The Philippines is reeling from one of its strongest earthquakes in a decade after a powerful 6.9-magnitude tremor struck the central region, leaving widespread destruction in its wake.

Officials confirmed Wednesday that at least 69 people have been killed, while many more remain missing. Rescue operations are ongoing as emergency teams search for survivors trapped under collapsed structures.

The epicenter was near Bogo City, where the local hospital has been “overwhelmed” by the influx of injured residents, according to Civil Defense official Raffy Alejandro. Authorities warned that the number of casualties could rise as rescue efforts continue.

Dozens of buildings were reduced to rubble, including a historic church over 100 years old. Images from the scene show debris-strewn streets, collapsed homes, and communities left in shock.

The Philippine government has mobilized emergency response units, with aid agencies rushing food, water, and medical assistance to affected areas. International organizations have also signaled readiness to provide support.

This earthquake adds to the nation’s long history of devastating seismic events, underscoring its vulnerability as part of the Pacific “Ring of Fire,” where earthquakes and volcanic eruptions are frequent.