A 7.5 magnitude earthquake, centered in Afghanistan killed 51 people, and injured thousands, Monday. The earthquake affected parts of Pakistan and as far as India.

USA Today reports that the U.S Geological Survey showed the epicenter of the earthquake was in Badakhshan, the Northern border of Afghanistan, which borders Pakistan, Tajikistan, and China.

The death toll in Pakistan is over 150, according to Amer Afaq, the Khyber Pakhtunkhwa Provincial Disaster Management Agency head.

Twelve of the deaths in Afghanistan were schoolgirls who were trampled in a stampede of evacuation from their school. Authorities say that the death toll is expected to climb as more damage is uncovered.

Pervez Rashid, Pakistan’s Information Minister said that authorities are working to help anyone affected by the earthquake.  India extended assistance to Pakistan, but Rashid does not plan to accept aid from outside countries, saying that they have enough resources to handle the situation.

The earthquake disrupted communications with numerous power outages and cut phone lines in Kabul. Many fled their homes as soon as they felt the shakes, thinking initially it was caused by a terrorist attack.

In Pakistan, multiple buildings collapsed as the quake was felt from hundreds of miles away from the epicenter.

In New Delhi, India’s capital, the metro transportation system halted during the tremors. The shakes could be felt from the inside of the train, stranding riders for approximately fifteen minutes.

A slightly stronger earthquake hit the region a decade ago, killing approximately 80,000 people. The 7.6 magnitude quake affected areas of the Kashmir region.