On Tuesday morning, Hurricane Matthew crossed western Haiti, bringing with it forceful winds and rain. This Category 4 storm brought destructive flash-floods and mudslides to the already poverty-stricken country, which had suffered a major earthquake only a few years prior. Hurricane Matthew is the first Category 4 storm to effect Haiti in decades. There have already been three deaths due to this storm, and authorities are concerned about the possibility of a climb in the death toll.

According to the United Nations, there are already 300,000 people in shelters across the country and 9,000 individuals that have been evacuated from their homes. Another threat this storm poses is standing water. Even after the hurricane subsides, standing water provides a breeding site for mosquitos, which can lead to a spike in cholera cases. Haiti has been recovering from an epidemic of cholera that killed thousands of people, after its outbreak following the 2010 earthquake.

Although it is too soon to determine where Hurricane Matthew will head, it is projected that it will hit the United States. The storm’s latest tracks show that it’s approaching Florida, which calls for potential large-scale destruction. Officials have issued advisories for certain parts of the state and may even issue evacuation. It is likely that Matthew will also have significant impacts on other southeastern states. However, it is impossible to know for sure what path Hurricane Matthew will take at this point in time.