Desperate parents and rescue workers pulled through rubble in a floodlit search on Wednesday for dozens of young children feared buried under a Mexico City school destroyed by the country's most lethal earthquake in a generation.
The magnitude 7.1 shock killed at least 216 people, nearly half of them in the capital, 32 years to the day after a devastating 1985 quake and less than two weeks after a powerful tremor killed nearly 100 people in the south of the country.
Victor Martinez, emergency communications manager for Christian agency World Vision, based in Mexico City, said: 'Right now reports say at least 44 buildings have collapsed in several areas of Mexico City.
'World Vision has organised and is supervising volunteers to provide support, to establish shelters and mobilise tools to continue rescue efforts. Night has fallen in Mexico City so those efforts to keep searching for people around collapsed buildings are still going, but it is complicated right now.
'So far the government has reported than over 140 people have died, but it is suspected that this will climb over the next few hours.'
He paid tribute to volunteers responding in the wake of the tragedy, saying: 'Once again, the people of Mexico City have shown their solidarity. They went out to the streets and started helping and supporting rescue teams. That's absolutely amazing, that civilians are responding and trying to do their best.'
Martinez said World Vision was trying to provide food and hygiene kits to meet basic needs and would probably open child-friendly spaces tomorrow where specialists would provide emotional support and activities for children.
At the Enrique Rebsamen school destroyed by the earthquake, soldiers and firefighters found 22 dead children and two adults, while another 30 children and 12 adults were missing, President Enrique Pena Nieto said.
There were chaotic scenes at the school as parents clung to hope their children had survived.
'They keep pulling kids out, but we know nothing of my daughter,' said 32-year-old Adriana D'Fargo, her eyes red after hours waiting for news of her seven-year-old.
Three survivors were found at around midnight.
'Relatives of Fatima Navarro,' one soldier shouted through cupped hands at the school the Coapa district in the south of the city. 'Fatima is alive!'
The earthquake toppled dozens of buildings, broke gas mains and sparked fires across the city and other towns in central Mexico. Falling rubble and billboards crushed cars.
Parts of colonial-era churches crumbled in the state of Puebla, to the south of the capital, where the US Geological Survey (USGS) located the quake's epicentre.
As the earth shook, Mexico's Popocatepetl volcano, visible from the capital on a clear day, had a small eruption. On its slopes, a church in Atzitzihuacan collapsed during mass, killing 15 people, Puebla Governor Jose Antonio Gali said.
US President Donald Trump mentioned the earthquake in a tweet, saying: 'God bless the people of Mexico City. We are with you and will be there for you.'
After nightfall in Mexico City, a metropolitan region of some 20 million, people prepared to sleep in the streets while authorities and volunteers set up tented collection centres to distribute food and water.
Volunteers, soldiers and firefighters formed human chains and dug with hammers and picks to find dust-covered survivors and dead bodies in the remains of apartment buildings, schools and a factory.
With power out in much of the city, the work was carried out in the dark or with flashlights and generators. Rescue workers requested silence as they listened for signs of life.
Emergency personnel and equipment were being deployed across affected areas so that 'throughout the night we can continue aiding the population and eventually find people beneath the rubble', Peña Nieto said in a video posted on Facebook earlier on Tuesday evening.
In Obrera, central Mexico City, people applauded when rescuers managed to retrieve four people alive, with cheers of 'si se puede' – 'yes we can' – ringing out.
Volunteers continued arriving throughout the night, following calls from the civil protection agency, the Red Cross and firefighters.
The quake had killed 86 people in the capital by early Wednesday morning, according to Civil Protection chief Luis Felipe Puente – fewer than he had previously estimated. In Morelos State, just to the south, 71 people were killed, with 43 in Puebla.
Another 16 people were reported killed in the states of Mexico, Guerrero and Oaxaca.
As many as 4.6 million homes, businesses and other facilities had lost electricity, according to national power company Comisión Federal de Electricidad, including 40 per cent of homes in Mexico City.
Moises Amador Mejia, a 44-year-old employee of the civil protection agency, was working late into the night to rescue people trapped in a collapsed building in Mexico City's bohemian Condesa neighbourhood.
'The idea is to stay here until we find who is inside. Day and night.'
Additional reporting by Reuters.