Thousands of houses, roads, schools and health facilities were left caked in mud after being completely submerged in water from a winter storm that hit the largely rural and underdeveloped region late on Monday.
On Thursday, rescuers were still going door to door searching for bodies or possible survivors, as people got stuck inside their homes when the water rushed in during the night.
Snow and heavy rainfall are common during winter in South Africa.
The area worst hit by the floods and subsequent landslides was the city of Mthatha, about 800 kilometres (500 miles) south of Johannesburg.
The South African Red Cross Society, which sent aid to the area, told AFP at least 3,500 households had been affected, with many people sheltering in community halls.
“The homes are fragile, they can collapse anytime. Food is contaminated, so people need to be evacuated,“ said Sablay.
At least 20 health facilities and 58 schools were damaged in the province, according to local authorities.
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