CASAMICCIOLA, Italy (Reuters) – An earthquake hit the tourist-packed Italian holiday island of Ischia on Monday night, killing at least two people, injuring dozens of others and trapping three young brothers in the rubble.

Tourists and residents on the island off the coast of Naples ran out onto the narrow streets after the quake wrecked a church and several buildings. Fearing aftershocks, many decided to leave the island early.

Rescuers found a baby boy called Pasquale in the wreckage and pulled him out alive in his nappy seven hours after the shock early on Tuesday. There was a hush followed by loud applause.

Fire crews found his brothers Mattia and Ciro, aged seven and 11, stuck under a bed nearby. They kept talking to them and fed water to them through a tube, then managed to pull Mattia free.

By noon (1000 GMT) on Tuesday, emergency crews said they had freed Ciro’s legs and were working to release him. “I promised them that after this was all over we would all go get a pizza together,” one emergency worker said on Italian television.

The parents were safe because they were in another room.

About six buildings in the town of Casamicciola, including a church, collapsed in the quake, which hit at 8:57 p.m. (1857 GMT) on Monday. The walls of one were ripped open, exposing a kitchen with a table still set for dinner.

The earthquake hit three days before the first anniversary of a major quake that killed nearly 300 people in central Italy, most of them in the town of Amatrice.

Italy’s National Institute of Geophysics and Vulcanology put the magnitude of Monday’s quake at 4.0, revising it up from an initial 3.6, but both the U.S. Geological Survey and the European quake agency estimated the magnitude at 4.3.

FALLING MASONRY

The director of the island’s hospital said two women were killed and about 40 injured. One of victims was hit by falling masonry from the church of Santa Maria del Suffragio, the Civil Protection Department in Rome said.

The church was rebuilt after it, like most of Casamicciola, was destroyed by an earthquake that killed about 2,000 people in 1883.

Most of the damage was in the high part of the volcanic island. Hotels and residences on the coast did not appear to suffer serious damage but fire brigades were checking to see if they could still be used.

The island has a year-round population of about 63,000, which swells to more than 200,000 in summer, with many people from the mainland owning holiday homes.

Civil Protection Department head Angelo Borrelli said about 2,600 people could not re-enter their homes, pending checks.

Helicopters and a ferry boat brought in more rescue workers from the mainland.

Three extra ferries were provided during the night for about 1,000 residents and tourists who wanted to leave. As daylight broke, dozens of people went to the island’s ports, having decided to end their vacations early.

Many who were due to take ferries from Naples on the mainland to start their vacations canceled their plans, local officials said.

Some civil protection squads were already on the island because of brushfires.

Ischia, a volcanic island about a one-hour ferry ride from Naples, is popular with German tourists. German chancellor Angela Merkel has stayed there often.