A photojournalist walks amongst plastic debris blown by strong winds in the residential district of Heng Fa Chuen during Super Typhoon Mangkhut in Hong Kong on September 16, 2018. (Photo by Philip FONG / AFP)        (Photo credit should read PHILIP FONG/AFP/Getty Images)
Philip Fong/AFP/Getty Images
A photojournalist walks amongst plastic debris blown by strong winds in the residential district of Heng Fa Chuen during Super Typhoon Mangkhut in Hong Kong on September 16, 2018. (Photo by Philip FONG / AFP) (Photo credit should read PHILIP FONG/AFP/Getty Images)
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(CNN) —  

More than three million people have been moved to safety in southern China as Typhoon Mangkhut moved northward and continued to wreak havoc across the region.

Mangkhut made landfall in Guangdong, China’s most populous province, late afternoon Sunday, killing four people before heading west into neighboring Guangxi province around midnight.

The decision to evacuate towns and cities in southern China came as Hong Kong was left reeling by ferocious winds of up to 173 kilometers per hour (107 miles per hour) and gusts of up to 223 kph (138 mph).

The storm tore off roofs and scaffolding from skyscrapers, shattered windows, shook high-rise buildings and caused serious flooding in low-lying areas as waves of more than three meters (9.8 feet) lashed the coast.

Across the Pearl River Delta in the gambling hub of Macau, hundreds of households were left without power amid extensive flooding, which reached head-height in places close to the shoreline.

Counting the cost

Though Hong Kong managed to avoid the same fate as the Philippines, where at least 54 people are believed to have died in the storm, damage to the city was extensive.

On Monday morning, in the neighborhood of Heng Fa Chuen, downed trees, some ripped up by their roots, blocked roads and footpaths, while uprooted bricks from the sidewalk lay everywhere. A school minibus sat on the roadside, smashed by one uprooted tree.

A school bus in Hong Kong's Heng Fa Chuen is left crushed by a tree during Typhoon Mangkhut.
Joshua Berlinger/CNN
A school bus in Hong Kong's Heng Fa Chuen is left crushed by a tree during Typhoon Mangkhut.

Residential towers in the neighborhood were without water and electricity. Four large tanks of clean water had been provided for residents to bring up, but with the elevators out of service they needed to carry them up stairs, as high up as 22 floors above ground level.

A flooded and destroyed playground in Hong Kong's Heng Fa Chuen neighborhood.
Joshua Berlinger/CNN
A flooded and destroyed playground in Hong Kong's Heng Fa Chuen neighborhood.

In the seaside village of Shek O, 65-year-old Betty Tsang left her small, purple beachfront home that she has shared with her sister for 60 years as the storm approached.

She spent the night with her dog in a typhoon shelter. When she returned, the entire house was flooded with saltwater, she told CNN while fighting back tears.

“I will come back and live here,” she said. “I need to move all the stuff out but I’m not sure how to start.”

Save for a few pieces of clothing, almost none of her belongings were spared.

Shek O resident 65-year-old Betty Tsang returned to her home Monday morning to find that it had flooded.
Josh Berlinger/CNN
Shek O resident 65-year-old Betty Tsang returned to her home Monday morning to find that it had flooded.

Ben Lau, whose sister owns a beachside bar in the village a few feet down, sat and drank wine from the bar’s surviving stock as he surveyed the damage – the interior of bar was completely destroyed by the storm Sunday. It will be at least three months before it can reopen, he estimates.

Ben Lau, whose namesake bar was completely destroyed by Typhoon Mangkhut Sunday.
Josh Berlinger/CNN
Ben Lau, whose namesake bar was completely destroyed by Typhoon Mangkhut Sunday.

On a nearby golf course, boats, which had been unmoored and swept inland by the storm surge, lay on the fairways.

A boat which had been washed onshore onto a golf course in the southern Hong Kong area of Shek O.
Tom Booth/CNN
A boat which had been washed onshore onto a golf course in the southern Hong Kong area of Shek O.

A former elementary school that was being converted into a library collapsed during the storm, residents say.

A former school in the Hong Kong village of Shek O was destroyed by Typhoon Mangkhut.
Joshua Berlinger/CNN
A former school in the Hong Kong village of Shek O was destroyed by Typhoon Mangkhut.

In Hong Kong’s business district, stone steps dating back to the late 1800s, which featured the city’s only remaining working gas lamps, were heavily damaged by a tree brought down by Mangkhut’s heavy winds.

