In Atzitzihuacan on the slopes of the volcano, a church collapsed during mass, killing 15 people, Puebla Governor Jose Antonio Gali said.
This is in addition to the 149 people who died when a powerful earthquake of magnitude 7.1 struck central Mexico, toppling buildings in the heavily populated capital where rescuers scoured frantically under the rubble of ruins for survivors.
Thousands ran into the streets in panic, and millions lost electricity when the quake struck around lunchtime.
