Mozambique's government urged people in some districts to immediately seek higher ground on Saturday in the wake of Cyclone Kenneth, fearing flooding and mudslides in the days ahead as heavy rain lashed the region.

At least five people were killed, the government said. Mozambique's disaster management agency said one person had died in Pemba city and another in hard-hit Macomia district, while residents on Ibo island said two people died there. Details on the fifth death were not immediately available.

Nearly 3,500 homes in parts of the country's northernmost Cabo Delgado province were partially or fully destroyed, with electricity out, some roads blocked and at least one key bridge collapsed. Some schools and health centres were damaged. Nearly 700,000 people could be at risk, many left exposed and hungry as waters rise.

"There's a very intense strip of destruction where the wind first made impact in coastal districts," Nicholas Finney, response team leader with the aid group Save the Children, told The Associated Press after visiting Macomia district. The team found people in shock in a region where a cyclone had never been recorded in the modern age.

Terrified children and traumatized parents "face a huge task to start to rebuild," he said.

Rain is forecast over the next several days, and Mozambique's meteorological authority said the storm could potentially move back out to sea and intensify again, Finney added. "It doesn't look good, quite honestly," he said of the risk of flooding.

A family in the village of Nacate, south of Macomia, cook a meal surrounded by their destroyed home on Saturday. (Emidio Josine/AFP/Getty Images)

As water levels rose, Mozambican authorities asked residents of Mecufi and Chiure districts and parts of Macomia and Muidumbe districts to immediately seek higher ground. Some rivers in the region have burst their banks in the past, notably in 2000.

Cyclone Kenneth arrived late Thursday, just six weeks after Cyclone Idai ripped into central Mozambique and killed more than 600 people. This was the first time in recorded history that the southern African nation has been hit by two cyclones in one season, again raising concerns about climate change .

The remnants of Kenneth, which packed the power of a Category 4 hurricane, could dump twice as much rain as hurricane Idai last month, the UN World Program has said. Some forecasts warned of as much as 25 centimetres of torrential rain, or about a quarter of the average annual rainfall for the region.

'Small communities are completely destroyed'

The International Federation of Red Cross and Red Crescent Societies reported heavy damage to Cabo Delgado province, with the communities of Macomia, Quissanga and Mocimboa da Praia of highest concern.

"Too many small communities are completely destroyed, not a single house is standing anymore," Saviano Abreu, a spokesperson with the UN humanitarian agency, told reporters after an aerial assessment. "This will be a very complex humanitarian operation."

Communications were challenging in some areas as authorities and aid groups scrambled to assess the damage, especially in more far-flung communities in the largely rural region. On hard-hit Ibo island alone more than 4,000 houses were damaged, administrator Issa Tarmamade told Mozambique's disaster management agency.

Watch: Mozambique hit by another cyclone

Cyclone Kenneth struck Mozambique and is expected to dump twice as much rain as Cyclone Idai did last month. 0:44

"The situation wasn't worse thanks to awareness-raising work by local authorities," the agency said, while posting photos of buildings where metal roofs had been crumpled or ripped away. Other photos from Macomia showed a mud-walled home that had disintegrated, a bus that appeared to have slid off the road and a toppled electrical pole, its wires straining.

People left homeless tried to patch together shelters from the rain.

"I'm looking for someone to lend me a porch so I can clean it up and stay with my family," one Macomia resident, Wild Eusebio, told the Portuguese news agency Lusa.

Another family of 13 people, including eight children, was living in an improvised plastic tent, the report said.