A powerful 6.0-magnitude earthquake struck eastern Afghanistan late Monday, killing at least 1,124 people, injuring over 3,200, and destroying more than 8,000 homes, according to the Afghan Red Crescent Society.

The death toll is expected to rise as rescuers struggle to reach remote mountain villages in Kunar and Nangarhar provinces, where many remain trapped under rubble.

Difficult terrain, narrow roads, and bad weather have slowed rescue efforts, though helicopters and ambulances are delivering aid and evacuating the injured, Reuters has reported.

Afghanistan’s mountainous Hindu Kush region is highly prone to deadly quakes.