A 7.0 earthquake has hit the country of Haiti, according to the U.S. Geological Survey. A hospital has apparently collapsed following the strong temblor.

The quake hit at 1:53 p.m. PST, according to the USGS.

The Associated Press reports that a hospital has collapsed and people are screaming for help.

It was centered 10 km below ground– that’s just a little greater than 6 miles– USGS reports indicate.

It happened about 14 miles (22 kilometers) west of the Caribbean nation’s capital, Port-au-Prince.

The quake was originally reported at a 7.3 by the USGS, but was later downgraded to a 7.0.