<P> In the Cayman Islands, Governor Bruce Dinwiddy described damage as "very, very severe and widespread ." Despite strict building codes which made the islands' buildings well able to withstand even major hurricanes, Ivan's winds and storm surge were so strong that a quarter or more of the buildings on the islands were reported to be uninhabitable, with 85% damaged to some extent . Much of Grand Cayman still remained without power, water, or sewer services for several months later . After five months, barely half the pre-Ivan hotel rooms were usable . Only two people were killed on the islands, though at first many deaths were suspected because of the many graves that were washed up during the storm . Damage across the territory was catastrophic, with losses amounting to US $2.86 billion or 183 percent of its gross domestic product . The Letter from the Cayman Islands Government Office in the United Kingdom, 8 October 2004 by McKeeva Bush, Leader of Government Business details the intensity, extent of damage, and recovery process during the months that followed . </P> <P> There were four deaths in the Dominican Republic . The region's Caribbean Development Bank estimates Ivan caused over US $3 billion (2004 USD, $3.89 billion 2018 USD) damage on island nations, mostly in the Cayman Islands, Grenada, and Jamaica . Minor damage, including some beach erosion, was reported in the ABC islands . </P> <P> Even though Ivan did not make landfall on Cuban soil, its storm surge caused localized flooding on Santiago de Cuba and Granma, on the southern part of the island . At Cienfuegos, the storm produced waves of 15 feet (4.6 m), and Pinar del Río recorded 13.3 inches (340 mm) of rainfall . While there were no casualties on the island, the Cuban government estimates that about US $1.2 billion (2004 USD, $1.55 billion 2018 USD) of property damage were directly due to Ivan . </P> <P> Along with the 14 deaths in Florida, Ivan is blamed for eight deaths in North Carolina, two in Georgia, and one in Mississippi . An additional 32 deaths were reported as indirectly caused by the storm . </P>

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