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In this Sunday, April 26, 2015, photo taken by Amul Thapa and provided by KathmanduToday.com, four-month-old baby boy Sonit Awal is held up by Nepalese Army soldiers after being rescued from the rubble of his house in Bhaktapur, Nepal, after Saturday's 7.8-magnitude earthquake shook the densely populated Kathmandu valley. Thapa says that when he saw the baby alive after 20 hours of rescue efforts "... all my sorrow went. Everyone was clapping. It gave me energy and made me smile in spite of lots of pain hidden inside me." (Amul Thapa/KathmanduToday.com via AP)
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Amul Thapa/KathmanduToday.com/AP
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Story highlights
NGO official says people will urgently need food, water, medicine and shelter.
More than 1,800 people across Nepal confirmed dead, official says
People treated outside hospitals; avalanches reported on Everest
Editor’s Note: As the rescue and recovery efforts continue, many charities and NGOs are sending teams, aid and medical assistance. Click here to find out about the organizations you can assist.
(CNN) —
Rescue crews and residents in Nepal early Sunday began the desperate search for survivors after a magnitude-7.8 quake near the capital of Kathmandu a day earlier flattened homes, buildings and temples, causing widespread damage across the region and killing more than 1,800 people.
Whole streets and squares in the capital of more than 1 million people were covered in rubble. Stunned residents stared at temples that were once part of their daily lives and now were reduced to nothing.
Locals and tourists ferreted through mounds of debris in search of survivors. Cheers rose from the piles when people were found alive – but mostly bodies turned up. The injured ended up being treated outside overflowing hospitals, where crowds of people gathered looking for relatives.
Dozens of bodies were pulled from the historic nine-story Dharahara tower that came crashing down during the quake. At least 17 people were reported killed on Mount Everest, where the quake caused multiple avalanches.
A seemingly endless series of aftershocks continued to roil the area, further traumatizing survivors. Residents huddled in the cold rain overnight for safety.
The death toll of 1,832 is expected to rise as the full extent of the damage is assessed.
The loss of life reported so far “is really based on the information we have from the main cities,” Lex Kassenberg, Nepal country director for CARE International, told CNN. “But if you look at the spread of the earthquake a lot of the rural areas have been hit as well. The information we received from the field is that 80% of the houses in these rural areas have been destroyed.”
The quake was the strongest in the region in more than 80 years. Residents are used to earthquakes in Nepal, and many thought the start of Saturday’s quake was a tremor, until the earth kept shaking and buildings crashed down.
“The reports of the devastation are still coming in and the numbers of people killed, injured and affected by this earthquake continue to rise,” said U.N. Secretary-General Ban Ki-moon in a statement. “It is clear that very many lives have been lost.”
’Utterly terrifying’
An estimated 4.6 million people in the region were exposed to tremors from the Nepal earthquake, the United Nations Office for the Coordination of Humanitarian Affairs said via Twitter. Thirty out of 75 Nepal districts were affected by the quake.
In neighboring Tibet, roads buckled, buildings collapsed and at least 13 people were killed, China’s state media reported, citing local authorities.
Separately, at least four Chinese citizens in Nepal – two workers with a Chinese company, a tourist and a mountaineer – have been killed, state media reported, citing the Chinese Embassy in Kathmandu.
Officials in India confirmed at least 34 deaths in three states from the Nepal quake.
The quake struck at 11:56 a.m. local time (2:11 a.m. ET) and was centered less than 50 miles northwest of Kathmandu. It occurred at a depth of 9.3 miles, which is considered shallow and more damaging than a deeper quake. It was reported by people in the area as having lasted a long time. One person said he felt as if he were on a ship in rough seas.
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Google Maps / USGS
Kathmandu sits in a valley surrounded by the Himalayas.
Siobhan Heanue, a reporter with ABC News Australia, told CNN she was wandering at an ancient temple complex at the moment of the earthquake. Several temples collapsed around her, she said.
“It’s not too often you find yourself in a situation where you have to run for your life,” Heanue said, adding that she sought shelter under the table of a cafe. “It was utterly terrifying.”
Devastating loss of people, history
Heanue watched as residents picked through the rubble of a destroyed temple. They found 12 bodies.
“Unfortunately, that search was not fruitful,” Heanue said. “There were 12 bodies at least pulled from the rubble in the square. This was just one of several historical temple complexes severely affected by the earthquake.”
