NEW : The death toll rises to 208 ; about 350 injured . The quake is powerful enough to create a small island off the coast , officials say . Score: 6 Aftershocks are felt in Karachi , hundreds of miles to the southeast .
NEW : The death toll rises to 208 ; about 350 injured . The quake is powerful enough to create a small island off the coast , officials say . The earthquake struck a remote area , Pakistani officials say . Aftershocks are felt in Karachi , hundreds of miles to the southeast .