An earthquake measuring 6.3 on the Richter scale rocked central Italy on Monday, seriously damanging some houses and causing a few structures to collapse in a mountainous region east of Rome, officials said.
Five children are said to be among the dead and at least 30 people remain unaccounted for as a massive search for the trapped is under way.
The 6.3-magnitude quake struck at 0330 (0130 GMT) close to L'Aquila city, 95km (60 miles) north-east of Rome.
A civil protection official said 3,000 to 10,000 buildings in the medieval city may have been damaged.
"This means that we'll have several thousand people to assist over the next few weeks and months," Agostino Miozzo told Sky Italia.
"Our goal is to give shelter to all by tonight."
A university dormitory, churches and a bell tower are believed to be among the buildings that had collapsed.
Residents and rescuers were using their bare hands to clear the debris from collapsed buildings. There were calls for quiet as they listened for signs of life amid the rubble.
Survivors, some still in their night clothes, hugged each other as they waited for news of friends and relatives.
Hundreds waited for treatment at the city's main hospital, where doctors were forced to treat people in the open air because only one operating room was functioning, Italian news agency Ansa reports.
The death toll has been rising steadily throughout the morning. The latest from Ansa is that 27 people are now dead.
But with many villages in the surrounding area still cut off by landslides, it is thought the full scale of the disaster will not become clear for many hours.
"We left as soon as we felt the first tremors," said Antonio D'Ostilio, 22, as he stood on a street in L'Aquila with a suitcase of clothes hastily piled together.
"We woke up all of a sudden and we immediately ran downstairs in our pyjamas," he was quoted by the Associated Press as saying.
A student dormitory was said to be one of the buildings badly damaged. Rescuers were reportedly searching the rubble for people feared trapped inside.
One student told Rai state TV that he managed to escape the building before the roof collapsed.
Public safety chief Guido Bertolaso warned of "numerous victims, many injured and so many collapsed homes" as he travelled to the scene, Ansa news agency reported.
Correspondents say that L'Aquila, capital of the mountainous Abruzzo region, has many old buildings not built to withstand a strong earthquake.
Even some modern structures on the outskirts of the city were reported to have collapsed.
The earthquake was also felt in Rome, where the BBC correspondent said he was woken up by the shaking.
Italy lies on two fault lines and has been hit by powerful earthquakes in the past, mainly in the south of the country.
Today's earthquake in the Abruzzo region of Italy is likely to have been triggered by the north-south faultline that dissects the length of the country and trails the central and southern Apennines.
The fault is one of two criss-crossing the peninsula. The second, which runs from east to west across the centre of Italy, is typically associated with milder tremors.
Caught between two faultlines at the juncture of tectonic plate movements between Europe and Africa, Italy is prone to regular earthquakes.
However, it is unusual for the country to experience an eathquake as deadly as today's.
In 2002, a quake in the southern town of San Giuliano di Puglia killed more than 25 people – the highest number to die in an Italian earthquake in more than two decades. More than 40,000 people lost their homes.
In 1980, more than 2,700 people were killed and more than several thousand injured in a quake measuring at least 6.9 on the Richter scale.
The epicentre was at Eboli, about 80km (50 miles) south of Naples.
One of Italy's most deadly earthquakes struck a century ago in 1908, destroying the Sicilian town of Messina and, according to some estimates, killed as many as 100,000 people.
And the massive destruction of this quake can be seen here
Here’s the map of Italy Earthquake today. The quake’s depth was only 10 km below the earth’s surface.
Sources:
http://news.bbc.co.uk/2/hi/in_pictures/7984969.stm
http://www.guardian.co.uk/world/2009/apr/06/italy-earthquake-abruzzo
http://earthquake.usgs.gov/eqcenter/recenteqsww/Quakes/us2009fcaf.php for data from USGS
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