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The largest earthquake in Taiwan in at least 25 years has resulted in seven fatalities and more than 700 injuries, with 77 people trapped in tunnels and collapsed buildings, authorities reported.
Rescue teams are using ladders to assist some individuals in safely descending.
The 7.2 magnitude quake struck just offshore near the epicenter in the mountainous, sparsely populated eastern county of Hualien, causing buildings to tilt at precarious angles.
Chang Yu-lin, 60, a hospital worker in Taipei, described the quake as "very strong," feeling as though the house might collapse.
The earthquake occurred at a depth of 15.5 km (9.6 miles) around 8 a.m. (0000 GMT), coinciding with the time when many were heading to work and school, prompting a tsunami warning for southern Japan and the Philippines, which was later lifted.
Fire authorities reported that approximately 60 of the 77 trapped individuals were in a tunnel just north of Hualien city, with two Germans among those trapped in another tunnel.
The government has confirmed 736 injuries.
President-elect Lai Ching-te, set to assume office next month, is scheduled to visit Hualien later in the day. In Japan, the quake, measured at 7.7 magnitude, generated several small tsunami waves in parts of the southern prefecture of Okinawa.
The Philippines issued warnings to coastal residents in several provinces to move to higher ground.
The quake was also felt in southeastern China's Fujian province and in Shanghai, according to Chinese state media and a Reuters witness.
Taipei continued to experience aftershocks, with over 50 recorded, according to weather officials. Electricity has been largely restored, and the island's two nuclear power stations were unaffected.
Taiwan's high-speed rail operator reported no damage or injuries on its trains, although services would be delayed for inspections.
Taiwan Semiconductor Manufacturing Co, a major supplier of chips to Apple and Nvidia, evacuated some fabrication plants.
However, safety systems were reported to be operating normally, and employees had begun returning to work.
Taiwan's benchmark share index closed down 0.6%, while TSMC's Taipei-listed shares ended down 1.3%, largely shrugging off the quake's impact.
The official central news agency described the quake as the most significant since a magnitude 7.6 quake in 1999 that claimed around 2,400 lives and damaged or destroyed 50,000 buildings.
Taiwan weather officials rated the intensity of the earthquake in Hualien county as "Upper 6," the second-highest level on a scale of 1 to 7.
According to Japan's weather agency, such a quake collapses walls unless they are made of reinforced concrete blocks, and individuals cannot stand upright and must crawl to move.