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A second earthquake hit Haiti January 20 , 2010 

The most powerful aftershock yet struck Haiti- Port Au Prince on Wednesday, shaking more rubble from damaged buildings and sending screaming people running into the streets eight days after the country's capital was devastated by an apocalyptic quake.

The magnitude-6.1 temblor was the largest of more than 40 significant aftershocks that have followed the Jan. 12 quake. The extent of additional damage or injuries was not immediately clear.

Wails of terror rose from frightened survivors as the earth shuddered at 6:03 a.m. U.S. soldiers and tent city refugees alike raced for open ground, and clouds of dust rose in the capital.

The U.S. Geological Survey said Wednesday's quake was centered about 35 miles northwest of Port-au-Prince and 6.2 miles below the surface — a little further from the capital than last week's epicenter was.

"It kind of felt like standing on a board on top of a ball," said U.S. Army Staff Sgt. Steven Payne. The 27-year-old from Jolo, West Virginia was preparing to hand out food to refugees in a tent camp of 25,000 quake victims when the aftershock hit.

Last week's magnitude-7 quake killed an estimated 200,000 people in Haiti, left 250,000 injured and made 1.5 million homeless, according to the European Union Commission.

'I want to get out'
The strong aftershock prompted Anold Fleurigene, 28, to grab his wife and three children and head to the city bus station. His house was destroyed in the first quake and his sister and brother killed.

"I've seen the situation here, and I want to get out," he said.

A massive international aid effort has been struggling with logistical problems, and many Haitians are still desperate for food and water.

Still, search-and-rescue teams have emerged from the ruins with some improbable success stories — including the rescue of 69-year-old ardent Roman Catholic who said she prayed constantly during her week under the rubble.

Ena Zizi had been at a church meeting at the residence of Haiti's Roman Catholic archbishop when the Jan. 12 quake struck, trapping her in debris. On Tuesday, she was rescued by a Mexican disaster team.

Zizi said after the quake, she spoke back and forth with a vicar who also was trapped. But he fell silent after a few days, and she spent the rest of the time praying and waiting.

"I talked only to my boss, God," she said. "I didn't need any more humans."

Doctors who examined Zizi on Tuesday said she was dehydrated and had a dislocated hip and a broken leg.

Elsewhere in the capital, two women were pulled from a destroyed university building. And near midnight Tuesday, a smiling and singing 26-year-old Lozama Hotteline was carried to safety from a collapsed store in the Petionville neighborhood by the French aid group Rescuers Without Borders.

Crews at the cathedral recovered the body of the archbishop, Monsignor Joseph Serge Miot, who was killed in the Jan. 12 quake.

Authorities said close to 100 people had been pulled from wrecked buildings by international search-and-rescue teams. Efforts continued, with dozens of teams hunting through Port-au-Prince's crumbled homes and buildings for signs of life.

But the good news was overshadowed by the frustrating fact that the world still can't get enough food and water to the hungry and thirsty.

"We need so much. Food, clothes, we need everything. I don't know whose responsibility it is, but they need to give us something soon," said Sophia Eltime, a 29-year-old mother of two who has been living under a bedsheet with seven members of her extended family.

The World Food Program said more than 250,000 ready-to-eat food rations had been distributed in Haiti by Tuesday, reaching only a fraction of the 3 million people thought to be in desperate need.

The WFP said it needs to deliver 100 million ready-to-eat rations in the next 30 days, but it only had 16 million meals in the pipeline. 

 • Msnbc.com.This site delivers information about news, original journalism, extensive sources, advanced technology and expansive content.

The U.S. State Department Operations Center has set up the following number for Americans seeking information about family members in Haiti: 1-888-407-4747

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