Cuba’s president, President Miguel Díaz-Canel, warned residents to brace for a “very difficult night” as the island prepared for Hurricane Melissa to make landfall early Wednesday.

Hurricane Melissa is expected to hit eastern Cuba after passing Jamaica. NBC News’ Ed Augustin reports on how the island is dealing with power cuts, food shortages and an outbreak of tropical diseases as the storm approaches.

Cuba is bracing for Hurricane Melissa as it heads towards Santiago de Cuba, the island’s second-largest city, threatening catastrophic damage at a time the government is already failing to provide the most basic services and thousands are sick because of the rise of mosquito-transmitted diseases and other illnesses linked to poor sanitary conditions.