At least 33 people were killed in the strongest typhoon to hit the Philippines this year, official tallies showed Saturday, with dozens more missing after the storm ravaged the country.

The latest figures come after a disaster official in the central province of Negros Occidental confirmed 13 people had died, most by drowning, and that another 50 were missing in a flood-hit area. "We started urging people to evacuate as early as Wednesday but many were reluctant to leave," Salvador Mesa told AFP.

More than 300,000 people fled their homes and beachfront resorts as Typhoon Rai ravaged the southern and central regions of the archipelago, knocking out communications and electricity in many areas, ripping off roofs and toppling concrete power poles.

Rai was a super typhoon when it smashed into the popular tourist island of Siargao on Thursday, packing maximum sustained winds of 195 kilometres per hour (120 miles per hour).

Aerial photos shared by the military showed widespread damage in the town of General Luna where many surfers and holidaymakers had flocked ahead of Christmas, with buildings stripped of roofs and debris littering the ground.

The neighbouring island of Dinagat had been "levelled to the ground" by the storm, Governor Arlene Bag-ao wrote on Facebook, saying houses, boats and fields were destroyed.

"Walls and roofs were torn and blown off by Odette like paper," Bag-ao said, using the local name for the typhoon.

"We have a dwindling supply of food and water. Electricity and telecommunications are down."

Rai's wind speeds eased to 150 kph as it barrelled across the country, dumping torrential rain that flooded villages, uprooting trees and shattering wooden structures.

It emerged over the South China Sea on Saturday and was headed towards Vietnam, the state weather forecaster said.

"This is indeed one of the most powerful storms that has hit the Philippines in the month of December in the last decade," Alberto Bocanegra, head of the International Federation of Red Cross and Red Crescent Societies in the Philippines, told AFP.

"The information we are receiving and the pictures we are receiving are very alarming."

The overall death toll was at least 23, according to official tallies.

More than 18,000 military, police, coast guard and fire personnel will join search and rescue efforts in the worst-affected regions, Mark Timbal, spokesman for the national disaster agency, told AFP.

"There has been severe damage" on Siargao island and the northern tip of the southern island of Mindanao, Timbal said, referring to areas that took the full force of the typhoon as it slammed into the country.

There are around 100,000 residents on Siargao, but the population swells with tourists drawn to its beaches and big waves. 

- 'Everything was destroyed' -
Philippine Coast Guard has shared photos on social media showing widespread destruction around Surigao City on Mindanao.

Aerial footage showed swathes of rice fields under water.

At least three people were killed and dozens injured in the storm, Surigao City Mayor Ernesto Matugas told broadcaster ABS-CBN.

Shattered glass from smashed windows, sheets of corrugated iron roofing, power lines and other debris were scattered in the street. 

The vice governor of Dinagat said at least six people had been killed there.

Residents on the island of around 128,000 people were "trying to repair their houses because even our evacuation centres were torn down," Nilo Demerey told ABS-CBN. 

"They can't seek refuge anywhere else... everything was destroyed." 

Vice President Leni Robredo tweeted photos of motorbikes crowded around a petrol station and people lining up for drinking water in the central province of Cebu, where the country's second busiest airport was damaged and flights suspended.

Bocanegra warned the disruption to electricity would affect the water supply, raising concerns about hygiene and disease.

Rai hit the Philippines late in the typhoon season -- most cyclones typically develop between July and October.

Scientists have long warned that typhoons are becoming more powerful and strengthening more rapidly as the world becomes warmer because of human-driven climate change.

The Philippines -- ranked as one of the world's most vulnerable countries to the impacts of climate change -- is hit by an average of 20 storms and typhoons every year, which typically wipe out harvests, homes and infrastructure in already impoverished areas.