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Throughout the country, Otto damaged 857 houses, eight schools, and two health facilities.
The storm passage caused 11,678 people to stay in 152 temporary shelters.
It quickly intensified into a strong tropical storm the next day, and on November 23–24, rapidly strengthened into a Category 3 major hurricane, the first in the month of November since Hurricane Paloma in 2008, and the latest date an Atlantic hurricane attained such intensity on record.
Traveling along the Nicaragua–Costa Rica border, the system rapidly weakened to a tropical storm before emerging over the eastern Pacific Ocean, becoming the final storm of the 2016 Pacific hurricane season as well.
In particular, Panama and Costa Rica suffered extensive damage.
The storm claimed at least 23 lives: 10 in Costa Rica, 9 in Panama, and 4 in Nicaragua.
At UTC, Otto made landfall over the Indio Maíz Biological Reserve in southeastern Nicaragua, roughly 12 miles (19 km) northwest of the Nicaragua–Costa Rica border at peak intensity.
On November 12, the National Hurricane Center (NHC) first noted the potential for a low pressure area to develop in the southwestern Caribbean Sea, assessing a low probability for tropical cyclone formation within five days.
After the storm, 248 people remained in the shelters while their damaged houses were rebuilt.
Otto damaged 1,700 m (5,600 ft) of power lines, resulting in power and water outages.
After the convection organized into a central dense overcast, Otto became a strong tropical storm with 70 mph (110 km/h) winds, and maintained that intensity for about a day.
On November 23, the storm reached hurricane intensity, and began a period of rapid intensification, reaching Category 2 intensity by UTC the following day, with winds of 105 mph (165 km/h).
Continuing to move westwards due to the influence of a subtropical ridge to its north, Otto steadily weakened as it moved away from Central America.