A fresh 7.3 earthquake rattled Nepal and northern India on Tuesday, killing over 42 people and injuring more than 1,000 in the region as many buildings already weakened by last month's massive temblor were sent tumbling to the ground.
Nepal's Home Ministry has raised the death toll from the latest quake to at least 42, while saying another 1,117 people had been injured.
Five died in Sindhupalchowk, the district to the east of Kathmandu that reported the most deaths in the April 25 shaker, district administrator Krishna Gwayali said. He said the deaths were on a highway towards Tibet.
Six more were killed in Dolakha district close to the epicentre, an eyewitness said, adding that rescuers were trying to reach three people trapped in a house. In the capital three people died, a police official told Reuters.
In neighbouring India, at least five people were killed when buildings collapsed. One man was killed by falling rocks in Chinese Tibet.
Israel's Foreign Ministry said that as of noontime Tuesday there were no reports of Israelis hurt in the quake. The ministry said it was currently assessing the situation in Nepal and is in contact with authorities in Nepal. It was also considering options regarding four premature babies born to surrogate mothers in Nepal for Israeli couples, who were evacuated from a Kathmandu hospital following the quake. The Israeli ambassador to Nepal is in touch with the Israeli couples.
Separately, a district official said 12 people had been injured in Sindhupalchowk, which suffered the heaviest death toll in last month's quake. The new temblor also triggered at least three big landslides in the district.
"The latest earthquake has left us shaken. I am still trembling," said the official, Diwakar Koirala
The magnitude 7.3 quake, it was felt as far apart as New Delhi and Dhaka, the capital of Bangladesh. The quake was followed by at least half a dozen aftershocks, including one 6.3 magnitude quake.
The quake comes after an earthquake on April 25 killed more than 8,150 people and injured more than 17,860 as it flattened mountain villages and destroyed buildings.
Tuesday's quake was deeper, however, coming from a depth of 18.5 kilometers (11.5 miles) versus the April 25th quake that hit 15 kilometers (9.3 miles). More shallow earthquakes tend to cause more damage at the surface.
"The shaking seemed to go on and on," said Rose Foley, a UNICEF official based in Kathmandu. "It felt like being on a boat in rough seas."
Aid agencies were still struggling Tuesday afternoon to get reports from outside of the capital.
"We're thinking about children across the country, and who are already suffering. This could make them even more vulnerable," Foley said.
In the capital of Kathmandu, the quake sent people rushing outside of their homes. Police gave no immediate estimates of damage.
Tweets by @OCHAAsiaPac Norway's Red Cross, which was helping people from the April 25 earthquake at a 60-bed hospital in Chautara in central Nepal, said on Twitter in Norwegian that there were "many injured, several killed" and added that their hospital tents already has gotten patients.
At the Norvic Hospital in Kathmandu, patients and doctors rushed to the parking lot.
"I thought I was going to die this time," said Sulav Singh, who rushed with his daughter into the street in the suburban neighborhood of Thapathali. "Things were just getting back to normal, and we get this one."
Strong shaking was also felt across northern India. In the Indian capital of New Delhi, people scrambled outdoors while buildings swayed.
Nepalese have been terrified by dozens of aftershocks that hit the country in the days following the April 25 quake. Meanwhile, the impoverished country has appealed for billions of dollars in aid from foreign nations, as well as medical experts to treat the wounded and helicopters to ferry food and temporary shelters to hundreds of thousands left homeless amid unseasonal rains and unreachable with landslides blocking many mountain roads.