A powerful earthquake has rocked Italy overnight killing at least 13 people including two children and burying many more as they slept.
The 6.2-magnitude quake at around 3.30am local time was so powerful it rocked buildings in the centre of Rome more than 100 miles away.
Survivors have described 'apocalyptic' scenes in towns and villages near the city of Perugia - the capital of the tourist-packed Umbrian region, which is especially popular with British holidaymakers.
At least 10 are feared dead in the earthquake after people were crushed by falling buildings or suffocated by the rubble - rescuers have pulled out several from the ruins but can still hear voices
from below.
Its epicentre was in Norcia in Umbria, about 105 miles north east of Rome, while the hardest-hit towns were reported as Amatrice, Accumoli and Norcia. Falling bridges and landslides mean some areas are still cut off with emergency teams can only get there on foot.
The mayor of Accumoli, Stefano Petrucci, said this morning: 'My town isn't here anymore' as people were carried out of ruined buildings on stretchers and people desperately searched the debris for survivors or sobbed as they inspected their own ruined homes.
A resident of the village said she had been woken by the shaking in time to witness the wall of her bedroom cracking open. She was able to escape into the street with her children.
The first victims of the devastating quake were an elderly couple whose home collapsed in Pescara del Tronto, in the Marche region, around ten miles from the epicentre. A family of four were also reported dead in the town of Accumoli, including two children.
Two brothers, aged four and seven, were pulled from the rubble nearby after hiding under a bed with their grandmother as the building fell down.
Another person died and a family of four including two young children were trapped, feared dead, in their collapsed house in Accumoli, according to its mayor.
Stefano Petrucci said: 'We have a tragedy here. Four people are under the rubble, but they are not showing any sign of life. Two parents and two children.
'It is a disaster, we have no light, no telephones, the rescue services have not got here yet.'
The quake also destroyed homes and buried people under rubble in the small town of Amatrice, where many more are feared dead.
'The roads in and out of town are cut off. Half the town is gone,' said the town's mayor Sergio Pirozzi.
He added: 'There are people under the rubble... There's been a landslide and a bridge might collapse. The situation is dramatic, there are many dead. I cannot give a toll for now because rescue efforts are under way and it is very, very difficult'.
The centre of Amatrice was devastated, with entire palazzos razed to the ground. Rocks and metal tumbled on to the streets and dazed residents huddled in piazzas as aftershocks continued into the early hours.
'The whole ceiling fell but did not hit me,' marveled resident Maria Gianni. 'I just managed to put a pillow on my head and I wasn't hit luckily, just slightly injured my leg.'
As daylight dawned, residents, civil protection workers and even priests began digging out with shovels, bulldozers and their bare hands, trying to reach survivors. There was a sigh of relief as a woman was pulled out alive from one building, followed by a dog.
'We need chain saws, shears to cut iron bars, and jacks to remove beams: everything, we need everything,' civil protection worker Andrea Gentili told The Associated Press.
'I don't know what to say. We are living this immense tragedy,' said the Rev. Savino D'Amelio, an Amatrice parish priest. 'We are only hoping there will be the least number of victims possible and that we all have the courage to move on.'
In Amatrice, the ANSA news agency reported two bodies had been pulled from one building. The Rev. Fabio Gammarota told ANSA another three were killed in a separate collapse.
Amatrice Mayor Pirozzi told state-run RAI radio and Sky TG24 that residents were buried under collapsed buildings, that the lights had gone out and that heavy equipment was needed to clear streets clogged with debris.
Aleandro Petrucci, the mayor of nearby Arquata del Tronto, said Pescara was one of 'two or three hamlets that have just completely disintegrated.'
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