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  • A woman and child sit on a bench after an...

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    A woman and child sit on a bench after an earthquake on Aug. 25, 2016, in Amatrice, Italy.

  • Rescuers search for victims in the rubble after a strong...

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    Rescuers search for victims in the rubble after a strong earthquake hit Amatrice, Italy on August 24, 2016.

  • A digger moves rubble next to a building destroyed by...

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    A digger moves rubble next to a building destroyed by an earthquake on Aug. 25, 2016, in Amatrice, Italy.

  • This still image taken from video shows the destruction in...

    AP

    This still image taken from video shows the destruction in Amatrice, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • The inside of a tent in a temporary camp for...

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    The inside of a tent in a temporary camp for those displaced by the earthquake in central Italy, in Pescara del Tronto, on Aug. 25, 2016.

  • Victims and rescuers walk among the rubble of houses after...

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    Victims and rescuers walk among the rubble of houses after a strong earthquake hit Amatrice on August 24, 2016.

  • A damaged road is seen Aug. 24, 2016, in Arquata...

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    A damaged road is seen Aug. 24, 2016, in Arquata del Tronto, Italy, after a deadly earthquake.

  • This still image taken from video shows rescuers searching a...

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    This still image taken from video shows rescuers searching a collapsed building in Amatrice, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • This still image taken from video shows survivors and rescuers...

    AP

    This still image taken from video shows survivors and rescuers wandering in the center of Amatrice, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • Cracks litter a damaged home Aug. 24, 2016, in Arquata...

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    Cracks litter a damaged home Aug. 24, 2016, in Arquata del Tronto, Italy, after a deadly earthquake.

  • A post office is engulfed by rubble in Arcuata del...

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    A post office is engulfed by rubble in Arcuata del Tronto, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • An earthquake survivor is carried by Red Cross staff in...

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    An earthquake survivor is carried by Red Cross staff in a tent camp set up as a temporary shelter following an earthquake in Pescara Del Tronto, Italy, on Aug. 26, 2016.

  • A man is pulled out of the rubble following an...

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    A man is pulled out of the rubble following an earthquake in Amatrice Italy, Wednesday, Aug. 24, 2016.

  • An elderly man is given assistance as collapsed buildings are...

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    An elderly man is given assistance as collapsed buildings are seen in the background following an earthquake, in Amatrice, Italy, Wednesday, Aug. 24, 2016.

  • Rescuers carry a man from the rubble after a strong...

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    Rescuers carry a man from the rubble after a strong heartquake hit Amatrice on August 24, 2016.

  • A firefighter stands next to a backhoe and rubble and...

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    A firefighter stands next to a backhoe and rubble and debris of a destroyed building in the damaged central Italian village of Amatrice on August 26, 2016, two day after a 6.2-magnitude earthquake struck the region killing hundreds.

  • Resident search for victims in the rubble after a strong...

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    Resident search for victims in the rubble after a strong heartquake hit Amatrice on August 24, 2016.

  • Police officers view the remains of a building that was...

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    Police officers view the remains of a building that was destroyed during an earthquake on Aug. 25, 2016, in Amatrice, Italy.

  • An excavator digs through rubble of collapsed buildings following an...

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    An excavator digs through rubble of collapsed buildings following an earthquake, in Amatrice, Italy, Wednesday, Aug. 24, 2016.

  • A nun checks her mobile phone as she lies near...

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    A nun checks her mobile phone as she lies near a victim laid on a ladder following an earthquake in Amatrice Italy, Wednesday, Aug. 24, 2016.

  • Aerial view of the village of Saletta in central Italy,...

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    Aerial view of the village of Saletta in central Italy, on Aug. 26, 2016, where a strong quake hit and strong aftershocks rattled residents and rescue crews alike as hopes began to dim that firefighters would find any more survivors.

  • A firefighter looks on in Accumoli, Italy, on Aug. 24,...

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    A firefighter looks on in Accumoli, Italy, on Aug. 24, 2016, after a strong earthquake hit central Italy.

