Madagascar, an island off the east coast of Africa renowned for its wildlife and unspoiled natural treasures, has now been hit by four major tropical storms in the last month, killing nearly 200 people already and compounding issues of food insecurity.? A drought in the south of the country left around 400,000 at risk of starvation last year, according to the U.N. World Food Program.

A string of aid agencies warned that Emnati will be a double blow for the eastern and southeastern regions that were hit by Cyclone Batsirai early this month. Batsirai ultimately left more than 120 people dead and displaced 143,000. More than 20,000 houses were destroyed or damaged by Batsirai, the U.N. Office for the Coordination of Humanitarian Affairs said, and more than 21,000 people remain displaced. The U.N. humanitarian office said before Emnati arrived that it was in “a race against time” to protect people again.

Emnati made landfall around midnight local time in the district of Manakara Atsimo in the southeast, with average sustained winds of 135 kph (84 mph) and gusts as strong as 190 kph (118 mph), Madagascar's Department of Meteorology said. Six regions in the southeast are on red alert, most of them already hard-hit by Batsirai.

“We can't go out so it's hard to see what happened but from what I can see from the gendarmerie barracks, there's a lot of damage. Many houses no longer have roofs,” said Lt. Col. Harinaivo Randriamihajamanana, the commander of the Gendarmerie Group in the Fitovinany region and based in the city of Manakara. “We have not received any calls because the telephone communication has been very disrupted. We have had no electricity and water since yesterday (Tuesday) morning.”

The Emnati system had weakened as it worked its way over the Indian Ocean toward Madagascar, the meteorology department said, but it warned that flooding was still likely. Manakara resident Gabriel Filiastre said his family joined others in taking refuge inside the main hall of a hotel where he works as Emnati hit. “My house is completely flooded," Filiastre said. "We couldn't sleep inside. It's a wooden house. I saw a lot of houses around our house that are destroyed. For us, this cyclone did more damage than the one before.”

“Even in the hotel there is a lot of damage. One of the walls collapsed ... the roof tiles have been blown away and some of the ceilings of the rooms have collapsed. We need help." The U.N. World Food Program and other aid organizations have warned of the risk of critical food shortages due to crops being destroyed and transport links disrupted. Forecasters have also predicted eight to 12 more cyclones in the Madagascar region before the cyclone season normally ends in May. Emnati is expected to cross the southeastern part of Madagascar and spin out to sea again, according to the meteorology department, meaning it should miss mainland Africa, where previous cyclones have also caused deaths and destruction.

With AP Inputs