Emergency workers look for survivors in the rubble of a damaged building in the coastal city of Durres after an earthquake hit Albania on Nov. 26. GENT SHKULLAKU/AFP/Getty Images

At least 21 people are confirmed dead in Tuesday’s earthquake in Albania, according to the Albanian prime minister’s spokesperson Endri Fuga.

About 45 people have been rescued from the rubble. Fuga said search and rescue teams will continue working throughout the night in the affected areas.

Thirty people are currently being treated in hospitals and more than 650 received medical attention.

This is the strongest earthquake to hit Albania in 40 years.