  • Cars sit amid the rubble from earthquake-damaged buildings in the...

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    Cars sit amid the rubble from earthquake-damaged buildings in the central Italian village of Pescara del Tronto on Aug. 25, 2016.

  • Firefighters recover paintings from a collapsed house in Amatrice, Italy,...

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    Firefighters recover paintings from a collapsed house in Amatrice, Italy, on, Aug. 27, 2016.

  • This still image taken from video shows the center of...

    AP

    This still image taken from video shows the center of Amatrice, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • A general view of the town of Pescara del Tronto...

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    A general view of the town of Pescara del Tronto destroyed by an earthquake Aug. 24, 2016, in Pescara del Tronto, Italy.

  • Aerial view of the village of Saletta in central Italy,...

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    Aerial view of the village of Saletta in central Italy, on Aug. 26, 2016, where a strong quake hit and strong aftershocks rattled residents and rescue crews alike as hopes began to dim that firefighters would find any more survivors.

  • Rescuers search for victims in the rubble after a strong...

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    Rescuers search for victims in the rubble after a strong earthquake hit Amatrice on August 24, 2016.

  • A damaged crucifix is seen inside a church following an...

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    A damaged crucifix is seen inside a church following an earthquake in Accumuli, Italy, on Aug. 26, 2016.

  • Rescuers search amid rubble following an earthquake in Amatrice, Italy,...

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    Rescuers search amid rubble following an earthquake in Amatrice, Italy, on Aug. 24, 2016.

  • An injured man is carried on a stretcher by rescuers...

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    An injured man is carried on a stretcher by rescuers following an earthquake in Accumoli, Italy, on Aug. 24, 2016.

  • Debris litter a damaged shop in the Italian central village...

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    Debris litter a damaged shop in the Italian central village of Accumoli after a powerful earthquake rocked central Italy on Aug. 24, 2016.

  • Italian Firefighters stand near a bulldozer amid ruins as they...

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    Italian Firefighters stand near a bulldozer amid ruins as they try to reopen the road in Rio, a little village near Amatrice, central Italy two days after a 6.2-magnitude earthquake struck the region killing hundreds.

  • Site of Wednesday morning earthquake.

    Los Angeles Times

    Site of Wednesday morning earthquake.

  • Aerial view of the church of Santa Maria della Misericordia...

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    Aerial view of the church of Santa Maria della Misericordia in Accumoli in central Italy, on Aug. 26, 2016, where a strong quake hit and strong aftershocks rattled residents and rescue crews alike as hopes began to dim that firefighters would find any more survivors.

  • Rescuers search a crumbled building in Arcuata del Tronto, central...

    Sandro Perozzi / AP

    Rescuers search a crumbled building in Arcuata del Tronto, central Italy, where a 6.1 earthquake struck just after 3:30 a.m., Wednesday, Aug. 24, 2016.

  • A Virgin Mary statue stands amid debris in the Italian...

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    A Virgin Mary statue stands amid debris in the Italian central town of Pescara del Tronto on Aug. 24, 2016, after a powerful earthquake rocked central Italy.

  • People sit on the side of a road as collapsed...

    Alessandra Tarantino / AP

    People sit on the side of a road as collapsed buildings are seen in the background following an earthquake, in Amatrice, Italy, Wednesday, Aug. 24, 2016. The magnitude 6 quake struck at 3:36 a.m.

  • An earthquake-damaged house in Pescara del Tronto on Aug. 25,...

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    An earthquake-damaged house in Pescara del Tronto on Aug. 25, 2016.

  • A boy sleeps in the trunk of a car in...

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    A boy sleeps in the trunk of a car in Accumoli on Aug. 24, 2016, after a strong earthquake hit central Italy.

  • A man stands among the rubble of a house after...

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    A man stands among the rubble of a house after a strong earthquake hit Amatrice, Italy on August 24, 2016.

  • Firefighters and rescuers walk in the damaged central Italian village...

