LA GUAIRA, Venezuela (AP) — In cities across northern Venezuela, neighbors helped each other dig through rubble to search for loved ones, after back-to-back earthquakes killed at least 589 people and left thousands injured.

Live view from Caracas as rescue efforts continue after back-to-back powerful earthquakes struck Venezuela on Wednesday, killing at least 235 people and injuring more than 4,300.

Acting President Delcy Rodríguez announced the new toll early Friday, surrounded by government and military officials as she welcomed the arrival of rescue crews from all over the world. “We are going to rescue the people who are trapped,” she said. “We are working tirelessly on this task.”She said the state of La Guaira has been hardest hit by the 7.2 and 7.5 magnitude earthquakes that struck Wednesday evening, noting that it has been militarized as crews search for survivors and distribute food and water. The number of casualties is expected to climb with thousands reported missing and frantic rescue efforts continuing.

Rodríguez noted that crews have rescued dozens of people, saying, “It brings us joy that they can embrace their families and loved ones.”The injured were pulled out covered in dust and blood, among them children. Venezuelan state TV showed dramatic images of rescues, including a woman who was trapped under a cement slab with only a bare foot poking out before rescuers slid her out alive. But few government search teams were initially seen outside Caracas.