The first rescue flights laden with food, medicine and body bags arrived in the devastated region on Sumatra island as another powerful quake struck further south, causing more injuries and sparking panic.

Wednesday afternoon's 7.6-magnitude quake toppled buildings and led to fires in Padang, home to nearly a million people on the coast of Sumatra, leaving the city largely without power and communications.

"The latest figures we have suggest the death toll has risen already to 1,100," UN humanitarian chief John Holmes told a press briefing at the United Nations.

Holmes said hundreds more were injured and the numbers of dead and hurt were likely to rise as the full scale of the tragedy unfolds.

Many districts remain inaccessible to emergency services.

"Our prediction is that thousands have died," Indonesian health ministry crisis centre head Rustam Pakaya said earlier.

Rescue teams from the Indonesian army and health ministry descended on the city and surrounding towns to hunt for survivors in the twisted wreckage of collapsed buildings and homes, with work expected to go on into the night.

In pouring rain that hampered rescue work early in the day, overwhelmed police and soldiers clawed through the tangled remains of schools, hotels and the city's main hospital, the M. Djamil hospital.

Padang, which lies between the Indian Ocean and the Bukit Barisan mountains, was a chaotic mass of traffic jams and rubble set against the constant din of sirens as ambulances tried to negotiate the gridlock.

At the M. Djamil hospital, a constant stream of injured residents were dropped off at hastily erected tents where doctors worked frantically.

Emilzon, a medic who gave only one name, said they were treating hundreds of people for broken bones, head injuries and trauma, mostly sustained when the quake hit.

"We are running out of doctors and nurses because we are overwhelmed with patients," he said.

In front of a collapsed school, 49-year-old mother Andriani waited in tears as police picked through the rubble in search of her 14-year-old daughter and dozens of other children believed trapped.

"I've been waiting here since yesterday. I haven't been home yet and keep praying to God my daughter is alive," she said, her reddened eyes darting back and forth across the rubble for signs of life.

Police said the bodies of eight children had been hauled from the school, a college where they had been taking extra tuition, while another nine youngsters had been pulled out alive.

Authorities said there was a desperate shortage of heavy machinery but the military said planes loaded with tents and blankets had been dispatched to help the thousands left homeless by the disaster.

Indonesian President Susilo Bambang Yudhoyono, who returned from the United States and flew to Padang, said emergency services should prepare for the worst.

"It's better to overestimate than to underestimate," he told reporters. "It is better to send more enforcement, especially in emergency aid... which can help those who are still buried in the rubble."

US President Barack Obama said he was "deeply moved" by the loss of life and suffering as Washington announced 300,000 dollars in immediate aid and set aside another three million to help quake victims.

"Indonesia is an extraordinary country who has known extraordinary hardships from natural disasters. I know that the Indonesian people are strong and resilient and have the heart to overcome this challenge," said Obama, who spent part of his childhood living in Jakarta.

The Indonesian government said it had approved 26 million dollars in cash to help victims. International aid groups dispatched relief teams.

But many victims complained that assistance had been too little too late.

"This is the worst that I can remember. Look at the houses in this village. Many have been destroyed," Mas Indik, a 67-year-old farmer on the outskirts of town said.

"We haven't received any help. We need tents immediately as it's raining. We need drinking water," he said.

The quake struck off Sumatra's west coast, 47 kilometres (29 miles) northwest of Padang on a major faultline that scientists have long warned was set to release pent-up energy.

A massive 9.1-magnitude quake off Aceh in northern Sumatra triggered the 2004 Indian Ocean tsunami that killed more than 220,000.

Indonesia sits on the volatile "Ring of Fire," an arc of seismic instability around the Pacific rim.

earlier related report
Humans also to blame for Impact Of Asia's natural disasters
Environmental damage, shoddy urban planning, corruption and other man-made problems are magnifying the human cost of natural disasters almost every time they strike in Asia, experts said.

Thousands of people have died across the region this week in a relentless string of events that at first may seem to be the fault of Mother Nature, but the enormous death tolls can be equally blamed on people, they said.

Rafael Senga, a Filipino environmental expert with the World Wildlife Fund, said deforestation, the ever-expanding number of people living in dangerously planned cities and man-made induced climate change were all major problems.

"It's a combination of factors that can lead to a perfect storm for disaster in the region," Senga told AFP by phone from Bangkok, where he is attending United Nations climate change talks.

"The aggravating effect of environmental degradation, deforestation and climate change is massive."

In the Philippines, more than 270 people died as tropical storm Ketsana pounded the nation's capital, Manila, and the government was quick to point out that those rains were the heaviest in more than four decades.

But, in a flood-prone city, it was no surprise that many of the people killed were from over-crowded shanty towns built along rivers with extremely poor drainage.

Residents of Marikina town east of Manila, which was among those badly hit by the flooding, also noticed that the floodwaters were thickened by soil apparently washed down from surrounding mountains that had been logged.

"It was not water that flooded us. It was mud," said Joanna Remo, chief medical doctor at the Amang Rodriquez Medical Center in Marikina.

Meanwhile, thousands of people are believed to have died in the Indonesian city of Padang following a 7.6-magnitude earthquake on Wednesday.

But geologists have long said Padang was highly likely to suffer a major quake, yet it housed nearly a million people often in poorly constructed buildings.

Similarly, parents blamed poorly constructed school buildings for the large number of deaths among children in last year's quake that hit Sichuan province, China, and killed 87,000 people in total.

The inexorable urbanisation of Asia brings with it a myriad of problems that exacerbate natural disasters, experts say.

"The outcome of Asia's high rate of urbanisation has been the expansion of urban populations into geographic areas, which are frequently affected by disaster events," the Bangkok-based Asian Disaster Preparedness Centre said on its website.

"The result is an increased vulnerability of populations and infrastructure." It said mitigation measures such as earthquake and cyclone-resistant buildings, flood and landslide control measures and the incorporation of disaster vulnerability into land-use planning "have rarely been attempted in most Asian countries."

That problem is likely to worsen.

By 2030, five billion people worldwide are projected to live in urban areas, up from 3.3 billion in 2008, according to the Asian Development Bank.

The number of cities with populations of more than one million each are expected to jump to more than 500, up from only 11 from the beginning of the last century, it said, citing UN figures.

More than half of those cities will be in Asia, it added.

A Singapore-based regional economist said Asia's "reckless path" to economic development as well as corruption should also be blamed for the high number of casualties in disasters.

"In the rush to achieve high economic growth, short-cuts are sometimes taken," said the economist who asked not to be named because his company had businesses in the countries involved.

In 2007, 75 percent of all people killed from natural calamities came from Asia, the global charity World Vision said in a report late last year.

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