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    Firefighters and rescuers walk in the damaged central Italian village of Amatrice on August 26, 2016, two day after a 6.2-magnitude earthquake struck the region killing hundreds.

  • The side of a building is collapsed following an earthquake,...

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    The side of a building is collapsed following an earthquake, in Amatrice Italy, Wednesday, Aug. 24, 2016.

  • A man leans on rubble of destroyed buildings following an...

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    A man leans on rubble of destroyed buildings following an earthquake in Amatrice Italy, Wednesday, Aug. 24, 2016.

  • People walk past rubble in Villa San Lorenzo, Italy, on...

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    People walk past rubble in Villa San Lorenzo, Italy, on Aug. 27, 2016, where a 6.1 earthquake struck three days earlier.

  • Residents and rescuers help a man among the rubble after...

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    Residents and rescuers help a man among the rubble after a strong earthquake hit Amatrice, Italy on August 24, 2016.

  • A woman walks a dog near tents of a temporary...

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    A woman walks a dog near tents of a temporary camp for those displaced by the earthquake in central Italy, in Pescara del Tronto on Aug. 25, 2016.

  • Bodies of victims lie in front of rescuers in the...

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    Bodies of victims lie in front of rescuers in the Italian central town of Pescara del Tronto on Aug. 24, 2016, after a powerful earthquake rocked central Italy.

  • Rescues carry a man in Amatrice on August 24, 2016...

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    Rescues carry a man in Amatrice on August 24, 2016 after a strong heartquake.

  • Aerial view of Accumoli in central Italy, on Aug. 26, 2016,...

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    Aerial view of Accumoli in central Italy, on Aug. 26, 2016, where a strong quake hit earlier in the week.

  • A man sits on top of rubble in Amatrice on...

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    A man sits on top of rubble in Amatrice on Aug. 24, 2016, after a powerful earthquake rocked central Italy.

  • Rescue and emergency service personnel use an excavator to search...

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    Rescue and emergency service personnel use an excavator to search for victims under the remains of a damaged building in Amatrice, Italy, on Aug. 25, 2016.

  • Rescue teams work amid the rubble of collapsed buildings during...

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    Rescue teams work amid the rubble of collapsed buildings during a search and rescue operation in the mountain village of Amatrice, Lazio Region, Italy.

  • Rescuers search for victims in the rubble after a strong...

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    Rescuers search for victims in the rubble after a strong earthquake hit Amatrice, Italy on August 24, 2016.

  • A damaged building is seen after a strong earthquake hit...

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    A damaged building is seen after a strong earthquake hit Amatrice on August 24, 2016.

  • Rescue teams work amid the rubble of collapsed buildings during...

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    Rescue teams work amid the rubble of collapsed buildings during a search and rescue operation in the mountain village of Amatrice, Lazio Region, Italy.

  • Rescuers make their way through destroyed houses following an earthquake...

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    Rescuers make their way through destroyed houses following an earthquake in Pescara Del Tronto, Italy, on Aug. 25, 2016.

  • The historical part of the town of Amatrice, Italy, is...

    Gregorio Borgia / AP

    The historical part of the town of Amatrice, Italy, is left in ruins after an earthquake Aug. 24, 2016.

  • A man leans on a wall as the collapsed village...

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    A man leans on a wall as the collapsed village of Pescara del Tronto, Italy, is seen behind him, Aug. 24 2016 following an earthquake.

  • A damaged house remains partially intact in the Italian central...

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    A damaged house remains partially intact in the Italian central village of Accumoli after a powerful earthquake Aug. 24, 2016.

  • Rescuers work in the Italian central village of Accumoli on...

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    Rescuers work in the Italian central village of Accumoli on Aug. 24, 2016, after a powerful earthquake rocked central Italy.

  • Residents reacts among the rubble after a strong earthquake hit...

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    Residents reacts among the rubble after a strong earthquake hit Amatrice on August 24, 2016 in Central Italy.