On Monday morning, the suspension of rail and bus services due to fallen trees and other debris forced thousands of workers onto the city’s subway network. The result was chaotic scenes as large crowds packed onto platforms, creating long lines of up to 45 minutes in some stations.

Injuries

As many as 391 people in Hong Kong sought medical attention Sunday during the storm, according to the local city government. Over 1,500 people sought refuge at temporary shelters. Schools remained closed but many businesses had reopened, despite widespread debris still awaiting cleanup.

Along the coast, the former Portuguese enclave of Macau, now famous for its casinos, was also shut down as it weathered the onslaught. Last year, 10 people died and more than 200 were injured during Super Typhoon Hato, according to official figures.

Rescuers evacuate local residents from flooded areas in heavy rains caused by Typhoon Mangkhut in Macau.
Imaginechina/AP
Rescuers evacuate local residents from flooded areas in heavy rains caused by Typhoon Mangkhut in Macau.

This year, the city breathed a sigh of relief as the storm passed without any reported causalities. Speaking to CNN, many said the government response had improved dramatically after the Hato disaster.

On Monday, the cleanup was well underway, with workers spraying disinfectant on bags of trash piled up by cleaning crews working around the clock, assisted by hundreds of volunteers from local organizations.

“(I came because) I’m strong enough and fit enough to work to help other people,” Liu Fengming, deputy director of a nursery school, told CNN.

Crews work to remove debris and ruined goods on Monday, after Typhoon Mangkhut devastated Macau one day earlier.
CNN/Ben Westcott
Crews work to remove debris and ruined goods on Monday, after Typhoon Mangkhut devastated Macau one day earlier.

Extensive flooding was still evident in districts close to the shoreline on Monday. In supermarkets and convenience stores, piles of garbage bags in the street were full of ruined goods touched by the flooding.

At a family clothing store on Rua Nova do Comercio, one woman points to a clear flood line on the mirror next to her, indicating the waters rose to above her head.

A large tree blown over next to the old Portuguese castle in Macau, after Typhoon Mangkhut flooded the city on Sunday.
CNN/Ben Westcott
A large tree blown over next to the old Portuguese castle in Macau, after Typhoon Mangkhut flooded the city on Sunday.

Cleaning up after Sunday’s deluge, a storekeeper named Hui said he and his staff had spent Friday and Saturday moving their goods to the upper floors of his dry goods store on Rua Da Praia Do Manduco, in one of the poorer districts of Macau.

Sweeping the water out of his shop, he said the flood had reached about three feet at its worst – not as bad as last year’s storm, which saw floodwaters reach as high as five feet in his store.

A sinkhole on Macau's Avenue dos Jogos da Asia Oriental, which opened up following heavy rain from Typhoon Mangkhut.
Ben Westcott/CNN
A sinkhole on Macau's Avenue dos Jogos da Asia Oriental, which opened up following heavy rain from Typhoon Mangkhut.

On the Avenue dos Jogos da Asia Oriental, a major highway in the enclave, a giant sinkhole caused by the incessant heavy rain opened up. A hole in the concrete could possibly have eroded the soil from underneath, a worker on the scene told CNN.

Some shops close to the waterfront were still pumping water out of their flooded basements on Monday. A worker in a household goods store, whose lower floor was a jumble of water and plastic goods, said they expected it would take them days to count the cost.

Basements in Macau flooded due to heavy rain brought by the typhoon.
Ben Westcott/CNN
Basements in Macau flooded due to heavy rain brought by the typhoon.

Schools in Macau and Hong Kong remained closed Monday.

Hardest hit

Worst hit by far was the Philippines, where at least 54 people were killed when the violent, then-super typhoon – known locally as Ompong – cut a swath through northern Luzon.

Typhoon Mangkhut's path of destruction, September 6 - 17.
CNN
Typhoon Mangkhut's path of destruction, September 6 - 17.

The storm caused flooding and landslides on Luzon, particularly in the town of Itogon, Benguet, where landslides have killed at least 35 and left dozens missing, many of whom are believed to be buried under thick mud.

Adelfa Lunato, 23, returned to find her home in ruins.
Justin Soloman/CNN
Adelfa Lunato, 23, returned to find her home in ruins.

Search and rescue operations were underway at the site.

The country’s president, Rodrigo Duterte, is due to make an official visit to the affected region, state media PNA reported.

He urged rescue and relief teams to ensure that normalcy was restored “as soon as possible,” directing an immediate start to rehabilitation and repair projects in the areas hardest hit by the storm.

CNN’s Natalie Leung and Jon Jensen in Hong Kong and Ben Westcott in Macau contributed to this report