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The national disaster agency has stood by its latest death toll of 131 from Sunday's quake despite other government agencies including the military reporting much higher figures.

Indonesia's national disaster agency is insisting the death toll from the Lombok quake still stands at 131 after other government agencies including the military gave much higher figures.

Relief efforts had yet to reach parts of the island even before Thursday's aftershock, Indonesian authorities said, with hopes fading of finding further survivors among the wreckage.

The first quake, a 6.9 magnitude event, killed almost 350 people, according to Indonesian state media.

He said the death toll is still expected to increase.

The death toll from a devastating quake on the Indonesian island of Lombok has risen above 160, an official said on Thursday, as authorities urgently appealed for medicine, food and clean water for some 156,000 people displaced by the disaster.

Rescuers intensified efforts Wednesday to find those buried in the rubble, with volunteers and rescue personnel erecting temporary shelters for the tens of thousands left homeless on the southern island.

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The latest quake was felt strongly on the island and followed a 7.0 magnitude quake on Sunday that killed at least 131 people.

Disaster agency spokesman Sutopo Purwo Nugroho said in a statement that information being provided by different agencies needs to be complete before it can be cross-checked and officially verified. Water, food and medical supplies were being distributed from trucks.

Authorities said all the tourists who wanted to be evacuated from three outlying holiday islands due to power blackouts and damage to hotels had left by boat, some 5,000 people in all.

Thousands of people have been sleeping in makeshift shelters or out in the open.

"We have no clean water, so if we want to go to the toilet we use a small river nearby", he said, adding they needed food, bedding and medicine.

Indonesia is prone to earthquakes because of its location on the "Ring of Fire", an arc of volcanoes and fault lines in the Pacific Basin.

Local authorities, global relief groups and the central government have begun organising aid, but shattered roads have slowed efforts to reach survivors in the mountainous north of Lombok, which bore the brunt of the quake.

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