The number of people killed in the earthquake that devastated parts of central Italy on Wednesday rose to 247 on Thursday morning, regional and national officials said.
As Reuters reports, the Civil Protection department in Rome said a tally by local officials showed that 190 people were killed Rieti province and 57 in the province of Ascoli Piceno.
Dozens are believed trapped in ruined Amatrice, Accumoli and Pescara del Tronto, in mountainous central Italy, BBC reports.
The search went on through the night, and there was a strong aftershock which rocked already damaged buildings.
More than 4,300 rescuers are using heavy lifting equipment and their bare hands.
Many of the victims were children, the health minister said, and there were warnings the toll could rise further.
The 6.2-magnitude quake hit at 03:36 (01:36 GMT) on Wednesday 100km (65 miles) north-east of Rome.
The quake struck small towns and villages in the mountainous area where the regions of Umbria, Lazio and Le Marche meet.
The area has also been shaken by strong aftershocks, including a 4.7-magnitude tremor with its epicentre about 7km east of Norcia, according to the US Geological Survey.