The magnitude-7.3 quake -- centered midway between the capital of Kathmandu and Mount Everest -- hit hardest in districts northeast of the capital. It terrified a nation already shell-shocked and struggling after a more powerful quake on April 25 killed more than 8,150 and flattened entire villages, leaving hundreds of thousands homeless.
Information was slow to reach Kathmandu after Tuesday's quake, but officials expected the death toll to rise as reports arrived of people being buried under rubble, according to the U.N.'s Office for the Coordination of Humanitarian Affairs.
Nepal's Home Ministry reported at least 42 deaths but later lowered the toll to 37. Meanwhile, it said at least 1,139 people had been injured in Nepal. In neighboring India, at least 16 people were confirmed dead after rooftops or walls collapsed onto them, according to India's Home Ministry. Chinese media reported one death in Tibet.
In Nepal, at least three people had been rescued in the capital, while another nine pulled to safety in the district of Dolkha, the government said.
Rescue helicopters were sent to mountain districts where landslides and collapsed buildings may have buried people, the government said. Home Ministry official Laxmi Dhakal said the Sindhupalchowk and Dolkha districts were the worst hit.
Search parties fanned out to look for survivors in the wreckage of collapsed buildings in Sindhulpalchowk's town of Chautara, which had become a hub for humanitarian aid after the magnitude-7.8 earthquake on April 25, Nepal's worst-recorded quake since 1934.
Nepal was left reeling by the April 25 quake. The impoverished country appealed for billions of dollars in aid from foreign nations, as well as medical experts to treat the wounded and helicopters to ferry food and temporary shelters to hundreds of thousands left homeless amid unseasonal rains.
Tuesday's quake was deeper, however, coming from a depth of 18.5 kilometers (11.5 miles) versus the earlier one at 15 kilometers (9.3 miles). Shallow earthquakes tend to cause more damage.
The Tuesday quake was followed closely by at least 10 strong aftershocks, according to the U.S. Geological Survey.
Early reports indicated at least two buildings had collapsed in Kathmandu, though at least one had been unoccupied due to damage it sustained during the April 25 quake. Experts say the April 25 quake caused extensive structural damage even in buildings that did not topple, and that many could be in danger of future collapse.
Frightened residents in the capital, who had returned to their homes only a few days ago, were once again setting up tents outdoors Tuesday night with plans to sleep in empty fields, parking lots and on sidewalks.
“Everyone was saying the earthquakes are over ... Now I don't want to believe anyone,'' said 40-year-old produce vendor Ram Hari Sah as he searched for a spot to pitch the orange tarpaulin his family would shelter in. ``We are all scared, we are terrified. I would rather deal with mosquitoes and the rain than sleep in the house.''
Extra police officers were sent to patrol ad-hoc camping areas, while drinking water and extra tents were being provided, according to Kathmandu administrator Ek Narayan Aryal.
“I thought I was going to die this time,'' said Sulav Singh, who rushed with his daughter into a street in the suburban neighborhood of Thapathali. ``Things were just getting back to normal, and we get this one.''
Paul Dillon, a spokesman with the International Organization for Migration, said he saw a man in Kathmandu who had apparently run from the shower with shampoo covering his head. ``He was sitting on the ground, crying,'' Dillon said.
Meanwhile, new landslides blocked mountain roads in the district of Gorkha, one of the regions most damaged by the April 25 quake, while previously damaged buildings collapsed with the latest quake.
Residents of the small town of Namche Bazaar, about 50 kilometers (35 miles) from the epicenter of Tuesday's quake and a well-known spot for high-altitude trekkers, said a couple of buildings damaged in the earlier earthquake had collapsed there as well. However, there were no reports of deaths or injuries in the town.
The earth also shook strongly across the border in Tibet, unleashing a landslide that killed one person and injured three, according to China's state broadcaster China Central Television. Two houses also collapsed, CCTV said, quoting disaster relief headquarters of the regional Tibetan government. (AP)