Although the epicenter of the September 19, 2017 earthquake was in Axochiapan, the municipality of Tepalcingo was among the most severely affected. Public, private, and religious buildings were seriously damaged; there was structural damage to the Sanctuary of Jesus of Nazareth, which nearly collapsed; all the other churches of the municipality were damaged as well as the municipal presidency, the market, and other buildings. Municipal President Alfredo Sánchez Vélez said that 700 homes could not be used, while others had cracks. No lives were reported lost. The Secretary of Health reported that 486 homes were destroyed and 2,263 were damaged, more than in any other municipality.