 Keith 's slow and erratic movement caused it to produce strong winds and heavy rainfall in Central America . Belize bore the brunt of the storm , with about $ 280 million in damage and 19 confirmed fatalities , primarily related to flooding . Several other countries reported significant but less severe flooding , including El Salvador , Guatemala , Honduras , Mexico , and Nicaragua . Overall , Keith was responsible for 40 deaths , as well as approximately $ 319 million in damage . 
