At least 69 people have been confirmed dead and more than 150 injured after a magnitude 6.9 earthquake struck off the coast of the central Philippine island province of Cebu, Al Jazeera reported on Wednesday. The initial tremor was followed by four additional earthquakes of magnitude 5 or higher in the region. "We are receiving additional numbers of reported casualties so this thing is very fluid. We are receiving reports (that) as high as 60 individuals are reported to have perished in this earthquake," Alejandro told reporters in Manila. The Cebu provincial government issued a call on its official Facebook page for medical volunteers to assist with relief efforts.