Tens of thousands enter 6th day without power as Carolinas and Virginia prep for a winter storm

More than 230,000 homes and businesses were without electricity Friday morning, with the vast majority of those outages in Mississippi and Tennessee, according to the outage tracking website poweroutage.us.

Forecasters say the subfreezing weather will persist in the eastern U.S. into February and there’s high chance of heavy snow in the Carolinas, Virginia and northeast Georgia this weekend, possibly up to a foot (30 centimeters) in parts of North Carolina. Snow is also possible along the East Coast from Maryland to Maine.

On Saturday night and early Sunday, forecasters expect intense winds accompanied by moderate to heavy snow that could lead to blizzard conditions for a time before the storm starts to move out to sea Sunday morning.

With the wave of dangerous cold heading for the U.S. South on Friday, experts say the risk of hypothermia heightens for people in parts of Mississippi and Tennessee who are entering their sixth day trapped at home without power in subfreezing temperatures.

“The longer you’re exposed to the cold, the worse it is,” said Dr. Hans House, a professor of emergency medicine at the University of Iowa. “The body can handle cold temperatures briefly very well, but the prolonged exposure is a problem.”

People who are more vulnerable — the elderly, infants and those with underlying health conditions — may have started experiencing hypothermia symptoms within hours of being exposed to the frigid temperatures, explained Dr. Zheng Ben Ma, medical director of the University of Washington Medical Center’s northwest emergency department. That includes everything from exhaustion to slurred speech and memory loss.

But almost a week in and the situation is nearing a turning point, he explained: Younger people who are generally healthy could potentially begin to fall victim to these symptoms as well.

“Once you get into days six, seven, upwards of 10, then even a healthy, resilient person will be more predisposed to experiencing some of those deleterious effects of the cold temperature,” he said.

Mississippi officials say it’s the state’s worst winter storm since 1994. About 80 warming centers were opened across the state, known as one of the nation’s poorest. Mississippi Gov. Tate Reeves said National Guard troops were delivering meals, blankets and other supplies by truck and helicopter.

In Tennessee, Gov. Bill Lee said crews had distributed more than 600 units of warming supplies and more than 2,200 gallons (8,328 liters) of gas and diesel.

At least 85 people have died in areas affected by bitter cold from Texas to New Jersey. Roughly half the deaths were reported in Tennessee, Mississippi and Louisiana. While some deaths have been attributed to hypothermia, others are suspected to be related to carbon monoxide exposure.

Dr. Abhi Mehrotra, an emergency medicine physician with the University of North Carolina at Chapel Hill, said it's important to make sure heat sources used indoors, including generators, are not emitting carbon monoxide, which could be deadly.

Bynum reported from Savannah, Georgia, and Thanawala from Atlanta. Associated Press writers Jeff Martin in Atlanta; Jonathan Mattise and Travis Loller in Nashville, Tennessee; Sarah Brumfield in Washington; Devi Shastri in Milwaukee and Hallie Golden in Seattle contributed to this report.