Hurricane Matthew, a Category Four storm, made landfall at the south-western tip at about 11:00 GMT.
The US National Hurricane Center (NHC) said Haiti was "getting everything a major hurricane can throw at them".
Reports from the south-western coast spoke of communities under water and buildings stripped of roofs.
Marie Alta Jean-Baptiste, director of the country's Civil Protection Agency, told Associated Press: "It's much too early to know how bad things are but we do know there are a lot of houses that have been destroyed or damaged in the south."
One resident too ill to leave their home was killed when waves struck in the town of Port Salut.
Haiti's Interim President Jocelerme Privert said earlier that some people at sea or who had not "respected alerts" had died, but he gave no figures.
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