By Jane Ross, Steve Gorman and Maria Tsvetkova KERRVILLE, Texas (Reuters) -The death toll from the July Fourth flash flood that ravaged a swath of central Texas Hill Country rose on Tuesday to at least 109,

First responders struggled with difficult terrain as they continued search and recovery efforts. Officials have confirmed at least 106 people died in the Hill Country region, including 30 children and 56 adults in Kerr County.

Search-and-rescue teams continued to wade into swollen rivers and use heavy equipment as part of the massive search for missing people.