At least 332 people were killed in Iran and Iraq on Sunday (November 13) when a powerful magnitude 7.3 quake hit the region, state media in the two countries said, as rescuers stepped up efforts overnight to find dozens trapped under rubble.
Rescuers have dug with their bare hands through the debris of buildings brought down by a powerful natural disaster that has killed more than 400 people in the once-contested mountainous border region between Iraq and Iran. Kermanshah is a rural, mountainous region where residents rely mainly on farming.
Seven deaths occurred in Iraq and 535 people were injured, all in the country's northern, semiautonomous Kurdish region, according to its interior ministry.
The 7.3 magnitude quake was centred about 19 miles outside the eastern Iraqi city of Halabja at about 6.20pm United Kingdom time on Sunday.
"Now [the] quake hit them and they lost everything again", Rahimi said.
Newly constructed government housing in the region, which was devastated by Iran's 1980s war with Iraq, collapsed. More than 100 aftershocks followed.
A damaged building is seen following an quake in Sarpol-e Zahab county in Kermanshah, Iran.
Kokab Fard, a 49-year-old housewife in Sarpol-e-Zahab, said she fled empty-handed when her apartment complex collapsed. "It was dark and terrifying and I don't know how we managed to get out of building", she said. "I have no access to my belongings".
Reza Mohammadi, 51, said he and his family ran into an alley following the first shock.
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But along the road from Sarpol-e Zahab to Quik Hasan, a distance of about 10 miles, there were few aid convoys - a sign that significant assistance still had not reached the most remote villages.
Iran's top authority, Supreme Leader Ayatollah Ali Khamenei, offered his condolences on Monday and called on government agencies to do all they could to help.
The ease with which some state-built homes collapsed in Sunday's quake in western Iran showed corrupt practices when they were constructed, Iranian President Hassan Rouhani said on Wednesday in a sentiment shared by many ordinary Iranians.
A flattened vehicle underneath building rubble is seen following a 7.3-magnitude quake at Sarpol-e Zahab in Iran's Kermanshah province.
A local man told Isna news agency that "people are hungry and thirsty".
"People do not dare to go back home, so they have camped around the city and they are sleeping in the tents", he said. "We need blankets and tents". "I screamed to God and it must have been him to stop the stairs from entirely collapsing on us". More than 30 people were injured in the town, according to Kurdish Health Minister Rekawt Hama Rasheed.
Turkey has dispatched a total of 70 trucks of humanitarian supplies to quake-hit regions in northern Iraq, the head of a Turkish aid agency said on November 15.
The Turkish Red Crescent was the first worldwide aid agency to arrive in the quake-hit parts of northern Iraq.
He added that more trucks were on their way from Turkey to Iraq.