(UPDATE) NURGAL, Afghanistan — The death toll from the powerful earthquake that struck eastern Afghanistan over the weekend rose sharply on Thursday to more than 2,200, updated figures show, making it the deadliest to hit the South Asian country in decades.

The vast majority of those killed in the 6.0-magnitude earthquake that jolted the mountainous region bordering Pakistan on Sunday night were in Kunar province, where 2,205 people died and 3,640 were injured, with a dozen deaths and hundreds of injuries in neighboring Nangarhar and Laghman provinces.

Access to the hardest hit areas was stymied by already poor roads blocked by landslides and rockfall that continued as the area was convulsed by strong aftershocks.

On Thursday night, a shallow 5.6-magnitude earthquake hit near the epicenter of Sunday’s temblor near the city of Jalalabad in Nangarhar, shaking buildings as far away as the capital Kabul and the Pakistani capital Islamabad.

It was the seventh strong aftershock recorded by the United States Geological Survey, plunging survivors repeatedly into fear.

“A rolling wave of aftershocks in eastern Afghanistan is terrifying children who have lost families and homes in the country’s deadliest earthquake in nearly 30 years,” said nongovernmental organization Save the Children.

In the past 24 hours, the death toll rose by more than 700, the Taliban authorities say, and the figure could continue to rise as rescuers search for bodies in the rubble.

“Hundreds of bodies have been recovered from destroyed houses during search and rescue operations,” deputy government spokesman Hamdullah Fitrat said, adding that “rescue efforts are still ongoing.”

The earthquake destroyed more than 6,700 homes in Kunar alone, where survivors were living under the elements, barely any aid having reached them.

“We urgently need tents, water, food and medicine,” Zahir Khan Safi, 48, told Agence France-Presse (AFP) from the corn field where his family and hundreds of others were squeezing under meager pieces of tarp pulled from the rubble and unsure of where they would get a morsel to eat.

“Yesterday, some people brought some food, everyone flooded on them, people are starving, we haven’t had anything to eat for a long time,” he said. “There was a fight over food.”

Various countries have flown in aid, and on Thursday China pledged around million of emergency relief, such as tents, blankets and food.

Afghan quake death toll surges to over 2,200

‘Under immense strain’, This news data comes from:http://blt-gfyt-br-nkh.jyxingfa.com

But poor infrastructure in the impoverished country, still fragile from four decades of war, has hampered the emergency response.

“The only way to get aid into villages still cut off by landslides is by carrying it, a journey that can often take hours navigating rock falls” along “narrow, dirt tracks cut into the side of mountains,” Save the Children said.

The World Health Organization warned that local health care services were “under immense strain,” with shortages of trauma supplies, medicines and staff.

The agency has appealed for million to deliver lifesaving health interventions and expand mobile health services and supply distribution.

The loss of US foreign aid to the country in January has strained aid groups already facing dwindling funding to Afghanistan, even as the country is mired in one of the world’s worst humanitarian crises.

Filippo Grandi, head of the United Nations’ refugee agency, said the quake had “affected more than 500,000 people” in eastern Afghanistan.

After decades of conflict, the country is contending with endemic poverty, severe drought and the influx of millions of Afghans forced back to the country by neighbors Pakistan and Iran since the Taliban retook power in August 2021.