The 7.8-magnitude earthquake that devastated Nepal on Sunday has altered the face of the country, as new satellite images show. The disaster has killed more than 4,600 people and leveled buildings—many of them historic—to rubble.

The Dharhara Tower, a UNESCO World Heritage site, was toppled, leaving about 180 bodies in its ruins. Survivors have set up tents and other temporary structures in open areas of their towns and cities, away from the danger of more buildings falling in an aftershock, as they await aid. Meanwhile, villagers in remote areas of Nepal are cut off by landslides that prevent rescue crews from providing relief.

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