  • Firefighters operate a drone to survey damaged structures in the...

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    Firefighters operate a drone to survey damaged structures in the village of Cossito, Italy, on Aug. 27, 2016.

  • The inside of a home is revealed after a building...

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    The inside of a home is revealed after a building partly collapsed during an earthquake in Amatrice, Italy.

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Rescue crews using bulldozers and their bare hands raced to dig out survivors Thursday from a strong earthquake that reduced three central Italian towns to rubble. The death toll rose to 247, but the number of dead and missing was uncertain given the thousands of vacationers in the area for summer’s final days.

Residents wakened before dawn by the temblor emerged from their crumbled homes to find what they described as apocalyptic scenes “like Dante’s Inferno,” with entire blocks of buildings turned into piles of sand and rock, thick dust choking the air and a putrid smell of gas.

“The town isn’t here anymore,” said Sergio Pirozzi, the mayor of the hardest-hit town, Amatrice. “I believe the toll will rise.”

The magnitude 6.2 quake struck at 3:36 a.m. on Wednesday and was felt across a broad swath of central Italy, including Rome, where residents woke to a long swaying followed by aftershocks. The temblor shook the Lazio region and Umbria and Le Marche on the Adriatic coast, a highly seismic area that has witnessed major quakes in the past and continued to shake early Thursday with aftershocks.

Dozens of people were pulled out alive by rescue teams and volunteers that poured in from around Italy.

In the evening, about 17 hours after the quake struck, firefighters pulled a 10-year-old girl alive from the rubble in Pescara del Tronto.

“You can hear something under here. Quiet, quiet,” one rescue worker said, before soon urging her on: “Come on, Giulia, come on, Giulia.”

Cheers broke out when she was pulled out.

And there were wails when bodies emerged.

“Unfortunately, 90 percent we pull out are dead, but some make it, that’s why we are here,” said Christian Bianchetti, a volunteer from Rieti who was working in devastated Amatrice where flood lights were set up so the rescue could continue through the night.

Premier Matteo Renzi visited the zone Wednesday, greeted rescue teams and survivors, and pledged that “No family, no city, no hamlet will be left behind.” Italy’s civil protection agency reported the death toll had risen to 247 early Thursday; at least 368 others were injured.

Worst affected were the tiny towns of Amatrice and Accumoli near Rieti, 100 kilometers (60 miles) northeast of Rome, and Pescara del Tronto, 25 kilometers further east. Italy’s civil protection agency set up tent cities around each hamlet to accommodate the thousands of homeless. In Amatrice, the elderly and children spent the night inside a local sports facility.

Italy’s health minister, Beatrice Lorenzin, visiting the devastated area, said many of the victims were children: The quake zone is a popular spot for Romans with second homes, and the population swells in August when most Italians take their summer holiday before school resumes.

The medieval center of Amatrice was devastated, with rescue crews digging by hand to get to trapped residents.

The birthplace of the famed spaghetti all’ amatriciana bacon and tomato sauce, the city was full for this weekend’s planned festival honoring its native dish. Guests filled its top Hotel Roma, famed for its amatriciana, where five bodies were pulled from the rubble before the operation was suspended when conditions became too dangerous late Wednesday. Among those killed was an 11-year-old boy who had initially shown signs of life.

Officials initially said about 70 guests were staying at the hotel, but later lowered the number to about 35, many of whom got out in time.

Carlo Cardinali, a local fire official taking part in the search efforts at the hotel, told Sky TG24 that about 10 guests were still missing.

Amatrice is made up of 69 hamlets that teams from around Italy were working to reach with sniffer dogs, earth movers and other heavy equipment. In the city center, rocks and metal tumbled onto the streets and dazed residents huddled in piazzas as more than 200 aftershocks jolted the region throughout the day, some as strong as magnitude 5.1.

“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.”

Another woman, sitting in front of her destroyed home with a blanket over her shoulders, said she didn’t know what had become of her loved ones.

