Italy Earthquake: Death Toll Mounts to 123, Dozens Still Trapped in Rubble

Accumoli: A powerful pre-dawn earthquake devastated mountain villages in central Italy on Wednesday, leaving at least 123 people dead, dozens more injured or trapped under the rubble and thousands temporarily homeless.

Scores of buildings were reduced to dusty piles of masonry in communities close to the epicentre of the pre-dawn quake, which had a magnitude of between 6.0 and 6.2, according to monitors.

It hit a remote area straddling Umbria, Marche and Lazio, to the north of a region devastated by a quake in 2009, rousing villagers and vacationers in terrifying fashion.

Italian Prime Minister, Matteo Renzi confirmed 73 fatalities in and around the villages of Amatrice, Accumoli and Arquata del Tronto.

"My sister and her husband are under the rubble, we're waiting for diggers but they can't get up here," Guido Bordo, 69, told AFP in the tiny village of Illica, near Accumoli.

"There's no sound from them, we only heard their cats. I wasn't here, as soon as the quake happened I rushed here. They managed to pull my sister's children out, they're in hospital now," he added, wringing his hands in anguish.

Other victims included a nine-month-old baby girl whose parents survived.

Two boys aged four and seven were saved by their quick-thinking grandmother, who ushered them under a bed as soon as the shaking began, according to reports. She also survived but lost her husband.

It was Italy's most powerful earthquake since 2009, when some 300 people died in and around the city of L'Aquila, just to the south of the area hit today.

"Half the village has disappeared," said Amatrice mayor Sergio Pirozzi, surveying a town centre that looked as if had been subjected to a bombing raid.

Pope Francis interrupted his weekly audience in St Peter's Square to express his shock.

"To hear the mayor of Amatrice say his village no longer exists and knowing that there are children among the victims, is very upsetting for me," he said.

Civil Protection chief Fabrizio Curcio classed the quake as "severe". The shocks were strong enough to be felt 150 kilometres away in Rome, where authorities ordered structural tests on the Colosseum.