The death toll in the devastating earthquake that has rocked Nepal climbed to over 4,350 on Tuesday, April 28 with more than 8,000 others injured, as Prime Minister Sushil Koirala admitted that the rescue and relief operations have not been effective. The death toll in Nepal's earthquake could reach 10,000, PM Koirala told Reuters on Tuesday, ordering intensified rescue efforts and appealing for foreign supplies of tents and medicines. "The government is doing all it can for rescue and relief on a war footing," Koirala said in an interview. "It is a challenge and a very difficult hour for Nepal."

Up to eight million people have had their lives disrupted after a deadly earthquake shook Nepal, said the United Nations, adding there was an urgent need for relief materials. There
is an acute shortage of food, water, electricity and medicines as fear of another quake kept tens of thousands of people out into the open.

More than 1.4 million need food, while water and shelter are also in short supply, the UN said in a report.

Indian Army soldiers place an injured woman, who was wounded in Saturday's earthquake, on a stretcher after she was evacuated from Trishuli Bazar to the airport in Kathmandu, Nepal. (Reuters photo)

Three days after the quake hit the country, rescue teams have still not reached some of the worst-affected areas of Lamjung, the site of the quake's epicentre.

"We are still at the rescue and relief operation. Rescue operation is going on even within the valley, collapsed structures are major challenge still. There have been requests from many places, we have been able to attend to some. We are still trying to put together group of people here, expertise is needed from various areas," Nepal's Information and Communications Minister Minendra Rijal said.

At least 4,352 bodies have so far been recovered after the massive earthquake that struck on Saturday, April 25 just outside of capital Kathmandu, a Nepalese police official said. Also, a total of 8,063 people have been injured in the quake.

Hundreds of people are still trapped under tonnes of rubble in the capital Kathmandu and some of the worst-affected remote mountainous areas, amid concerns that toll could cross 10,000 mark, authorities said.

A woman carries her belongings as she walks over collapsed house after earthquake in Bhaktapur, Nepal. (Reuters photo)