At least 200 people are dead after an "avalanche of water" engulfed the Colombian city of Mocoa, according to the Red Cross.
Hours of heavy rain caused several rivers to overflow and sent mud and sediment onto houses and roads in the city of about 350,000 people, authorities said.
Carlos Ivan Marquez, from Colombia's national disaster agency, said the river flooded around midnight on Friday/Saturday, destroying homes and killing many people in their sleep.
Witnesses said they had felt buildings vibrate as the flood began but there had been little time to escape.
More than 1,100 emergency workers and military personnel have been helping the rescue efforts in the city, which sits near Colombia's border with Ecuador.
Police commander Colonel Omar Bonilla told local radio station Caracol: "At this time we have removed 93 bodies - we have adults, women and infants."
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