Kermanshah, an nearly entirely Kurdish province nestled in the Zagros Mountains that run along the border with Iraq, suffered all of Iran's fatalities from the temblor Sunday night that shook 14 of the country's 31 provinces.
Iranian state TV said thousands of survivors had spent another night in makeshift camps or in the open. We need help. We need everything.
"It is a very cold night. we need help. The authorities should speed up their help", the BBC quoted a homeless young woman in Sarpol-e-Zahab, the town with the maximum number of victims.
As many as 3,950 people have been injured, Iran's Tasnim news agency said.
In 1990, a 7.4-magnitude quake in northern Iran killed 40,000 people, injured 300,000 and left half a million homeless, reducing dozens of towns and almost 2,000 villages to rubble.
The head of the elite Revolutionary Guards, Major General Mohammad Ali Jafari, said many older buildings collapsed.
So far, rescue operation and assessment is being conducted on the ground and relief items including tents, ground sheets, blankets, kitchen sets, and food items such as canned food and rice are being distributed among the affected people and the people staying outdoor, scaring of getting back to their houses. "The faults and shortcomings in the construction of these buildings should be investigated".
Iran is one of the most seismically active countries in the world. Iranian army helicopters are taking part in the relief effort.
The official IRNA news agency said 30 Red Crescent teams had been sent to the area.