Patients have been evacuated from the local hospital in the Spanish town of Lorca after Wednesday night’s earthquake brought down part of the roof.
Eight people died in the unusually strong tremor, which topped 5.3 on the Richter scale.
Fear of aftershocks led a third of the town’s 90,000 residents to spend the night in the open and away from buildings.
Rafael Gonzalez, the national government representative for the Murcia region, said all those who died were outside and are likely to have been killed by falling masonry. Emergency workers are still looking for anyone who might be trapped.
Emergency shelters have been set up in the town centre. Hundreds of people queue for food and other vital supplies.
Part of the facade of the town’s main church was damaged and collapsed hours after the tremor.
Lorca’s structures are mainly medieval and built on Roman and Bronze Age foundations. It is feared many of the town’s ancient buildings could be unstable.