The 8.1 quake off the southern Pacific coast just before midnight Thursday toppled hundreds of buildings in several states.
Hardest-hit was Juchitan, Oaxaca, where 36 people died and a third of the city's homes collapsed or were uninhabitable, President Enrique Pena Nieto said late yesterday in an interview with the Televisa news network.
In downtown Juchitan, the remains of brick walls and clay tile roofs cluttered streets as families dragged mattresses onto sidewalks to spend a second anxious night sleeping outdoors.
"We are all collapsed, our homes and our people," said Rosa Elba Ortiz Santiago, 43, who sat with her teenage son and more than a dozen neighbors on an assortment of chairs. "We are used to earthquakes, but not of this magnitude."
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Even as she spoke, across the country, Hurricane Katia was roaring onshore north of Tecolutla in Veracruz state, pelting the region with intense rains and maximum sustained winds of 120 kph.
Veracruz Governor Miguel Angel Yunes said two people died in a mudslide related to the storm, and he said some rivers had risen to near flood stage, but there were no reports of major damage.
The Hurricane Center said Katia could still bring 3 to 6 inches (7.5 to 15 centimeters) of additional rain 25 to 37 centimeters) to a region with a history of deadly mudslides and flooding.
Pena Nieto announced yesterday that the earthquake killed 45 people in Oaxaca state, 12 in Chiapas and 4 in Tabasco, and he declared three days of national mourning. The toll included 36 dead in Juchitan, located on the narrow waist of Oaxaca known as the Isthmus, where a hospital and about half the city hall also collapsed into rubble.
So when the ground started moving, at first they simply waited a bit for it to stop until objects began falling and they bolted for the street.
"We felt like the house was coming down on top of us," Martinez said, accompanied by his wife, son and mother-in-law.
Now, he didn't feel safe going back inside until the home is inspected. Right next door, an older building had crumbled into a pile of rough timbers, brick and stucco, while little remained of a white church on the corner.
The city's civil defense coordinator, Jose Antonio Marin Lopez, said similar searches had been going on all over the area.
Teams found bodies in the rubble, but the highlight was pulling four people, including two children, alive from the completely collapsed Hotel Del Rio where one woman died.
"The priority continues to be the people," Marin said.
Pena Nieto said authorities were working to re-establish supplies of water and food and provide medical attention to those who need it. He vowed the government would help rebuild.
Power was cut at least briefly to more than 1.8 million people, and authorities closed schools in at least 11 states to check them for safety.
The Interior Department reported that 428 homes were destroyed and 1,700 were damaged just in Chiapas, the state closest to the epicenter.
"Homes made of clay tiles and wood collapsed," said Nataniel Hernandez, a human rights worker living in Tonala, Chiapas, who worried that inclement weather threatened to bring more structures down.
The earthquake also jolted the Mexican capital, more than 1,000 kilometers away, which largely lies atop a former lakebed whose soil amplifies seismic waves.
Memories are still fresh for many of a catastrophic quake that killed thousands and devastated large parts of the city in 1985.
Mexico City escaped major damage, though part of a bridge on a highway being built to a new international airport collapsed due to the earthquake, local media reported.
The epicenter was in a seismic hotspot in the Pacific where one tectonic plate dives under another. Such subduction zones are responsible for some of the biggest quakes in history, including the 2011 Fukushima disaster and the 2004 Sumatra quake that spawned a deadly tsunami.
In the Gulf coast state of Veracruz, tourists abandoned coastal hotels as winds and rains picked up ahead of Hurricane Katia's landfall and workers set up emergency shelters.