The Dharahara tower, the landmark nine-story structure, was packed with people when it collapsed. Heanue said at least 50 bodies were pulled from the ruins of Dharahara.
The tower, built in 1832, provided visitors with a panoramic view of the Kathmandu Valley.
Kanak Masni, a journalist in Kathmandu, told CNN by telephone that this appeared to be “the most massive earthquake to hit central Nepal since 1934.” In that quake, which was 8.1 magnitude and centered near Mount Everest, more than 10,000 people were killed.
Thomas Nybo, a freelance photographer, was sitting in a coffee shop in Kathmandu’s Thamel district. It appeared to be a minor tremor at first but gradually gained intensity, he told CNN. Thousands poured onto the streets of the densely populated tourist hub.
“This region is no stranger to earthquakes,” he said. “A lot of people had the same feeling: This is a tremor, it passed. When that wasn’t the case, they were in uncharted territory… It’s basically an unwritten book.”
Outside the coffee shop, Nybo said he saw a group of women gather near what had been a six-story building. One woman said children were trapped beneath rubble.
“We ran over and ran around the rubble and couldn’t hear anything,” he said. “There was no chance that they survived.”
Nearby, another building had come down on an area where locals went to do laundry and collect water, Nybo said. A voice was heard coming from the rubble.
“A group of mainly tourists started gathering rocks, hammers and pickaxes and breaking through a re-enforced concrete wall to reach this guy… It took about two hours of smashing through wall and cutting rebar with a hacksaw to pull him out alive.”
Two bodies were found near the spot where the man was rescued, Nybo said. Not far away, lay the bodies of three or four women.
“Who knows how many other bodies lie beneath the rubble?” he said.
People ‘shaken, upset, crying’
The streets of Kathmandu were packed with thousands of locals and tourists who didn’t want to go back to their homes or hotels because of recurring aftershocks.
Rob Stiles and his wife had just checked into a hotel in Kathmandu when the earthquake struck.
“It felt like it went on forever,” the California resident said.
Denis McClean, spokesman for the U.N. Office for Disaster Risk Reduction, told CNN that weak building codes in Nepal contributed to the amount of structural damage.
“Building codes in Kathmandu itself have not been well upheld in recent years,” he said. “Efforts have been made over the last few years to strengthen these building codes but, unfortunately, this comes too late for the many thousands of buildings that have gone up across the Kathmandu Valley over the last 20 years that did not adhere to the building codes.”
Chitra Thapa, 48, a CNN security guard in Atlanta, said he spoke by telephone with relatives in Kathmandu and Pokhara, a city about 125 miles (200 kilometers) west of the capital. They were fine and were staying on streets.
“Everybody’s in shock,” he said. “They never felt an earthquake that big.”
Aid agencies expressed concern for the welfare of survivors in the coming days, as overnight temperatures were expected to drop and people were forced to make do without electricity, running water and shelter.
The international community must react quickly to save lives – particularly those of children – said Devendra Tak, of the aid agency Save the Children.
“With every minute the situation becomes worse,” he said.
Food, clothing and medicine will be urgently required, Tak said.
Photos: Powerful earthquake hits Nepal
Nepalese police officers clear debris from Durbar Square in Kathmandu on Sunday, May 3. A magnitude-7.8 earthquake centered less than 50 miles from Kathmandu rocked Nepal with devastating force Saturday, April 25. The earthquake and its aftershocks have turned one of the world's most scenic regions into a panorama of devastation, killing and injuring thousands.
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PHILIPPE LOPEZ/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
An injured Nepalese woman is carried by villagers toward an Indian army helicopter to be airlifted from Philim village in Gorkha district in Nepal on May 3.
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SAJJAD HUSSAIN/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
Members of the Tsayana family warm themselves next to a fire outside their damaged house on May 3 in Bhaktapur, Nepal.
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David Ramos/Getty Images
Photos: Powerful earthquake hits Nepal
A woman receives comfort during the funeral of her mother, a victim of Nepal's deadly earthquake, on Friday, May 1, in Kathmandu.
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Bernat Amangue/AP
Photos: Powerful earthquake hits Nepal
Hindu priests perform rituals during the cremations of victims at the Pashupatinath Temple on the banks of the Bagmati River in Kathmandu on May 1.
PHOTO:
MANAN VATSYAYANA/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
People await aid from an Indian army helicopter in front of damaged homes in Kulgaun, Nepal, on May 1.
