KABUL/PESHAWAR: In Pakistan, at least 228 people are confirmed dead in the aftermath of a massive 7.5 magnitude earthquake which hit northern Afghanistan and Pakistan on Monday.

The National Disaster Management Authority (NDMA) says at least 1,620 are injured across Pakistan.

Rescuers on Tuesday rushed to deliver relief aid to victims of the quake, which killed at least 291 people in the Pak-Afghan region over a wide swathe of mountainous terrain.

“Many houses and buildings have collapsed in the city,” said Peshawar mayor Arbab Muhammad Asim.

Many people were trapped under piles of rubble, with officials warning that the toll was set to rise.

“The building was swinging like a pendulum, it felt as if the heavens would fall,” Peshawar shop owner Tufail Ahmed told AFP.