In North Carolina, the storm surge from Isabel washed away part of Hatteras Island. This area of washed away land was sometimes known as Isabel Inlet. Damage was highest along the Outer Banks, where thousands of homes were damaged or destroyed. The worst effects happened in Virginia, especially in the Hampton Roads area and on the shores of the James River. Virginia had the most deaths and damage from the hurricane. About 64% of the total damage and 68% of the total deaths from the storm happened in North Carolina and Virginia.