内容摘要：New rules mean all deaths must be reviewed by a coroner or medical examiner, but South Tyneside and Sunderland NHS Trust (STSFT) says a shortage of staff has contributed to a backlog.

New rules mean all deaths must be reviewed by a coroner or medical examiner, but South Tyneside and Sunderland NHS Trust (STSFT) says a shortage of staff has contributed to a backlog.

According to official figures, at least 144 people have lost their lives in Myanmar, with more than 700 injured.But building up a clear picture of exactly what is happening across the South East Asian nation is not easy.

Access has been limited since 2021, when the military took power following a coup. Foreign journalists are rarely allowed to enter officially due to a lack of press freedom.Many of the people who spoke to the BBC, and other outlets, did not give their names for security reasons.When the earthquake hit, people - some with injuries - were running in the streets, screaming and crying, one rescue worker said, and the city's General Hospital was almost full with patients.

Mandalay has become the "scene of a tragedy", one survivor told the BBC."It's like a ruined city. Some are still stuck under rubble," she said. "It was so severe. So severe that I have never seen anything shaking like that."

The tremors were so strong they were felt well beyond Myanmar's borders - in China and Thailand.

In Mandalay, Myanmar's second largest city, social media images showed collapsed buildings, including parts of the historic royal palace."It can be extremely dangerous," he said.

"The water can get very cold, water from the reservoir pours over the dams when it's been raining."Other residents asked how someone could get there with no obvious means of transport, and why his belongings would not be found on the shore.

Rosemary Stow, who runs craft gallery Quillies, said most tourists do not make it past the visitor centre in the nearby Elan Valley."You don't see a lot of cars up at Claerwen dam or in the car park below, it is such a lonely place," she said.