At least 3,326 people are now known to have died in a massive earthquake which hit Nepal on Saturday, say officials.

More than 6,500 people have been injured, according to the National Emergency Operation Centre.

Dozens of people are also reported to have been killed in neighbouring China and India.

Thousands have spent a second night outside after the 7.8-magnitude quake, which also triggered deadly avalanches around Mount Everest.

Vast tent cities have sprung up for those displaced by the earthquake.

Many residents of the capital, Kathmandu, who lost their homes as a result of the tremor spent a second night outside on Sunday.

They are afraid to return to their homes – especially after strong aftershocks hit the region on Sunday.

The quake triggered avalanches on Mount Everest, killing at least 17 people.

Tent cities are springing up in Kathmandu

Tent cities are springing up in Kathmandu

Cremations of the dead took place across Nepal on Sunday

Cremations of the dead took place across Nepal on Sunday

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Efforts to dig victims out from under the rubble of collapsed buildings in Kathmandu continued throughout Sunday night.

Rescue missions and aid have started arriving to help cope with the aftermath of the worst earthquake to hit Nepal for more than 80 years.

A team of Indian rescue personnel look for survivors in a Kathmandu building - such searches are still continuing but winding down

A team of Indian rescue personnel look for survivors in a Kathmandu building – such searches are still continuing but winding down

The situation is still unclear in remote areas which remain cut off or hard to access, but initial reports suggest that many communities – especially those close to mountainsides – suffered significant quake damage.

Local people have been using basic tools to dig through rubble in badly hit towns like Bhaktapur

Local people have been using basic tools to dig through rubble in badly hit towns like Bhaktapur

Landslides have prevented rescue teams from reaching rural communities in the area where the quake was centred, chief Gorkha region district official Prakash Subedi said.

“Villages like this are routinely affected by landslides, and it’s not uncommon for entire villages of 200, 300, up to 1,000 people to be completely buried by rock falls,” World Vision spokesman Matt Darvas said. “It will likely be helicopter access only.”

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The 7.8-magnitude quake struck an area of central Nepal between Kathmandu and the city of Pokhara early on Saturday.

Renewed panic

A powerful aftershock was felt on Sunday in Nepal, India and Bangladesh, and more avalanches were reported near Everest.

The 6.7-magnitude tremor, centred 60km (40 miles) east of Kathmandu, sent people running in panic for open ground in the city.

Kathmandu's hospitals are said to be struggling to cope

Kathmandu’s hospitals are said to be struggling to cope

It brought down some houses that had been damaged in the initial quake.

People sleeping in the open were using any available open spaces, including school playgrounds and courtyards, and even traffic islands.

At hospitals rattled by the aftershocks, staff moved sick and injured patients outside on Sunday afternoon.

Both private and government hospitals have run out of space and are treating patients outside, officials say.

Several landmarks were badly damaged by the quake

Several landmarks were badly damaged by the quake

Helicopters have ferried injured people from Everest Base Camp

Helicopters have ferried injured people from Everest Base Camp

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They say that Nepal is in crisis and we will require tremendous support and aid, and that the focus is now on a relief operation rather than a rescue mission – although digging for survivors is still continuing.

Offers of help have come in from around the world. Some foreign teams have already arrived and are helping with search and rescue efforts – braving aftershocks at Kathmandu airport that forced some aircraft to circle around it before landing.

As aid and aid workers arrived, thousands of Indians queued in the hope of getting a seat on a plane to Delhi.

The UN children’s agency says nearly one million children in Nepal urgently need humanitarian assistance as they were particularly vulnerable.

The country is running out of water and food, and there are frequent power cuts, the UN says.

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Heavy rain earlier on Saturday further worsened conditions with UN officials expressing concern that thunderstorms that could harm people staying outdoors and lead to a shortage of vaccines against disease including diarrhoea and measles.

Offers Of Aid

US: Disaster response team and an initial $1m (£0.7m), according to aid agency USAid

China: Rescue team reported to have arrived in Nepal

India: Several aircraft, carrying medical supplies and a mobile hospital, and a 40-strong disaster response team, including rescuers with dogs

UK: Eight-strong humanitarian team, £5m in aid

Pakistan: Four C-130 aircraft carrying a 30-bed field hospital, and army doctors and specialists; urban search-and-rescue teams equipped with radars and sniffer dogs; food items, including 2,000 meals, 200 tents and 600 blankets

Norway: $3.9m (£2.5m) in humanitarian assistance

Pledges from Germany, Spain, France, Israel and the EU

 

‘Rubble and landslides’

Nepalese officials have warned that the number of casualties could rise as rescue teams reach remote mountainous areas of western Nepal.

A man evacuated by helicopter to Pokhara, 200 km from Kathmandu, said almost every home in his village of more than 1,000 houses had been destroyed, charity worker Matt Darvas of World Vision told the BBC.

In Dhading district, 80km west of Kathmandu, people were camped in the open, the hospital was overflowing, the power was off and shops were closed, Reuters news agency reported.

Foreign climbers and their Nepalese guides around Mt Everest were caught by the tremors and a huge avalanche that buried part of the base camp in snow.

Many people are still missing on the mountain as several tents were buried by the snow or blown away.

Separately rescue workers have told the BBC that climbers stranded on Everest have been unable to get down because climbing ropes and ladders have been swept away by a series of avalanches.

Tourism Minister Deepak Chanda Amatya told the BBC that more than 50 climbers had been rescued.

There are 14 international medical teams on the way to Nepal, the UN says, and up to 15 international search-and-rescue teams on the way, the UN says, which will if necessary use military aircraft or the overland route from India to get into Nepal.

 

This feature originally appeared in BBC.



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