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SAJJAD HUSSAIN/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
An injured woman gets carried on a stretcher at Kathmandu's airport after being evacuated from Melamchi, Nepal, on May 1.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
A member of the Los Angeles County Fire Department guides his sniffing dog through a collapsed building in Kathmandu on Thursday, April 30.
PHOTO:
Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
A teenage boy gets rushed to a hospital April 30 after being rescued from the debris of a building in Kathmandu days after the earthquake.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
A man is freed from the ruins of a hotel by French rescuers in the Gangabu area of Kathmandu on Tuesday, April 28. Reuters identified the man as Rishi Khanal.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Nepalese military police search through rubble outside Kathmandu on April 28.
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MENAHEM KAHANA/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
People rest April 28 in a temporary housing camp in Kathmandu. Large encampments of tents have sprung up in open areas, including a wide space belonging to the military in the center of the capital.
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PRAKASH SINGH/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
A family collects belongings from their home in Bhaktapur, Nepal, on Monday, April 27.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Damaged buildings lean to the side in Kathmandu on April 27.
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Wally Santana/AP
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Photos: Powerful earthquake hits Nepal
Members of the Nepalese army retrieve bodies from a collapsed building in Bhaktapur near Kathmandu on April 27.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Nepalese soldiers carry a wounded woman to a helicopter as they evacuate people from Trishuli Bazar, Nepal, on April 27.
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Altaf Qadri/AP
Photos: Powerful earthquake hits Nepal
People charge their cell phones in an open area in Kathmandu on April 27.
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Bernat Armangue/AP
Photos: Powerful earthquake hits Nepal
Emergency personnel evacuate an injured man to a waiting helicopter in Trishuli Bazar on April 27.
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Altaf Qadri/AP
Photos: Powerful earthquake hits Nepal
An aerial view of the devastation in Kathmandu on April 27. The destruction in Nepal's capital is stark: revered temples reduced to rubble, people buried in the wreckage of their homes, hospitals short on medical supplies overflowing with patients.
PHOTO:
Kishor Rana/CNN
Photos: Powerful earthquake hits Nepal
Residents rescue items from the debris of houses damaged in the quake in Kathmandu on April 27.
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Bernat Armangue/AP
Photos: Powerful earthquake hits Nepal
An aervial view shows ruined buildings in Trishuli Bazar on April 27.
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Altaf Qadri/AP
Photos: Powerful earthquake hits Nepal
A woman prays at a ruined temple in Kathmandu on April 27.
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Bernat Armangue/AP
Photos: Powerful earthquake hits Nepal
People rest in temporary shelters in Kathmandu on April 27.
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PRAKASH MATHEMA/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
Residents cycle over damaged roads on the outskirts of Kathmandu on Sunday, April 26.
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PRAKASH SINGH/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
Four-month-old Sonit Awal is held up by Nepalese army soldiers after being rescued from the rubble of his house in Bhaktapur, Nepal, on April 26.
PHOTO:
Amul Thapa/KathmanduToday.com/AP
Photos: Powerful earthquake hits Nepal
The newspaper that provided photographs of the baby's rescue says the Nepalese army initially left the site, thinking the baby had not survived. Hours later when the infant's cries were heard, soldiers came back and rescued him.
PHOTO:
Amul Thapa/KathmanduToday.com/AP
Photos: Powerful earthquake hits Nepal
The newspaper adds the Nepalese Army had initially failed to rescue the baby and left the site thinking the baby had not survived. Hours later when the baby's cries were heard the army came back and rescued him.
PHOTO:
kathmandutoday.com
Photos: Powerful earthquake hits Nepal
A woman cries after identifying the body of a relative in Bhaktapur on April 26.
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Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
Men clear debris in Bhaktapur on April 26.
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Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
A truck evacuates residents from Kathmandu on April 26.
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Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
A Buddha statue is surrounded by debris on April 26 from a collapsed temple in the UNESCO world heritage site of Bhaktapur.
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Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
An elderly woman is helped to her home after being treated for her injuries in Bhaktapur on April 26.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Family members break down on April 26 during the cremation of a loved one killed in Bhaktapur.
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Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Smoke from funeral pyres fills the air at the Pashupatinath temple on the banks of Bagmati River in Kathmandu on April 26.
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Bernat Armangue/AP
Photos: Powerful earthquake hits Nepal
Members of India's National Disaster Response Force look for survivors in Kathmandu on April 26.
