GALVESTON, Texas — Hospital and nursing home patients were evacuated and as many as 1 million other people were ordered to clear out along the Gulf Coast on Wednesday as Hurricane Rita turned into a 150-mph monster that could pound Texas and bring more misery to New Orleans by week's end.

Forecasters said Rita could be the most intense hurricane on record ever to hit Texas, and one of the most powerful ever to slam into the U.S. mainland.

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