The highlands in the Pacific nation's interior about 600 kilometres (373 miles) north-west of Port Moresby were struck by a 7.5-magnitude tremor early Monday, and also shaken by a series of strong aftershocks in subsequent days.
The government has declared a state of emergency and sent relief workers to the Southern Highlands, Western, Enga and Hela provinces, which have been hit by downed communications, landslides and sinkholes, and toppled homes and buildings.
"A number of urban settlements, as well as villages, have been affected, many in the form of landslides and landslips, which means that roads have been cut off, water contaminated, power knocked out and other widespread effects for the local people."
Numerous communities have yet to be reached by aid workers and it was not known how badly they were affected, seismologist Mathew Moihoi of PNG's Geophysical Observatory told AFP Sunday.
The PNG Post-Courier newspaper has collated unconfirmed reports of more than 50 dead from the initial quake.
"The figures (for the death toll) have been coming out from areas where there is access, but there might be areas which are not accessible and it is a little bit hard to get to those areas," Moihoi said.
"There might be some casualties there, we just don't know. It's going to be a little bit difficult to get the figures at this stage."
The situation was worsening on the ground every day, the website added Sunday, quoting local advocacy groups mobilising to help stricken communities.
"People are crying and they are shouting when they are calling us," Cathy Alex from the Advancing PNG Women's Network said as she pleaded for donations from the public.
"We can't just sit and wait for the (government-pledged disaster funding of) 450 million kina (US$140 million)."
Besides the government's aid efforts, oil and gas companies ExxonMobil and Oil Search, which operate in the area, have assisted relief and recovery efforts.
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