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Manish Swarup/AP
Photos: Powerful earthquake hits Nepal
Rescue workers remove debris on April 26 as they search for victims in Bhaktapur.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
People look at the debris of one of the oldest temples in Kathmandu on April 26.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
People sleep on a street in Kathmandu, Nepal, on Saturday, April 25. A seemingly endless series of aftershocks continued to roil the area, further traumatizing survivors.
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NARENDRA SHRESTHA/EPA/Landov
Photos: Powerful earthquake hits Nepal
Civilian rescuers carry a person on a stretcher in Kathmandu on April 25.
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NARENDRA SHRESTHA/EPA
Photos: Powerful earthquake hits Nepal
People try to free a man from the rubble in Kathmandu on April 25. Cheers rose from the piles when people were found alive -- but mostly bodies turned up.
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NARENDRA SHRESTHA/EPA
Photos: Powerful earthquake hits Nepal
Pedestrians walk past collapsed buildings in Kathmandu on April 25.
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Arne Adrian/DPA/ZUMA Wire
Photos: Powerful earthquake hits Nepal
Azim Afif, of the Universiti Teknologi Malaysia climbing team, provided this photo of their Mount Everest base camp after it was ravaged by an avalanche triggered by the earthquake on April 25. All of Afif's five-member team survived.
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Azim Afif/AP
Photos: Powerful earthquake hits Nepal
Rescuers clear rubble in Kathmandu's Basantapur Durbar Square on April 25.
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PRAKASH MATHEMA/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
A temple on Hanumandhoka Durbar Square lies in ruins after an earthquake in Kathmandu on April 25.
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Sunil Sharma/Xinhua/Landov
Photos: Powerful earthquake hits Nepal
Dharahara, a tower dating back to 1832 that rose more than 60 meters (200 feet) and provided breathtaking views of Kathmandu and the surrounding Himalayas, collapsed in the earthquake on April 25.
PHOTO:
Sunil Sharma/Xinhua/Landov
Photos: Powerful earthquake hits Nepal
The hand of a statue is seen under debris in Basantapur Durbar Square in Kathmandu.
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Pratap Thapa/Xinjua/Sipa
Photos: Powerful earthquake hits Nepal
A Nepalese man and woman hold each other in Kathmandu's Basantapur Durbar Square on April 25.
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PRAKASH MATHEMA/AFP/Getty Images
Photos: Powerful earthquake hits Nepal
A victim of Nepal's earthquake lies in the debris of Dharahara after it collapsed on April 25 in Kathmandu, Nepal.
PHOTO:
Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
Rescuers look for victims under a collapsed building in Kathmandu on April 25.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Volunteers carry a body recovered from the debris of a collapsed building in Kathmandu.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
A victim's body is seen in the debris of the collapsed Dharahara on April 25.
PHOTO:
Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
Emergency rescue workers carry a victim from Dharahara after the tower in Kathmandu collapsed on April 25.
PHOTO:
Omar Havana/Getty images
Photos: Powerful earthquake hits Nepal
People free a man from the rubble of a destroyed building in Kathmandu.
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NARENDRA SHRESTHA/EPA/LANDOV
Photos: Powerful earthquake hits Nepal
A man walks past a collapsed temple at Basantapur Durbar Square.
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Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
Rescue workers clear debris in Kathmandu while searching for survivors.
PHOTO:
Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
People huddle together outside a hospital in Kathmandu. Eyewitnesses said residents were scared and waiting for aftershocks to end.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
People search for survivors stuck under the rubble of a destroyed building in Kathmandu.
PHOTO:
NARENDRA SHRESTHA/EPA/LANDOV
Photos: Powerful earthquake hits Nepal
Injured people receive treatment in Kathmandu. A CNN reporter said medics were focused on treating the most severely injured.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
Emergency rescue workers search for survivors in the debris of Dharahara on April 25.
PHOTO:
Omar Havana/Getty Images
Photos: Powerful earthquake hits Nepal
An injured child lies on the ground outside a hospital in Kathmandu on April 25.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
People help with rescue efforts at the site of a collapsed building in Kathmandu.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
An injured child receives treatment outside Medicare Hospital in Kathmandu on April 25. Residents, after a relentless series of aftershocks, have been remaining outdoors.
