Residents of Naples and its surrounding areas abandoned their homes and camped out in parks and cars after a 4.4 magnitude earthquake struck near the Italian city early Thursday morning, rattling nerves after weeks of intense seismic activity.

Many people in and around the Italian city spend the night on the streets and in their cars, fearing aftershocks.

Pictures have shown the damage caused by a magnitude 4.4 earthquake which struck Naples early on Thursday, among the strongest in the area in recent history. The quake sent 11 people to the hospital, the most serious of whom suffered concussion after part of a ceiling collapsed on them, officials said.