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Eight million people have been affected by the massive earthquake in Nepal, and 1.4 million are in need of food aid, the United Nations says, the BBC reported.

International aid has started arriving but there is still a shortage of medical equipment, food and body bags.

The 7.8 magnitude quake hit Nepal on Saturday destroying buildings in Kathmandu and severely affecting rural areas across the region.

A government official said on Tuesday the death toll has now risen to 4,310.

Almost 8,000 people have been injured, home ministry spokesperson Laxmi Prasad Dhakal said.

Nepal and surrounding areas have continued to experience aftershocks. Thousands in Kathmandu, Nepal's capital, spent a third night outside, too afraid to go back into their houses.

Water, food and electricity are in short supply and there are fears of outbreaks of disease.