NEW ORLEANS (AP) Louisiana hospitals already packed with patients from the latest coronavirus surge are now bracing for a powerful Category 4 hurricane, which is expected to crash ashore Sunday.

Once again we find ourselves dealing with a natural disaster in the midst of a pandemic, said Jennifer Avegno, the top health official for New Orleans. She called on residents to prepare for both.

Hurricane Ida is forecast to slam into the state late Sunday along the Louisiana coast. It is expected to be at Category 4 strength at landfall with fierce winds up to 150 mph (240 kph). The storm comes as hospitals and their intensive care units are already filled with patients from the fourth surge of the COVID-19 pandemic, this one sparked by the highly contagious delta variant and low vaccination rates statewide.