The death toll from a devastating earthquake in central Italy reached, at least, 250 people on Thursday, a report said.
It said that it could rise further as rescue teams continued to search through the night to find survivors under the rubble of flattened towns.
The 6.2 magnitude quake struck a cluster of mountain communities 140 km (85 miles) east of Rome early on Wednesday as people slept, destroying hundreds of homes.
Officials said they expected to confirm more deaths as the search operation continued.
Trucks full of rubble left the area every few minutes, including one in which a dusty doll could be seen lying on top of debris.
On Thursday, the sun rose on frightened people who had slept in cars or tents, the earth continuing to tremble under their feet from aftershocks, hundreds of which have struck since the quake.
Two registered 5.1 and 5.4, just before dawn.
“I haven’t slept much because I was really afraid,” said 70-year-old Arturo Onesi from the town of Arquata del Tronto, who spent the night in a tent camp for survivors and rescue workers.
On Thursday afternoon a violent aftershock measuring magnitude 4.3 sent rescuers fleeing from debris and stones that fell from the severely damaged bell tower of the 15th century church of St. Augustine in Amatrice.
The aftershock, which struck fear and panic in survivors, detached the church’s facade, leaving it dangerously unstable over the main street where rescuers work.
One Spaniard, five Romanians, and a number of other foreigners, some of them care-givers for the elderly, were believed to be among the dead, officials said.
Aerial video taken by drones showed swathes of Amatrice, last year voted one of Italy’s most beautiful historic towns, completely flattened.
The town, known across Italy and beyond for a local pasta dish, had been filling up for the 50th edition of a popular food festival this weekend.
The mayor said the bodies of 15-20 tourists were believed to be under the rubble of the Hotel Roma, which he said had about 32 guests when it collapsed on Wednesday morning.
About 270 people injured in Wednesday’s quake were hospitalised, the Civil Protection department said.
It said that about 5,000 people, including police, firefighters, army troops and volunteers, were involved in post-quake operations.
Rescuers working with emergency lighting in the darkness saved a 10-year-old girl, pulling her alive from the rubble where she had lain for about 15 hours.
Many other children were not so lucky. A family of four, including two boys aged 8 months and 9 years, were buried when a church bell tower toppled into their house in nearby Accumoli.
Prime Minister Matteo Renzi’s cabinet was meeting on Thursday to decide emergency measures to help the affected communities.
“Today is a day for tears, tomorrow we can talk of reconstruction,” he told reporters late on Wednesday.
