Guatemala devastated by enormous earthquake

And rescuers expect that the 22 people still missing will be added to the grim toll.

More than 70 aftershocks have followed the 7.4-magnitude quake off the country's Pacific coast, leaving many with no water, electricity or phone lines.

Damage was reported in all but one of the Guatemala's 22 states and shaking was felt as far as 600 miles away in Mexico City.

President Otto Perez Molina said about 700 people had gone to shelters, with most others choosing to stay with friends and family.

People in San Marcos, the worst-affected town, huddled inside the local hospital as it was the only building still with electricity.

The quake tore a main street in two and brought down the town's police station and court.