UPDATE ON TUESDAY: 207 people have been confirmed dead in Italy's deadliest quake in three decades.
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Most of the dead were in L'Aquila, a 13th century mountain city about 100 km (60 miles) east of Rome, and nearby towns and villages in the Abruzzo region. The quake struck shortly after 3.30 a.m. (0130 GMT) and aftershocks rattled the area throughout the day.
"Some towns in the area have been virtually destroyed in their entirety," said Gianfranco Fini, speaker of the lower house of parliament, as MPs observed a moment of silence.
Abruzzo's regional government said more than 130 people were confirmed dead, some 16 hours after the quake struck with a magnitude of between 5.8 and 6.3. Hospital sources are saying more than 150 people have died. Rescue workers are saying that number is expected to rise dramatically as more bodies are pulled out of the rubble.
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Prime Minister Silvio Berlusconi cancelled a trip to Moscow and declared a national emergency, freeing up funds for aid and rebuilding. But he also appeared on the defensive about reports that officials shrugged off a warning about the quake weeks ago.
Flying in to the disaster zone, Berlusconi says that now was the time to concentrate on relief efforts and "we can discuss afterwards about the predictability of earthquakes".
Civil Protection Department officials said up to 50,000 people may have been made homeless in some 26 cities and towns. More than 1,500 people were injured and thousands of houses, ancient churches and buildings collapsed or were damaged.
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In the small town of Onna, which was almost entirely razed to the ground, 24 people were killed. One witness saw a mother and her infant daughter carried away in the same coffin.
Older houses and buildings made of stone, particularly in outlying villages that have not seen much restoration, collapsed like straw houses.
Hospitals appealed for help from doctors and nurses throughout Italy. The smell of gas filled parts of the mountain towns and villages, coming from mains ruptured by the quake.
Berlusconi arrived in L'Aquila to find tent cities and field hospitals being set up there and hotels on the Adriatic coast would be requisitioned to shelter thousands of homeless.
"We're hoping they give us a tent or something to sleep under tonight," said 70-year-old Isenia Santilli, taking shelter at a sports field outside L'Aquila's city centre where the Red Cross was feeding quake victims.
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"When the quake hit, I rushed out to my father's house and opened the main door and everything had collapsed. My father is surely dead. I called for help but no one was around," said Camillo Berardi in L'Aquila.
A resident standing by an apartment block that was reduced to the height of an adult said: "This building was four storeys high."
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Part of a university residence and a hotel collapsed in L'Aquila and at least one person was still trapped. At least four Romanesque and Renaissance churches and a 16th century castle were damaged.
Part of the nave of the Basilica of Santa Maria di Collemaggio, one of the area's best-known churches, collapsed. To the north, the belltower of the lavish Renaissance Basilica of San Bernardino also crumbled.
Insurance agencies are saying the damages are likely in the billions and it will take awhile to come up with a total.
Bridges and highways in the mountainous area were closed as a precaution.
Weeks before the disaster, an Italian scientist had predicted a major quake around L'Aquila, based on concentrations of radon gas found around seismically active areas.
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Civil Protection assured locals at the end of March that tremors being felt were "absolutely normal" for a seismic area.
Earthquakes can be particularly dangerous in parts of Italy because so many buildings are centuries old. About 2,700 people died in an earthquake in 1980.
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