KATHMANDU, Nepal -- Tens of thousands of Nepalese who spent the night under a chilly sky were jolted awake by strong aftershocks Sunday, and rescuers aided by international teams cleared rubble in search of survivors after a powerful earthquake killed at least 1,865 people across the Himalayan region.
The death toll continued to climb as more reports came in from far-flung areas, with 1,805 in Nepal alone, said Home Ministry official Laxmi Dhakal.
The magnitude 7.8 earthquake, which originated outside the capital, Kathmandu, was the worst tremor to hit the poor South Asian nation in over 80 years. It was strong enough to be felt all across the northern part of neighbouring India, Bangladesh, China's region of Tibet and Pakistan, where a total of 60 people died.
"There were at least three big quakes at night and early morning. How can we feel safe? This is never-ending and everyone is scared and worried," said Sundar Sah. "I hardly got much sleep. I was waking up every few hours and glad that I was alive."
Residents fled homes and buildings in panic. Walls tumbled, trees swayed, power lines came crashing down and large cracks opened up on streets and walls. Clouds of dust began to swirl all around.
Most of the area were without power and water Sunday, but with Kathamandu airport reopened, first aid flights began delivering aid supplies. Workers were sending out tents and relief goods in trucks and helicopters, said disaster management official Rameshwar Dangal.
He said that government and private schools have been turned into shelters.
Within hours of the quake, hospitals had filled up with hundreds of injured people, and by Sunday, their numbers swelled to nearly 5,000. Many survivors were brought to hospitals by friends and relatives in motorized rickshaws, flatbed trucks and cars. Residents used their bare hands, crowbars and other tools to dig through rubble and rescue survivors.
A crane removes debris from the site of a building that collapsed in an earthquake in Kathmandu, Nepal, Saturday, April 25, 2015. (AP / Niranjan Shrestha)
More than two dozen aftershocks jolted the area after the first quake, which struck just before noon Saturday, and continued into Sunday. At the time, Shrish Vaidya, who runs an advertising agency, was in his two-story house outside Kathmandu with his parents.
"It is hard to describe. The house was shaking like crazy. We ran out and it seemed like the road was heaving up and down," Vaidya, 46, told The Associated Press. "I don't remember anything like this before. Even my parents can't remember anything this bad."
An injured child receives treatment outside Medicare Hospital in Kathmandu, Nepal, Saturday, April 25, 2015. (AP / Niranjan Shrestha)
Once the first shaking stopped, Vaidya thought his family could return indoors by evening. But the jolts kept coming, and they felt safer outdoors.
"It's cold and windy so we are all sitting in the car listening to the news on FM radio," he said. "The experts are saying it's still not safe to go back inside. No one can predict how big the next aftershock will be."
So the family ate dinner outside with the headlights of their car providing light. Vaidya was grateful his wife and 10-year-old son were on holiday in the U.S.
In his largely affluent neighbourhood of low-rise, sturdy homes in suburban Kathmandu the damage was relatively light. In other parts of the city where the buildings are older and poorly built people were not as lucky.
Forecasts called for rain and thunder showers Sunday and the temperatures were in the mid-50s (14 Celsius), cold enough to make camping outside uncomfortable.
Thousands of people spent the night at Tudikhel, a vast open ground in the middle of Kathmandu, just next to the old city that is lined with historic buildings and narrow lanes. Now it is in ruins.
This photo provided by Azim Afif shows the scene after an avalanche triggered by a massive earthquake swept across Everest Base Camp, Nepal on Saturday, April 25, 2015. (Azim Afif )
"We hardly slept through the night. It was cold and it rained briefly and it was uncomfortable, but I am glad I brought my family out to the open," said Ratna Singh, a vegetable vendor who was cuddled under a blanket with his wife and son."
"At least I knew my family were safe. Every time the ground shook at night, I thanked god my family were there with me and safe. I don't think I am going to be sleeping inside the house anytime soon. We are all petrified."
People lay on plastic sheets or cardboard boxes, wrapped in blankets. Mothers kept their children warm; some lit fire with whatever wood they could find. Most were eating instant noodles and cookies.
Indian air force planes landed with 43 tons of relief material, including tents and food, and nearly 200 rescuers, India's External Affairs Ministry spokesman Vikas Swarup said. The planes were returning to New Delhi with Indian nationals who were stranded in Kathmandu. More aid flights were planned for Sunday.
Hospitals in the Kathmandu Valley were overcrowded, running out of room for storing dead bodies and running out of emergency supplies, the United Nations said in a statement.
