joplin Globe, said he was upstairs in his home when the storm hit but was able to make his way to a basement closet.
"There was a loud huffing noise, my windows started popping. I had to get downstairs, glass was flying. I opened a closet and pulled myself into it," he told The Associated Press. "Then you could hear everything go. It tore the roof off my house, everybody's house. I came outside and there was nothing left."
An aching helplessness settled over residents, many of whom could only wander the wreckage bereft and wondering about the fate of loved ones.
Justin Gibson, 30, huddled with three relatives outside the tangled debris field of what remained of a Home Depot. He pointed to a black pickup that had been tossed into the store's ruins and said it belonged to his roommate's brother. "He was last seen here with his two little girls," ages 4 and 5, Gibson said.
"We've been trying to get ahold of him since the tornado happened," Gibson said, adding his own house had been leveled.
"It's just gone. Everything in that neighborhood is gone. The high school, the churches, the grocery store. I can't get ahold of my ex-wife to see how my kids are," he said, referring to his three children, ranging in age from 4 months to 5 years.
"I don't know the extent of this yet," Gibson said, "but I know I'll have friends and family dead."
A tornado that hit north Minneapolis killed one person and injured 29. Authorities imposed an overnight curfew over a 4-square-mile area, including some of the city's poorest neighborhoods, to prevent looting and keep streets clear for emergency crews. Mayor R.T. Rybak said one liquor store was looted right after the tornadohit late Sunday and a few burglaries took place overnight.