There was moderate to severe damage up the Atlantic coastline and as far west as West Virginia. About six million lost power in the eastern United States. Rain fell from South Carolina to Maine, and westward to Michigan. In total, damage is estimated at $3.6 billion (2003 USD, $4.1 billion 2008 USD). 16 deaths in seven states are blamed directly on the hurricane. 35 more deaths in six states and one province were not directly related to the hurricane.