Three people have died in the US state of North Carolina due to a snowstorm.
One person died from a heart-related condition while on their way to a shelter, a terminally ill woman died when her oxygen device stopped working due to a power cut and a motorist died after a tree fell on his vehicle.
All of the deaths were storm-related, the office of governor Roy Cooper said.
A number of pigs were also killed when a truck carrying around 100 of them overturned in the west of the state, near Tennessee. The driver was taken to hospital with serious injuries.
.@NCSHP is out in full force today across NC investigating crashes and monitoring roadways due to hazardous conditions caused by the #winterstorm. One trooper responded to an overturned livestock truck on westbound I-40 near the TN state line. pic.twitter.com/izIWiUHB9r
— NC Highway Patrol (@NCSHP) December 10, 2018
People in the North Carolina city of Charlotte were warned to stay away from Duke Energy Center, a 48-storey tower which has had large chunks of ice falling from it.
The states worst affected by the snow were North and South Carolina and Virginia, the same three states that bore the brunt of Hurricane Florence just a few months ago.
The town of Whitetop in Virginia got 2ft (60cm) of snow while Greensboro and Durham, both in North Carolina, got 16in (41cm) and 14in (36cm) respectively.
Greensboro's mayor Nancy Vaughan said emergency services there had responded to more than 100 accidents and 450 stranded drivers.
Around one in four flights were cancelled at North Carolina's Charlotte Douglas Airport, the country's sixth-busiest.
Hundreds of drivers were stranded on snowy and icy roads and around 68,000 homes in the Carolinas were left without power late on Monday, according to poweroutage.us.
Many schools in the three states were closed.
The worst of the storm has passed, although roads could still be slippery due to ice, according to National Weather Service meteorologist Daniel Petersen.
More from North Carolina
Temperatures are expected to rise later this week.