Iranian officials have raised the death toll from Sunday's natural disaster of 7.3 magnitude on its border with Iraq to at least 530, making it the deadliest in the world this year.
Many working-class survivors lost everything amid severe damage to social housing blocks built under a scheme championed by former president Mahmoud Ahmadinejad.
Some now-homeless survivors simply wept outside, while others angrily showed Associated Press journalists the destruction done by the quake.
She added: "This is "kindness" as the name suggests very well!"
My family lives in a village near Sarpol-e Zahab.
The quake, which struck at a relatively shallow depth of 23 kilometres, was felt for about 20 seconds in Baghdad, and for longer in other provinces of Iraq, AFP journalists said.
The epicentre lay 30km (18 miles) south of Halabja in Iraq, but nearly all of the casualties occurred in Iran's Kurdish heartland, in the country's marginalised north-west.
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Both rescuers and residents stood on the remains of homes looking through the rubble.
Iran has experienced at least two major quake disasters since - one in 2005 that killed more than 600 people and another in 2012 that left some 300 dead.
At least three emergency relief camps have been set up after the only hospital in the town was badly damaged. There were also casualties on the Iraqi side but the number of those killed in Kermanshah was significantly higher. Rouhani has repeatedly criticized the project for damaging the economy.
"This was a pain for all Iranians", he said. I had to drag them out of the house. "We need water, we need food, like bread, and we need blankets".
Also touring the area was cleric Abdolhossein Moezi, a representative of Supreme Leader Ayatollah Ali Khamenei.
Health Minister Hossein Ghazizadeh Hashemi was cited Tuesday by the Tasnim news agency as recognising that aid "distribution was not assured properly" and needed to be improved.
The mayor of the city of Ezgeleh said 80 percent of its buildings had collapsed.
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Thousands of homes were destroyed in the quake, which rocked a region spanning Iran's western province of Kermanshah and neighboring Iraqi Kurdistan.
This building in Darbandikhan in Sulaimaniya Governorate, Iraq, collapsed during the quake.
Some immediately pointed to the Mehr homes. Many warned that the low-quality construction could be problematic. But by Tuesday morning Iranian officials said there was no longer any likelihood of finding survivors and called off the search. Many still sit uncompleted across the country because the program ran out of cash.
Thousands of homeless Iranians sought shelter from bitter cold yesterday as President Hassan Rouhani promised swift help after a major quake.
Rouhani Tuesday visited the town of Sar-e Pol-e Zahab, worst hit by the quake. "And the government will surely follow up on these issues and identify the culprits and introduce them to the people", said Rouhani.
"My home is now a pile of mud and broken tiles".
The official IRNA news agency said 30 Red Crescent teams had been sent to the quake zone. "The death toll could have been much less if the hospital was not destroyed".
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