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The head of the Irani Kermanshah’s emergency department said at least 93 people were killed in Iran and 1,000 others injured.

Meanwhile in Iraq at least 6 people are dead and more than 500 injured, according to the Joint Crisis Coordination Centre of the Kurdish government.

Some social media users in Israel, Turkey and the United Arab Emirates (UAE) have also reported feeling tremors.

According to the US Geological Survey, up to 70.4million people would have felt Sunday’s earthquake, including 239,000 who may have experience “very strong” to “severe” shaking.

More than 97 of the victims are reportedly from the town of Sarpol-e Zahab in Kermanshah, about 15 km (10 miles) from the Iraq border.

Sarpol-e Zahab's main hospital was severely damaged and has been struggling to treat the hundreds of injured people seeking medical treatment, state television reported.

Many houses in rural parts of the Kermanshah province are made of mud bricks and are known to crumble easily in quake-prone Iran.

Iranian interior minister Abdolreza Rahmani Fazli said: "The night has made it difficult for helicopters to fly to the affected areas and some roads are also cut off… we are worried about remote villages.”