At the time, 375 deaths were reported. Partly because hundreds of fatalities in Chinatown went ignored and unrecorded, the total number of deaths is still uncertain today, and is estimated to be roughly 3,000 at minimum. Most of the deaths occurred in San Francisco itself, but 189 were reported elsewhere in the Bay Area; nearby cities, such as Santa Rosa and San Jose, also suffered severe damage. In Monterey County, the earthquake permanently shifted the course of the Salinas River near its mouth. Where previously the river emptied into Monterey Bay between Moss Landing and Watsonville, it was diverted 6 miles south to a new channel just north of Marina.
Between 227,000 and 300,000 people were left homeless out of a population of about 410,000; half of those who evacuated fled across the bay to Oakland and Berkeley. Newspapers described Golden Gate Park, the Presidio, the Panhandle and the beaches between Ingleside and North Beach as covered with makeshift tents. More than two years later, many of these refugee camps were still in operation