The death toll has risen to 53 people in Sikkim, India, where a 6.9 magnitude earthquake hit Sunday night. The quake struck near the India-Nepal border, causing damage in both directions. Shaking could be felt in many Indian cities, including in Delhi, some 900 miles away, as well as Tibet.

Rescuers and military troops are working to find survivors among the wreckage, and helicopters are being employed to get to villages cut off from the road. Indian Air Force vehicles are also dropping food into villages and evacuating the injured.

About 10 of the deaths occurred in Nepal, primarily in the capital of Kathmandu, where a series of building collapses trapped people under debris.

Another seven people died in Tibet, according to Chinese state media -- moreover, landslides in Tibet's Yadong county, which is about 25 miles from the quake's epicenter, injured another 22 people and cut off power and water in the region.

Sikkim is India's least populated state, and the landlocked mountainous area is home to roughly 500,000 people. The small population is beneficial because it minimizes causalities and damages, but at the same time makes rescue efforts difficult due to the isolation of many residents.

Most of the damage on Sunday night and Monday morning was the result of violent landslides, and in one six-mile stretch in Sikkim, there were at least 16 landslides. The most impacted area was the city of Mangan, where buildings were destroyed, roads buckled and highways blocked due to debris.

The quake was followed by 130 after-shocks on Sunday and Monday, the highest measuring 6.1 and 5.3 magnitude on the Richter scale, according to reports.

Most of Sikkim, including the capital city of Gangtok, is considered to be in Zone 4 of the Earthquake Hazard Map of India, and it's therefore designated as being in the High Damage Risk Zone. The city is also nestled between two Zone 5 (highest risk) areas to the east and west.

Earlier this month, Delhi, India was hit by a minor earthquake, sending people running from their homes. On Sept. 7, a 4.2 magnitude quake shook the city just hours after a bomb blast killed 11 and injured dozens more outside the Delhi High Court.

Delhi is also in Zone 4, but there hasn't been a major earthquake in the city's recent history.

Earthquakes in India aren't rare, but a 6.9 magnitude quake is significant. The last major quake on the India-Nepal border occurred in August 1988, when magnitude 6.8 earthquake killed 721 people, injured more than 6,000 and damaged 64,470 buildings in eastern Nepal, including the Kathmandu Valley, according to the U.S. Geological Survey.

Before that, an earthquake in 1934 in Nepal resulted in around 8,000 deaths.

India sits on the Indian Plate, a tectonic plate that has been colliding with the Eurasia Plate for about 50 million years. The Indian Plate is slowly being wedged under Eurasia, pushing up the northern plate, causing it to lift. The tectonic movement created the Himalayan Mountain range, which straddles the collision point among India, Nepal, Tibet and China.

Because of the plates' movements, the Himalayas are growing taller every year.