A strong magnitude -7.7 earthquake has hit central Myanmar.
The epicentre was located 16km (10 miles) north-west of the city of Sagaing at a depth of 10km.
Strong tremors extended into Thailand and Yunnan in south-west China.
As casualties received medical care in the compound, the emergency department entrance of a hospital in Nay Pyi Taw was damaged. Myanmar's military chief Min Aung Hlaing surveyed the damage and visited survivors as they gathered in the grounds.
Myanmar Earthquake LIVE Updates: A powerful earthquake rattled Myanmar and neighbouring Thailand, trapping dozens of workers in a collapsed under-construction skyscraper in Bangkok where a state of emergency was declared.
The 7.7-magnitude tremor hit northwest of the city of Sagaing at a shallow depth, the United States Geological Survey said. A 6.4-magnitude aftershock hit the same area minutes later.
Police and medical personnel reported that a 30-story building under construction in the capital of Thailand collapsed, trapping 43 workers. The massive building intended for government offices was reduced to a tangle of rubble and twisted metal in seconds, footage shared on social media showed.
A huge 7.7 magnitude earthquake has hit central Myanmar, according to the United States Geological Survey (USGS).
The epicentre was 16km (10 miles) north-west of the city of Sagaing, at a depth of 10km, sending strong tremors that were felt as far as south-west China and Thailand.
At least 81 construction workers are missing after an unfinished high-rise building collapsed hundreds of miles away in Bangkok, according to Thailand's deputy prime minister.
The BBC was informed by a rescue worker in Mandalay, Myanmar's second-largest city, that the damage is "enormous" and that "at least in the hundreds" of people have been killed. There have been reports of roads buckling in the capital of Naypyidaw, and the country's military government has declared a state of emergency in six regions.
The earthquake struck near Mandalay, which has a population of about 1.5 million people.
A second quake struck 12 minutes after the first, according to the USGS, with a magnitude of 6.4 and its epicentre was 18km (11.1 miles) south of Sagaing.
Soe Lwin, in Myanmar's largest city, Yangon, said he felt the first earthquake for a "long time" and added that residents are worried about the potential for more aftershocks.
Live: Follow the latest on the Myanmar earthquake
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Photos of collapsed roadways and damaged buildings Bui Thu, a BBC journalist who lives in Bangkok, told the BBC World Service's Newsday programme that she was at home cooking when the initial quake happened.
"I was very nervous, I was very panicked," she said.
"Buildings in Bangkok are not engineered for earthquakes, so I think that's why I think there's going to be big damage."
Myanmar has been in political turmoil since a military junta seized power in a 2021 coup.
The state controls almost all local radio, television, print and online media, and Internet use is restricted in the country, which often makes access to information difficult.
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