Aid agencies on Friday highlighted massive needs across Venezuela caused by a double earthquake disaster that has killed at least 235 people so far, with search and rescue for people trapped under the rubble still the top priority.

In all, up to 6.8 million people could be impacted by Wednesday’s emergency, based on the latest available population and damage projections, according to the UN agency for migration, IOM. More than 41,000 people have also been reported missing through an online portal.

And amid reports that rescuers are digging with their bare hands in some quake-hit centres, people “are still terrified to re-enter what were their homes or other structures” and need help, reported UN-partner the International Federation of Red Cross and Red Crescent Societies (IFRC). The IFRC noted that psychological support is now as critical as digging equipment, given that homes have become objects of fear rather than shelter.