By 5 November, it was estimated that at least 398 people were killed, mostly in Pakistan.[10][11][12][13] Tremors were felt in Pakistan, Uzbekistan, Turkmenistan[14] Tajikistan and Kyrgyzstan.[15][16][17] According to the United States Geological Survey, Pakistan is in the most active quake zone in the Himalaya region.[18] The earthquake was also felt in the Indian cities of New Delhi, Amritsar,[19] Chandigarh, and Lucknow and in the Indian states of Jammu and Kashmir, Punjab, as far as in the western state of Gujarat[20] and in the prefectures of Kashgar, Aksu, Hotan, and Kizilsu in Xinjiang, China while damage was also reported in Afghan capital Kabul.[11][21] The tremor was also felt in the Nepalese capital of Kathmandu, where people initially thought that it was one of the sporadically recurring aftershocks of the April 2015 Nepal earthquake.