A strong earthquake has hit Haiti, where a hospital is said to have collapsed.
The earthquake had a preliminary magnitude of 7.0 and was centred about 15km west of the capital Port-au-Prince, according to the US Geological Survey.
It had a depth of 8km.
A US government official said some houses had tumbled into a ravine following the quake.
Lauren Magloire, a local journalist, told Al Jazeera that panic had hit the streets of the capital.
"People don't really know what's going on, but there are reports of devastation."