PHOTO:
Niranjan Shrestha/AP
Photos: Powerful earthquake hits Nepal
The rubble of collapsed walls fills a street in Lalitpur, on the outskirts of Kathmandu, on April 25.
PHOTO:
Prakash Mathema/AFP/Getty
The U.S. government is providing $1 million in immediate assistance to Nepal, the U.S. Embassy in Nepal said. American disaster response teams are also on their way to Nepal, the Embassy said via Twitter.
“To the people in Nepal and the region affected by this tragedy we send our heartfelt sympathies,” Secretary of State John Kerry said in a statement. “The United States stands with you during this difficult time.
At a hospital in the Nepalese capital, people with broken bones and head injuries were lying outside, with doctors administering CPR to at least one of them. Residents with scrapes and lacerations were turned away for those in need of more urgent care.
The U.S. Geological Survey had at first measured the strength at magnitude 7.5 but later upgraded it. A strong aftershock of magnitude 6.6 was recorded a little more than a half-hour afterward, along with nearly three dozen other aftershocks, the USGS reported.
People experienced quake as ‘severe’ to ‘violent’
The force of the quake was said by people who contacted the USGS to be from “severe” to “violent,” nearly the highest rating on the intensity scale. Tremors were felt as far as New Delhi, more than 200 miles away in neighboring India. An official said they were felt there at magnitude 5.0.
The shaking was rated as “strong” to “severe” on the USGS ShakeMap. CNN sister network CNN-IBN reported that roads in the area were out.
IBN reporter K. Dhiksit looked out his window in Kathmandu and saw the collapsed walls of many buildings. As he watched, an aftershock rattled the street. He heard “big booming sounds,” he said, and saw people fleeing into the streets.
Photos of caved-in and toppled buildings appeared on social media.
India’s Prime Minister Narendra Modi said in a tweet, “We are in the process of finding more information and are working to reach out to those affected, both at home & in Nepal.”
Photos: Your photos from the Nepal earthquake
A massive earthquake centered less than 50 miles from Kathmandu rocked Nepal with devastating force early Saturday. Hundreds have been killed. Americans Rob and Kari Stiles in Kathmandu described the scene as a "war zone."
PHOTO:
Kari and Rob Stiles
Photos: Your photos from the Nepal earthquake
The couple said that people are calm and in the streets and parks, staying away from buildings.
PHOTO:
Kari and Rob Stiles
Photos: Your photos from the Nepal earthquake
Kari Stiles posted to Facebook that they are "camped out in the middle of a street staying away from anything that could crumble down on us."
PHOTO:
Kari and Rob Stiles
Photos: Your photos from the Nepal earthquake
American Jesse Anderson captured residents forming a line to remove debris in searching for survivors about an hour after the earthquake.
PHOTO:
Jesse Anderson
Photos: Your photos from the Nepal earthquake
Anderson, a freelance photographer and travel writer, was in his hotel room when the quake struck.
PHOTO:
Jesse Anderson
Photos: Your photos from the Nepal earthquake
Anderson took the photos on the main road between Thamal and Durbar Squares in Kathmandu.
Photos: Your photos from the Nepal earthquake
Anderson photographed people being treated in makeshift hospitals.
PHOTO:
Jesse Anderson
Photos: Your photos from the Nepal earthquake
David Young was traveling through mountains into the Kathmandu Valley when the quake struck.
PHOTO:
David Young
Photos: Your photos from the Nepal earthquake
Young, an American who lives in Nepal, took images of destruction.
PHOTO:
David Young
Photos: Your photos from the Nepal earthquake
Streets showed signs of substantial cracking and damage.
Photos: Your photos from the Nepal earthquake
Young says people gathered in the street after the quake and repeated aftershocks.
PHOTO:
David Young
Photos: Your photos from the Nepal earthquake
Jonathan Khoo's photo shows downed power lines and people gathering in the street.
PHOTO:
Jonathan Khoo
Photos: Your photos from the Nepal earthquake
Twitter user Binod Ghimire took this image of the collapsed Dharahara Tower -- also known as the Bhimsen Tower -- a Kathmandu landmark dating back to 1832.
PHOTO:
Binod Ghimire
Manesh Shrestha reported from Kathmandu. Ray Sanchez wrote and reported from New York. Don Melvin wrote and reported from London. Ben Brumfield wrote and reported from Atlanta. CNN’s Ralph Ellis, Harmeet Singh, Sumnima Udas and Brian Walker also contributed to this report.
