The death toll inside Iran from Sunday night’s earthquake on the Iran-Iraq border has risen to at least 445, with almost 7,200 people injured.

The large majority of the casualties were in Kermanshah Province in western Iran. On the Iraqi Kurdistan side, officials said at least seven people were killed and more than 540 others injured.

The 7.3-magnitude quake, at 9:48 p.m. local time, was centered 32 km (20 miles) southwest of the city of Halabja in northeastern Iraq. Tremors were felt from Turkey to Kuwait.

In Kermanshah, residents have set up makeshift camps. Officials are asking for blood donations, and there is urgent need of blankets, food, water, and infant formula. Power and phone service was cut for several hours after the quake, and water supplies have reportedly been contaminated in some areas.

The town of Sarpol-e Zahab, about 15 km from the Iraq border, was among the hardest-hit, with dozens of people killed. A local man said rescue efforts were struggling, with soldiers “completely empty-handed”: “They don’t even have masks and gloves, so it’s useless.”

The Iranian border town of Ghasre Shirin was also heavily damaged.

Video from the town of Sarpol-e Zahab:

President Hassan Rouhani and the Supreme Leader immediately called for emergency efforts, and Rouhani will visit the area on Tuesday.

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