Nepal was hit Tuesday morning by another major earthquake, this time measuring 7.3 on the Richter magnitude scale. The epicenter was located 76 km east of the capital Kathmandu, according to the U.S. Geological Survey.

Nepalese home ministry officials said at least 65 people were killed in the quake across three countries, CNN reports, including at least 17 in India. Another was killed in Tibet, and the Nepal Home Ministry said the total injury toll across the region is now 1,926.

The quake, which was centered near Mt Everest, was strong enough to topple yet more buildings and cause further landslides in Nepal, as well as in northern India. The impact was felt as far away as New Delhi. Areas to the northeast of Kathmandu were said to be worst hit by the strong temblor, with 31 of the country’s 75 districts affected.

The country is still recovering from a devastating quake on April 25 that claimed over 8,000 lives.

Read next: How Photographers Are Using Instagram to Help Nepal

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