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27 September 2011 Last updated at 09:03 GMT Kate McGeown reports from the island of LuzonA powerful typhoon has struck the Philippines, triggering floods and cutting power in the capital Manila and throughout the main island, Luzon.
Typhoon Nesat also forced the closure of the Philippine Stock Exchange and the US embassy, and the ground floor of Manila's main hospital was flooded.
At least seven people have been killed, including several children.
As Nesat approached, the authorities ordered the evacuation of more than 100,000 in central Albay province.
The typhoon is expected to continue slowly across the country, before blowing across the South China Sea towards southern China on Thursday.
Continue reading the main story Kate McGeown BBC News, Zambales, central Luzon
There has been really heavy rain and wind here since last night. The typhoon seems to have been moving from east to west of the island of Luzon and affecting large parts of it. And when you think that Luzon is home to more than half the Philippine population it means that a lot of people have been affected.
There are a lot of very poor people in the country, and I was filming in some of the poorer areas of Manila yesterday, in low-lying slums. There was a little rain during the day and already the homes were being flooded.
Now we're a day on and it's been raining solidly since then. There must be real fears for people living in those kinds of areas.
Crushed Nesat made landfall just before dawn on Tuesday in the eastern Isabela and Aurora provinces on the Pacific coast.
The storm - with a diameter of 650km (400 miles) and wind gusts of up to 170km/h (105mph) - is now making its way across Luzon, the BBC's Kate McGeown in the central Luzon province of Zambales reports.
Many roads have been flooded and flights cancelled, and local media are urging people against non-essential travel, our correspondent says.
An adult and three children were crushed to death as a building collapsed in a northern Manila suburb on Tuesday, AFP news agency quoted the Office of Civil Defence as saying.
Two men were said to have died north of the capital in a landslide and weather-induced accident.
There is waist-deep flooding in parts of the capital.
Reporters described huge waves crashing into Manila Bay's seawall, with water overflowing into Roxas Boulevard and flooding streets and parks around the US embassy, which was evacuated.
The ground floor of Manila hospital was flooded, and staff were forced to move patients to the first floor.
"We've heard of Manila Hospital being flooded, but we're struggling to reach the area even though we've co-ordinated with them already to help in an evacuation plan," Philippine National Red Cross secretary general Gwen Pang told AFP.
A five-star hotel was also evacuated, reports said.
Meanwhile, thousands of residents living inland along the Marikana river were evacuated as it threatened to overflow.
Government offices, schools and universities were closed.
In Isabela province, four coastal towns under threat from storm surges have been evacuated.
Four fishermen are missing, and more than 50 more have been rescued after their boats capsized in rough seas.
There are fears that the death toll may rise further.
Late on Monday, the first reported casualty of the typhoon was a baby who fell into a swollen river in the eastern province of Catanduanes.
Tens of thousands of people are being evacuated in Luzon
Earlier, about 110,000 people in several towns of the Albay province were ordered to leave their homes and seek shelter elsewhere.
"We can't manage typhoons, but we can manage their effects," provincial Governor Joey Salceda was quoted as saying by the Associated Press.
The Philippines suffers frequent typhoons, about 20 a year, but Nesat is thought to be the largest this year.
It comes almost exactly two years after Typhoon Ketsana killed more than 400 people.
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