Ketsana is battering Vietnam's central and highland provinces, killing at least 23 people.
The storm killed 246 in the Philippines and 38 are still missing. Ketsana also hit China, and is moving toward Laos and Thailand. Mike Patterson has more on Ketsana's destructive path.
Ketsana gathered strength as it approached Vietnam and was upgraded from a tropical storm to a typhoon.
Flooding, mudslides and falling trees have killed nearly two dozen people.
Rains and heavy winds knock out electricity in some places. Vietnam Airlines cancelled all flights to the tourist destinations of typhoon-affected areas.
In the Philippines, rescuers pulled more bodies from swollen rivers and debris-strewn streets.
The homes of nearly 1.9 million people in Manila and surrounding areas were affected. Nearly 380-thousand people sought shelter in schools, churches and other evacuation centers.
Long lines formed at aid distribution centers, and people went out in search of food, clean water, dry clothes and shelter.