At least 1,100 people have died in the earthquake that struck the Indonesian island of Sumatra on Wednesday, the UN humanitarian chief has said.
John Holmes said many hundreds more had been injured, and both figures were set to rise further.
Rescuers are working into the night to find survivors in the rubble of hundreds of collapsed buildings.
The 7.6-magnitude quake struck close to the city of Padang, the capital of West Sumatra province.
The earthquake brought down hospitals, schools and shopping malls, cut power lines and triggered landslides.
Indonesian President Susilo Bambang Yudhoyono visited some of the worst-hit areas.
"I ask rescue workers to continue working in teams with clear goals to keep looking for survivors...," he said.
"This is a natural disaster, so let us remain strong in dealing with it."
Meanwhile US President Barack Obama, who spent part of his childhood in Indonesia, said he was "deeply moved" by the suffering caused by the quake.
"Indonesia is an extraordinary country who has known extraordinary hardships from natural disasters. I know that the Indonesian people are strong and resilient and have the heart to overcome this challenge," he said.