A 72-year-old man has been pulled from rubble in western Ecuador after being trapped for almost two weeks since the earthquake that killed nearly 650 people.

Onlookers stand next to a collapsed building in Pedernales. EPA

The man was located on Friday after a search team from Venezuela heard him “making sounds in a partially collapsed house” in the coastal province of Manabi.

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The man, named as Manuel Vasquez, was suffering from kidney failure and dehydration and had lost three toes.

He was taken to hospital in the town of Jaramijo.

More than 22,000 people remain in emergency shelters two weeks after the 7.8 magnitude quake, officials said.

A total of 29 foreigners have been identified among the dead, including 10 Colombians, two Britons, an Irishman, an Italian, a Frenchman and a German, the prosecutor’s office said a week earlier.