DALBADI, Pakistan (AP) — Survivors built makeshift shelters with sticks and bedsheets after their mud houses were flattened in an earthquake that killed 348 people in southwestern Pakistan and pushed a new island up out of the Arabian Sea.
While waiting for help to reach remote villages, hungry people dug through the rubble to find food. And the country's poorest province struggled with a dearth of medical supplies, hospitals and other aid.
Tuesday's quake flattened wide swathes of Awaran district, where it was centered, leaving much of the population homeless.
Almost all of the 300 mud-brick homes in the village of Dalbadi were destroyed. Noor Ahmad said he was working when the quake struck and rushed home to find his house leveled and his wife and son dead.
"I'm broken," he said. "I have lost my family."
The spokesman for the Baluchistan provincial government, Jan Mohammad Bulaidi, said Thursday that the death toll had climbed to 348 and that another 552 people had been injured.
Doctors in the village treated some of the injured, but due to a scarcity of medicine and staff, they were mostly seen comforting residents.
The remoteness of the area and the lack of infrastructure hampered relief efforts. Awaran district is one of the poorest in the country's most impoverished province.
Just getting to victims was challenging in a region with almost no roads where many people use four-wheel-drive vehicles and camels to traverse the rough terrain.
"We need more tents, more medicine and more food," said Bulaidi.
Associated Press images from the village of Kaich showed the devastation. Houses made mostly of mud and handmade bricks had collapsed. Walls and roofs caved in, and people's possessions were scattered on the ground. A few goats roamed through the ruins.
The Pakistani military said it had rushed almost 1,000 troops to the area overnight and was sending helicopters as well. A convoy of 60 Pakistani army trucks left the port city of Karachi early Wednesday with supplies.
Pakistani forces have evacuated more than 170 people from various villages around Awaran to the district hospital, the military said. Others were evacuated to Karachi.
One survivor interviewed in his Karachi hospital bed said he was sleeping when the quake struck.
"I don't know who brought me from Awaran to here in Karachi, but I feel back pain and severe pain in my whole body," he said.
Jan said he didn't know what happened to the man's family. He was trying to contact relatives.
Local officials said they were sending doctors, food and 1,000 tents for people who had nowhere to sleep. The efforts were complicated by strong aftershocks.
Baluchistan is Pakistan's largest province but also the least populated. Medical facilities are few and often poorly stocked with supplies and qualified personnel. Awaran district has about 300,000 residents spread out over 29,000 square kilometers (11,197 square miles).
The local economy consists mostly of smuggling fuel from Iran or harvesting dates.
The area where the quake struck is at the center of an insurgency that Baluch separatists have been waging against the Pakistani government for years. The separatists regularly attack Pakistani troops and symbols of the state, such as infrastructure projects.
It's also prone to earthquakes. A magnitude 7.8 quake centered just across the border in Iran killed at least 35 people in Pakistan last April.
Tuesday's shaking was so violent it drove up mud and earth from the seafloor to create an island off the Pakistani coast.
A Pakistani Navy team reached the island by midday Wednesday. Navy geologist Mohammed Danish told the country's Geo Television that the mass was a little wider than a tennis court and slightly shorter than a football field.
The director of the National Seismic Monitoring Center confirmed that the mass was created by the quake and said scientists were trying to determine how it happened. Zahid Rafi said such masses are sometimes created by the movement of gases locked in the earth that push mud to the surface.
"That big shock beneath the earth causes a lot of disturbance," he said.
He said these types of islands can remain for a long time or eventually subside back into the ocean, depending on their makeup.
He warned residents not to visit the island because it was emitting dangerous gases.
But dozens of people went anyway, including the deputy commissioner of Gwadar district, Tufail Baloch.
Water bubbled along the edges of the island. The land was stable but the air smelled of gas that caught fire when people lit cigarettes, Baloch said.
Dead fish floated on the water's surface while residents visited the island and took stones as souvenirs, he added.
Similar land masses appeared off Pakistan's coast following quakes in 1999 and 2010, said Muhammed Arshad, a hydrographer with the navy. They eventually disappeared into the sea during the rainy season.
Santana reported from Islamabad. Associated Press writers Abdul Sattar in Quetta, Asif Shahzad in Islamabad and Adil Jawad in Karachi contributed to this report.
SPRINGFIELD, Ill. (AP) - A year after Illinois was sued and reached a settlement over inadequate conditions in its juvenile detention centers, two separate reports are detailing a number of conditions that the authors say must change.
The first report, submitted in federal court as part of the settlement, describes incarcerated teens mowing lawns during the school day, being improperly medicated and being routinely subjected to more solitary confinement than necessary.
Watchdog group the John Howard Association is releasing a separate review Thursday on conditions at a Kewanee facility specializing in treatment for juveniles with mental health issues.
Juvenile detention centers house more than 800 inmates between the ages of 13 and 20.
The Illinois Department of Juvenile Justice says it is addressing the problems.
ST. LOUIS (AP) -- Rookie Shelby Miller won his 15th game, and Yadier Molina had the go-ahead hit for the St. Louis Cardinals, who wrapped up a three-game sweep of the Washington Nationals and moved another step closer to the NL Central title with a 4-1 victory on Wednesday.
Jordan Zimmermann (19-9) missed his only shot at 20 wins, allowing four runs in seven innings. The Nationals had five hits one day after breaking up rookie Michael Wacha's bid for a no-hitter in the ninth inning.
Matt Adams hit his eighth home run since replacing injured Allen Craig and doubled for the Cardinals, who led the Pirates by 2 1/2 games with three games to go. The Reds lost 1-0 to the Mets on Wednesday and were eliminated from the divisional race.
The Cardinals (94-65) are a season-high 29 games above .500 and have a day off before 14-game winner Lance Lynn faces the Cubs on Friday night to open the final series.
Miller (15-9) was wild high early and walked two of the first three hitters to set up Bryce Harper's RBI single. The Nationals had no other runners in scoring position against the 22-year-old Miller, who allowed a run in six-plus innings and beat them for the second time this season.
Rookie Trevor Rosenthal saved all three games and struck out Adam LaRoche to cap a perfect ninth.
Zimmermann had won his previous four appearances and had been coming off a two-hit shutout of Miami. But he is 0-3 with a 8.27 ERA in six career starts against St. Louis, and lost Game 2 of the NL division series last fall.
Daniel Descalso doubled leading off the third and scored on Matt Carpenter's groundout to tie it. Zimmermann hit Matt Holliday to open the fourth, and Adams doubled ahead of Molina's two-run single that made it 3-1.
Adams hit his 17th homer on a 1-2 pitch in the sixth.
The Cardinals were 15-2 against the NL East and swept Miami and Philadelphia.
NOTES: Zimmermann has 43 career wins, one shy of the Nationals' franchise record held by Livan Hernandez. ... Miller leads all rookies with 15 wins, also the most by a Cardinals rookie since Dick Hughes won 16 in 1967. ... Lynn (14-10, 4.09) faces Travis Wood (9-11, 2.98) on Friday. Stephen Strasburg (7-9, 3.02) gets his final start on Friday at Arizona against Patrick Corbin (14-7, 3.28).