Desperate survivors living at ground zero of Nepal's earthquake today complained they felt abandoned to their fate after losing their loved ones and livelihoods in a disaster that has claimed more than 6,300 lives.
While the joyous rescue of two survivors reinvigorated the search for further signs of life in the ruins of Kathmandu, the Red Cross warned of "total devastation" in far-flung areas of the poor Himalayan nation.
Six days on from the 7.8-magnitude quake, authorities put the number of dead in Nepal at 6,204 while around 100 more were killed in neighbouring India and China.
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But the full extent of the destruction wrought by Nepal's deadliest earthquake in more than 80 years was still emerging as relief workers struggled to reach mountainous districts.
The destruction appeared particularly dire in the Sindhupalchowk region, northeast of Kathmandu, where the sense of desperation was mounting.
"One of our teams that returned from Chautara in Sindhupalchowk district reported that 90 per cent of the homes are destroyed," said Jagan Chapagain, Asia head of the International Federation of Red Cross and Red Crescent Societies.
"The hospital has collapsed, and people are digging through the rubble with their hands in the hope that they might find family members who are still alive."
AFP journalists in another part of Sindhupalchowk saw utter devastation.
"Almost every house in my village is destroyed, and 20 people died. We lost our cattle and our sheep," said Kumar Ghorasainee, amid the ruins of his hometown of Melamchi.
The 33-year-old English teacher said the school had collapsed and there was nowhere for the children to go.
"No one has come to help us -- the cars and the aid trucks just drive by ... How will we manage now?"
In Melamchi, shops and restaurants were closed and streets were mainly deserted.
In nearby rice-farming communities, almost all the houses had been so severely damaged that they were no longer habitable, and locals were sleeping in makeshift tents.
Although international relief organisers say the operation to reach rural areas is intensifying, people in Melamchi had received nothing.
"We see the helicopters, we see the planes, but no one stops here," 23-year-old farmer Shalik Ram Ghorasainee.
"We read the news about foreign aid ... And we are hopeful. But in reality no one comes here, we are completely unknown," he added.
Ghorasainee described how one Japanese aid team driving past his village had spotted a local man collapsed by the side of the road. They stopped to give him two painkillers, and then drove on, he said.
Rescuers from more than 20 countries have been searching for survivors, working alongside Nepalese emergency teams.
French, Norwegian and Israeli rescuers took part in a successful operation to extract a woman late yesterday from the ruins of a building in Kathmandu, close to where a 15-year-old had been earlier pulled to safety.