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The quake had a magnitude of 7.0 and was centered about 10 miles west of the capital, Port-au-Prince, according to the U.S. Geological Survey. It was followed by numerous aftershocks, one with magnitude 5.9, the USGS reported.
"The whole city is in darkness. You have thousands of people sitting in the streets with nowhere to go," said Rachmani Domersant, an operations manager with the Food for the Poor charity.
In the hillside neighborhood of Petionville, Domersant said he saw no police or rescue vehicles.
"People are trying to dig victims out with flashlights," he said. "I think hundreds of casualties would be a serious understatement."
"People are out in the streets, crying, screaming, shouting," Karel Zelenka, director of the Catholic Relief Services office in Haiti, told The Washington Post. "This will be a major, major disaster."
Reuters video showed numerous bodies beneath collapsed walls and the presidential palace lying in ruins. President René Garcia Préval was reported to be safe.
Numerous other public buildings were destroyed, including the parliament building, the Finance Ministry, the Public Works Ministry, the Palace of Justice and Cathédrale Notre-Dame de Port-au-Prince, the national cathedral, Haiti TV reported.
The main United Nations building in Port-au-Prince collapsed and a number of personnel were unaccounted for, said U.N. peacekeeping chief Alain Le Roy. He said other U.N. installations also were seriously damaged. The U.N. has a 9,000-member peacekeeping force in Haiti, following a 2004 rebellion.
The executive director of Haitian Ministries for the Diocese of Norwich, Conn., Emily Smack, said she believed two of the organization's staff, both Americans, were trapped in their partially collapsed mission house.
The earthquake also destroyed much of the Port-au-Prince air traffic control tower, and flights were being rerouted by other Haitian air traffic facilities.
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