At least seven people have died after a massive early season snowstorm described as one of the worst in living memory struck parts of Michigan, upstate New York and New Hampshire.
The city of Buffalo was badly hit with up to 1.8 metres of snow falling, as New York Governor Andrew Cuomo declared a state of emergency.
Three people lost their lives from apparent heart attacks -- two while shovelling snow and the other died while pushing a trapped car.
Schools were closed and driving bans were ordered following the blizzard.
Airports in Buffalo and Grand Rapids, Michigan, were forced to cancel flights as a result of the snow. Authorities say there is so much accumulation that it can't just be plowed in most places - it must be scooped up and hauled away in order to clear roads.
Snow blown by strong winds forced the closure of a 132-mile stretch of the Thruway, the main highway across New York state. Another storm is expected on Thursday.
Temperatures will remain below normal from the Midwest to the East Coast until the weekend, with all 50 states recording below freezing temperatures on Tuesday, the National Weather Service said.
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