A magnitude 6.2 earthquake has struck central Italy, leaving at least 38 people dead and 150 missing, as rescuers search for survivors.
Many of the dead were in Accumoli, close to the epicentre, and a short distance away in Amatrice, which was largely reduced to rubble.
The village of Pescara del Tronto was levelled to the ground and the number of dead was expected to rise.
The quake hit at 03:36 (01:36 GMT), 100km (65 miles) north-east of Rome.
Prime Minister Matteo Renzi paid tribute to the volunteers and civil defence officials who had rushed to the scene in the middle of the night and used their bare hands to dig for survivors.