"The reports of the devastation are still coming in and the numbers of people killed, injured and affected by this earthquake continue to rise," U.N. chief Ban Ki-Moon said. "It is clear that very many lives have been lost. There has also been significant damage to Nepal's irreplaceable cultural heritage."
Debris lie at Durbar Square after an earthquake in Kathmandu, Nepal, Saturday, April 25, 2015. (AP / Niranjan Shrestha)
The quake will likely put a huge strain on the resources of this poor country best known for Everest, the highest mountain in the world, and its rich Hindu culture. The economy of Nepal, a nation of 27.8 million people, relies heavily on tourism, principally trekking and Himalayan mountain climbing.
A mountaineering guide, Ang Tshering, said an avalanche after the quake swept base camp where expeditions were preparing to scale Everest, flattening tents and killing at least 10 climbers and guides and leaving an unknown number injured and missing and others cut off. Their nationalities were not immediately known.
Carsten Lillelund Pedersen, a Dane who was climbing the Everest with a Belgian, Jelle Veyt, said on his Facebook page that they were at Khumbu Icefall , a rugged area of collapsed ice and snow close to base camp at 5,000 metres (16,500 feet) when the earthquake hit.
"Right now, it is pretty chaotic and we try to help those injured," Danish climber Carsten Lillelund Pedersen said on his Facebook page.
Norwegian climber Teodor Glomnes Johansen said that people at base camp were working on saving lives.
Volunteers work to remove debris at the historic Dharahara tower, a city landmark, after an earthquake in Kathmandu, Nepal, Saturday, April 25, 2015. (AP / Niranjan Shrestha)
"All those who are unharmed organize help with the rescue efforts. Men, women and Sherpas are working side by side. The job right now is to assist the doctors in the camp here," he told Norway's VG newspaper.
The U.S. Geological Survey put the magnitude of the quake at 7.8. It said the quake hit at 11:56 a.m. local time (0611 GMT) at Lamjung, about 80 kilometres (50 miles) northwest of Kathmandu. Its depth was only 11 kilometres (7 miles), the largest shallow quake since the 8.2 temblor off the coast of Chile on April 1, 2014.
The shallower the quake the more destructive power it carries.
A magnitude 7 quake is capable of widespread and heavy damage while an 8 magnitude quake can cause tremendous damage. This means Saturday's quake - with the same magnitude as the one that hit San Francisco in 1906 - was about 16 times more powerful than the 7.0 quake that devastated Haiti in 2010.
The quake occurred at the boundary between the two pieces, or plates, of Earth's crust, one of which supports India to the south and the other Eurasia to the north. The Indian plate is moving at 45 millimeters (1.7 inches) a year under the Eurasian plate, and this results in earthquakes once every 500 years on an average, said Marin Clark, a geophysicist at University of Michigan, Ann Arbor.
So the quake was "definitely not a surprise," she said. Over millions of years, such quakes have led to the uplift of the Himalayas. Nepal suffered its worst recorded earthquake in 1934, which measured 8.0 and all but destroyed the cities of Kathmandu, Bhaktapur and Patan.
The power of Saturday's tremors brought down several buildings in the centre of the capital, the ancient Old Kathmandu, including centuries-old temples and towers.
Among them was the nine-story Dharahara Tower, one of Kathmandu's landmarks built by Nepal's royal rulers as a watchtower in the 1800s and a UNESCO-recognized historical monument. It was reduced to rubble and there were reports of people trapped underneath.
Hundreds of people buy tickets on weekends to go up to the viewing platform on the eighth story, but it was not clear how many were up there when the tower collapsed. Video footage showed people digging through the rubble of the tower, looking for survivors.
The Kathmandu Valley is listed as a World Heritage site and is a collection of seven locations around Nepal's capital that reflect the country's rich religious history. The Buddhist stupas, public squares and Hindu temples are some of the most well-known sites in Kathmandu, and now some of the most deeply mourned.
The head of the U.N. cultural agency, Irina Bokova, said in a statement that UNESCO was ready to help Nepal rebuild from "extensive damage, including to historic monuments and buildings of the Kathmandu Valley."
Nepali journalist and author Shiwani Neupane tweeted: "The sadness is sinking in. We have lost our temples, our history, the places we grew up."
Naqvi reported from New Delhi. Associated Press writers Munir Ahmed in Islamabad, Jan M. Olsen in Copenhagen and Seth Borenstein in Washington, D.C. contributed to this report.