“It was one of the most beautiful towns of Italy and now there’s nothing left,” she said, too distraught to give her name. “I don’t know what we’ll do.”

Residents, civil protection workers and even priests dug with shovels, bulldozers and their bare hands to reach survivors. A steady column of dump trucks brought tons of twisted metal, rock and cement down the hill and onto the highway toward Rome, along with a handful of ambulances bringing the injured to Rome hospitals.

A man is pulled out of the rubble following an earthquake in Amatrice Italy, Wednesday, Aug. 24, 2016.
A man is pulled out of the rubble following an earthquake in Amatrice Italy, Wednesday, Aug. 24, 2016.

Italy’s national blood drive association appealed for donations to Rieti’s hospital.

Despite a massive rescue and relief effort — with army, Alpine crews, carabineri, firefighters, Red Cross crews and volunteers, it wasn’t enough: A few miles (kilometers) north of Amatrice, in Illica, residents complained that rescue workers were slow to arrive and that loved ones were trapped.

“We are waiting for the military,” said resident Alessandra Cappellanti. “There is a base in Ascoli, one in Rieti, and in L’Aquila. And we have not seen a single soldier. We pay! It’s disgusting!”

Agostino Severo, a Rome resident visiting Illica, said workers eventually arrived after an hour or so. “We came out to the piazza, and it looked like Dante’s Inferno,” he said. “People crying for help, help.”

The U.S. Geological Survey reported the quake’s magnitude was 6.2, while the Italian geological service put it at 6 and the European Mediterranean Seismological Center at 6.1. The quake had a shallow depth of between four and 10 kilometers, the agencies said. Generally, shallow earthquakes pack a bigger punch and tend to be more damaging than deeper quakes.

“The Apennine mountains in central Italy have the highest seismic hazard in Western Europe and earthquakes of this magnitude are common,” noted Richard Walters, a lecturer in Earth sciences at Durham University in Britain.

The devastation harked back to the 2009 quake that killed more than 300 people in and around L’Aquila, about 90 kilometers (55 miles) south of the latest quake. The town, which still hasn’t fully recovered, sent emergency teams Wednesday to help with the rescue and set up tent camps for residents unwilling to stay indoors because of aftershocks.

“I don’t know what to say. We are living this immense tragedy,” said a tearful Rev. Savino D’Amelio, a parish priest in Amatrice. “We are only hoping there will be the least number of victims possible and that we all have the courage to move on.”

Another hard-hit town was Pescara del Tronto, in the Le Marche region, where the main road was covered in debris.

Residents were digging their neighbors out by hand before emergency crews arrived. Aerial photos taken by regional firefighters showed the town essentially flattened and under a thick gray coat of dust; Italy requested EU satellite images of the whole area to get the scope of the damage.

“There are broken liquor bottles all over the place,” said Gino Petrucci, owner of a bar in nearby Arquata Del Tronto where he was beginning the long cleanup.

The mayor of Accumoli, Stefano Petrucci, said a family of four had died there, one of the few young families who had decided to stay in the area. He wept as he noted that the tiny hamlet of 700 swells to 2,000 in the summer months, and that he feared for the future of the town.

“I hope they don’t forget us,” he told Sky TG24.

President Barack Obama, speaking by telephone to Italian President Sergio Mattarella, said the U.S. sent its thoughts and prayers to the quake victims and saluted the “quick action” by first responders, White House spokesman Josh Earnest said.

A 1997 quake killed a dozen people in central Italy and severely damaged one of the jewels of Umbria, the Basilica of St. Francis in Assisi, filled with Giotto frescoes. The Franciscan friars who are the custodians of the basilica reported no immediate damage from Wednesday’s temblor.

Pope Francis skipped his traditional catechism for his Wednesday general audience and instead invited the thousands of pilgrims in St. Peter’s Square to recite the rosary with him. He also sent a six-man squad from the Vatican’s fire department to help with the rescue.

Site of Wednesday morning earthquake.
Site of Wednesday morning earthquake.

Associated Press