The EPA also says that diesel fuel leaked from a train that derailed near Lilesville, North Carolina, because the tracks were flooded. False alarms about dam failures have caused panic in a state where there is a lot of concern about whether many dams already in poor condition will hold as rivers keep rising.
The North Carolina Dept. of Transportation posted a stunning video on Twitter of Interstate 40 in Pender County.
The dead included a one-year-old boy who was swept away after his mother drove into floodwaters and lost grip on him as they tried to escape their auto.
The advisory from the Fayetteville, North Carolina VA Medical Center was typical of others across the state where rivers were still on the rise and damaged roads and washed-out bridges made rescue and relief efforts risky.
North Carolina Governor Roy Cooper said the "epic storm" was still an immediate danger as rivers continue to flood.
Reggie Cheatham, director of the EPA's Office of Emergency Management, said Monday that some sewage has been released into the floodwaters through sewer system manholes and, in one case, a power failure at a water treatment plant. It will make federal money available to people in the counties of Beaufort, Brunswick, Carteret, Craven, New Hanover, Onslow, Pamlico and Pender.
"There's too much going on", he said.
The coastal city took a direct hit when Hurricane Florence came ashore and has been largely cut off since then due to storm surges and flooding from the Cape Fear River.
More than 900 people were rescued from rising floodwaters and 15,000 remain in shelters in the state, Mr Cooper said.
As the remnants of Florence moved into the U.S. Northeast, and the sun appeared in some areas for the first time in days, residents of the Carolinas confronted its after-effects, including power outages, impassable roads, and sewage spilling into flooded areas. "The soil is soaked and can't absorb any more rain so that water has to go somewhere, unfortunately".
"Things are getting better slowly, and we thank God for that", White said.
Trump said nearly 20,000 military personnel and federal workers were deployed to help with the aftermath of Florence in the Carolinas and the Mid-Atlantic, and they would "do whatever it takes to keep the American people safe".