A magnitude 6.2 earthquake has struck central Italy, leaving at least 37 people dead and 150 missing, as rescuers search for survivors, the BBC reports.
Many of the dead were in the village of Pescara del Tronto which was levelled to the ground and there were fears the number of casualties could rise.
Much of the town of Amatrice was reduced to rubble and a family of four were feared dead nearby in Accumoli.
The quake hit at 03:36 (01:36 GMT), 100km (65 miles) north-east of Rome.
Although it struck at a shallow depth of 10km, its intensity was compared to the Aquila earthquake in April 2009 in which 309 people died. The epicentre was around Accumoli where several people died.