The death toll from a powerful earthquake that struck central Mexico has risen to 248, the nation's civil protection agency says.
The toll in Mexico City surged to 117 people and 72 in Morelos state, Luis Felipe Puente, the head of the agency said in a post on Twitter.
The earthquake struck on the 32nd anniversary of a temblor that killed thousands in the capital.
At least 43 were known dead in Puebla state, where the quake was centred. Twelve deaths were listed in the State of Mexico, which surrounds Mexico City on three sides, and three in Guerrero state..
The magnitude 7.1 quake toppled dozens of buildings, broke gas mains and sparked fires less than two weeks after another powerful quake killed at least 98 people in southern Mexico. It also hit just hours after emergency drills marked the anniversary of a temblor that killed thousands in 1985.
Millions of people fled into the streets, where they weathered the violent shaking and desperately sought word about the welfare of family and friends.
Emergency personnel in Mexico City, a metropolitan region of about 20 million people, searched frantically with picks and shovels for survivors beneath the rubble of what the sprawling city's mayor calculated to be as many as 44 collapsed buildings, including at least one primary school.
Mexican President Enrique Pena Nieto said more than 20 children and two adults had been found dead at the school, Colegio Enrique Rebsamen, in the neighbourhood of Coapa. Another 30 children and 12 adults were missing, he said.
Emergency personnel and equipment were being deployed across affected areas so that "throughout the night we can continue aiding the population and eventually find people beneath the rubble," Pena Nieto said in a video posted on Facebook.
Rescue workers and soldiers toiled around collapsed buildings where heat-sensing equipment suggested survivors could still be trapped. Bystanders joined in where they could, clearing debris with their bare hands or whatever tools they could find nearby.
As many as 4.6 million homes, businesses and other facilities had lost electricity, according to national power company Comision Federal de Electricidad. Most of them were in the greater Mexico City area and in the states of Guerrero, Morelos, Puebla, Oaxaca, and Tlaxcala.
In the capital, ambulances and fire engines confronted gridlock as millions of workers tried to get home, many of them after participating in annual readiness drills that commemorate the previous disaster on this date in 1985.
Leaders have sent messages of support to Mexico.
US President Donald Trump, who has courted controversy with his plans for a border wall with Mexico, tweeted: "God bless the people of Mexico City. We are with you and will be there for you."
Canadian Prime Minister Justin Trudeau also tweeted his support following the "devastating news"