LA GUAIRA, Venezuela (AP) — In cities across northern Venezuela, neighbors helped each other dig through rubble to search for loved ones on Thursday after back-to-back earthquakes that officials say killed more than 230 people and left thousands injured the night before.

The official death toll rose to around 235 late Thursday, with at least 4,300 people injured, Venezuela Health Minister Carlos Alvarado told state media. The number of casualties is expected to climb with thousands reported missing and frantic rescue efforts continuing.

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