Rescue crews aided by sniffer dogs dug through crumbled homes in Italy Thursday looking for earthquake survivors as the death toll topped 241 and officials anguished over how to secure their ancient towns and modern cities from the country’s highly seismic terrain.

Hundreds of people were injured in the quake that struck at 3:36 a.m. Wednesday, investigators said. At least 470 aftershocks have since rattled the area, triggering more damage to centuries-old buildings in Amatrice. One aftershock had a magnitude of 5.1.

After a night of uninterrupted, flood-lit search efforts, firefighters and rescue crews worked in teams around the hard-hit area in central Italy, pulling chunks of cement, rock and metal from mounds of rubble where homes once stood, searching for signs of life.

One rescue effort focused on the Hotel Roma in Amatrice, famous for the Amatriciana bacon and tomato pasta sauce that brings food lovers to this medieval hilltop town each August for its food festival.

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