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The damage from the magnitude 6.1 earthquake and tsunami hit Tokyo at 3:30 a.m. local time Thursday, killing at least 19 people and destroying at least 40,000 homes and businesses.

The epicenter was a building at a residential area on a residential street, a nearby shopping area and a hospital, according to the Japan Meteorological Agency.

The agency said there was no immediate report of damage to other buildings.

“The damage was severe and widespread,” said the agency, which reported that at least 100,000 people were homeless in the immediate aftermath of the quake.

Japan’s largest city has struggled to cope with the fallout of the devastating March 2011 earthquake and subsequent tsunami, and a major disaster response has been hampered by poor communications and logistical issues.

Residents, who were evacuated from the city after the disaster, were forced to remain indoors for weeks.

More than 1,000 injured people have been hospitalized, with more than 400 hospitalized in the aftermath of Thursday’s quake, the agency said.

A few buildings collapsed, including a shopping center, a hospital and a government building.

The earthquake hit a city that has seen many major earthquakes in recent years, including the devastating 7.9-magnitude earthquake in March 2011 that killed nearly 200 people.

More recently, the tsunami that struck Japan’s northeast coast in March 2017 killed more than 11,000.

The quake also damaged buildings, but the damage was minor, said Masayuki Tanaka, a seismologist at the National Institute of Seismology and Tsunami Research in Tokyo.

“In my opinion, the damage to buildings and buildings being damaged is insignificant,” Tanaka told CNN.

“Even if there are more damage, it is not serious.”

More: Japan’s first earthquake of 2017, 7.8-mhz quake, aftertsubakan earthquake

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