CAIRO: Egyptian security forces crushed a protest camp of thousands of supporters of the deposed president on Wednesday, shooting dead scores of people in the bloodiest day in decades in the Arab world's biggest country.
The health ministry said 149 people were killed, both in Cairo and in clashes that broke out elsewhere in the country. Deposed President Mohamed Mursi's Muslim Brotherhood said the death toll was far higher in what it described as a "massacre".
While dead bodies wrapped in carpets were carried to a makeshift morgue near the Rabaa al-Adawiya mosque, the army-backed rulers declared a one-month state of emergency, restoring to the military the unfettered power it wielded for decades before a pro-democracy uprising in 2011.
Thousands of Mursi's supporters had been camped at two major sites in Cairo since before he was toppled on July 3, and had vowed not leave the streets until he was returned to power.
Violence spread beyond Cairo, with Mursi supporters and security forces clashing in the cities of Alexandria, Minya, Assiut, Fayoum and Suez and in Buhayra and Beni Suef provinces.
With the assault on the camps, the authorities have ended the six-week stand-off with a show of state force that defied international pleas for restraint.
The bloodshed also effectively ends the open political role of the Brotherhood, which survived for 85 years as an underground movement before emerging from the shadows after the 2011 uprising to win every election held since.
In one a rare sign of unease from among the Brotherhood's opponents, Mohamed ElBaradei, a former U.N. diplomat, quit his post of vice president in the army-backed government, saying the conflict could have been resolved by peaceful means.
"The beneficiaries of what happened today are those call for violence, terrorism and the most extreme groups."
Since Mursi was toppled, the security forces had twice before killed scores of protesters in an attempt to drive Mursi's followers off the streets. But they had held back from a full-scale assault on the tented camp where followers and their families have lived behind makeshift barricades.
After the assault on the camp began, desperate residents recited Koranic verse and screamed "God help us! God help us!" while helicopters hovered overhead and armoured bulldozers ploughed over their makeshift defences.
Reuters journalists on the scene saw masked police in dark uniforms pour out of police vans with sticks and tear gas bombs. They tore down tents and set them ablaze.
"They smashed through our walls. Police and soldiers, they fired tear gas at children," said Saleh Abdulaziz, 39, a secondary school teacher clutching a bleeding wound on his head.
After shooting with live ammunition began, wounded and dead lay on the streets near pools of blood. An area of the camp that had been a playground and art exhibit for the children of protesters was turned into a war-zone field hospital.
Seven dead bodies were lined up in the street, one of a teenager whose skull was smashed, with blood pouring from the back of his head.
At another location in Cairo, a Reuters reporter was in a crowd of Mursi supporters when he heard bullets whizzing past and hitting walls. The crowd dived to the ground for cover. A man was killed by a bullet to the head.
The government insists people in the camp were armed. Several television stations, all controlled by the state or its sympathisers, ran footage of what appeared to be pro-Mursi protesters firing rifles at soldiers from behind sandbag barricades.
However Reuters journalists and other Western media have not witnessed such incidents. Crowds appeared to be armed mainly with sticks, stones and slabs of concrete against rifle-wielding police and troops.
At a makeshift morgue at the camp field hospital, a Reuters reporter counted 29 bodies, with others still arriving. Most had died of gunshot wounds to the head.
A 12-year-old boy, bare-chested with tracksuit trousers, lay out in the corridor, a bullet wound through his neck. His mother was bent over him, rocking back and forth and silently kissing his chest. One of the nurses was sobbing on her hands and knees as she tried to mop up the blood with a roll of tissue.
The violence forces tough decisions for Egypt's Western allies, especially Washington, which funds Egypt's military with $1.3 billion a year and has refused to label its overthrow of Mursi a "coup".
"The United States strongly condemns the use of violence against protesters in Egypt," White House spokesman Josh Earnest said. "We extend our condolences to the families of those who have been killed, and to the injured. We have repeatedly called on the Egyptian military and security forces to show restraint."
"We also strongly oppose a return to a State of Emergency law, and call on the government to respect basic human rights such as freedom of peaceful assembly, and due process under the law. The world is watching what is happening in Cairo."
Outside of Cairo, state media said Mursi supporters besieged and set fire to government buildings and attacked several churches. Those reports could not be independently confirmed.
Mohamed El-Beltagi, Brotherhood leader, said his 17-year-old daughter had been killed in the clashes. Among the other dead were at least two journalists. A Reuters photographer was shot in the foot.
Beltagi warned of wider conflict, and singled out the head of the armed forces who deposed Mursi on July 3 following mass protests calling for his resignation.
"I swear by God that if you stay in your homes, Abdel Fattah al-Sisi will embroil this country so that it becomes Syria. Abdel Fattah al-Sisi will push this nation to a civil war so that he escapes the gallows."
Adli Mansour, the judge appointed president by the army when it overthrew Egypt's first elected leader on July 3, announced a state of emergency for one month and called on the armed forces to help police enforce security. Rights activists said the move would give legal cover for the army to make arrests.
A curfew was imposed in Cairo, Alexandria and several provinces from 7 p.m. to 6 a.m.
Turkey urged the U.N. Security Council and Arab League to act quickly to stop a "massacre" in Egypt. Iran warned of the risk of civil war. The European Union and several of its member countries deplored the killings.
Nine hours after the start of Wednesday's operation, crowds of protesters were still blocking roads, chanting and waving flags as security forces sought to prevent them from regrouping.
"At 7 a.m. they came. Helicopters from the top and bulldozers from below. They smashed through our walls. Police and soldiers, they fired tear gas at children," said teacher Saleh Abdulaziz, 39, clutching a bleeding wound on his head.
"They continued to fire at protesters even when we begged them to stop."
The government issued a statement saying security forces had showed the "utmost degree of self-restraint", reflected in what it said were low casualties compared to the number of people "and the volume of weapons and violence directed against the security forces".