Nepal, which has still not recovered from a massive 7.8 magnitude earthquake that struck in April and left over 8,000 dead, has been hit with another massive earthquake.

The magnitude 7.3 quake struck Tuesday with at least 32 people confirmed dead from this second quake.

The quake caused an avalanche in a region about 30 miles north of the capital city of Kathmandu but CNN reports the area was sparsely populated after the April quake.

“For the first seconds, it was complete silence. By the fifth second, everybody started to scream,” documentarian Marc Sarrado told CNN.  “It was really, really intense. Even when the shaking stopped, people were still screaming. They were completely panicked, because they knew exactly what it was.”

BBC reporter Yogita Limaye was in the mountains when the quake struck.

“The earth shook and it shook for a pretty long time,” Limaye said.  “I can completely understand the sense of panic. We have been seeing tremors: it’s been two-and-a-half weeks since the first quake. But this one really felt like it went on for a really long time. People have been terrified.”

A U.S. Marine helicopter in the region to provide help has been reported missing by American commanders.  Six Marines and two Nepali soldiers were on the craft.