Gaziantep, Turkey CNN  — 

Survivors are still being pulled from the rubble in Turkey and Syria, more than 24 hours after a powerful earthquake toppled thousands of homes, killing at least 7,726 people.

The 7.8-magnitude quake hit just after 4 a.m. local time Monday, sending tremors hundreds of miles and creating disaster zones on both sides of the Turkey-Syria border, including areas home to millions of people already displaced by the civil war in Syria.

A CNN team has witnessed the ongoing rescue efforts in Gaziantep, southern Turkey. From the ruins of one seven-story building, two adults and two children were rescued on Tuesday afternoon local time. Rescuers said that at least 20 more people were thought to be beneath the debris.

Three hours later the team said they hadn’t seen any more survivors rescued, but voices could be heard from beneath the rubble.

As darkness fell outside another building in Gaziantep, English teacher Alptekin Talanci told CNN about his concerns for a friend trapped under the rubble.

“The weather conditions are really so bad,” said Talanci, who said temperatures were very cold.

“I can’t believe that he (his friend) can make it but, you know, I always have my hope,” he added. “We’re just praying.”

00:50 - Source: CNN
Drone footage shows massive destruction after earthquake

In the city of Kahramanmaras, a CNN team witnessed row after row of flattened buildings in the center of the city. Emergency services were seen on site, as well as multiple teams of private rescue groups from the local community, who have banded together to help dig out their loved ones.

CNN affiliate CNN Turk also broadcast the rescue of a 14-year-old boy in Kahramanmaras live on air. He had a black eye but appeared to be conscious as rescuers carried him on a stretcher to a waiting ambulance.

“Finally. He has been rescued,” said a CNN Turk reporter.

While the boy’s rescue offers a glimmer of hope that others will survive the freezing conditions, the death toll continues to climb as search teams navigate blocked roads, damaged infrastructure and violent aftershocks to reach the affected area.

Suhaib Salem/Reuters
Rescuers look for survivors in Gazantiep, Turkey, on Tuesday.

At least 125 aftershocks measuring 4.0 or greater have occurred since the quake, according to the United States Geological Survey.

While the frequency and magnitude of aftershocks are decreasing as is expected, 5.0-6.0 magnitude shocks are still possible and could cause further damage.

Up to 23 million people, including 1.4 million children, could be affected by the quake, according to the World Health Organization (WHO), with director-general Tedros Adhanom Ghebreyesus calling efforts to help them a “race against time.”

Here’s what we know:

What’s the situation in Turkey?

The death toll has risen to at least 5,894 in Turkey, according to officials.

Turkish President Recep Tayyip Erdogan has declared a state of emergency in 10 provinces for three months.

The region has experienced several aftershocks, creating treacherous conditions for rescuers and survivors – dramatic video showed buildings collapsing hours after the initial quake, sending dust piles into the air as people ran away screaming.

The weather and the scale of the disaster were making it challenging for aid teams to reach the affected area, Turkish Health Minister Fahrettin Koca said, adding that helicopters were unable to take off on Monday due to the poor weather.

Burak Kara/Getty Images
People walk past destroyed buildings in Iskenderun, Turkey, on Tuesday.

Heavy snowstorms have recently hit parts of Syria and Turkey, according to CNN meteorologist Haley Brink, and by Wednesday already cold temperatures are expected to plummet several degrees below zero.

Photos taken in earthquake-hit cities in southeastern Turkey show families huddling around fires to keep warm. Some sought shelter in buses, sports centers, mosques and underneath temporary tarpaulin tents – structures sturdy enough to withstand further aftershocks or flimsy enough not to cause severe injury should they collapse.

At least 5,606 structures crumbled during the quake and in the hours after, Turkey’s disaster agency said. Iskenderun State Hospital in the city of the same name was among them, Koca, the health minister said.

Dilara Senkaya/Reuters
A rescue team works on a collapsed building, following an earthquake in Osmaniye, Turkey, on Monday.

“We are trying to save the medical workers and patients there,” he added. “These sorts of disasters can only be overcome with solidarity.”

Authorities in Turkey have advised drivers to stay off the roads to leave them clear for rescue operations. Broken concrete, scraps of metal, and overturned cars remain strewn across many roads and streets, making it difficult for rescuers to reach some areas.

By late Monday, at least 300,000 blankets, 24,712 beds, and 19,722 tents had been sent to the quake-affected areas, AFAD said.

11:31 - Source: CNN
'Speed is of the essence': How Europe is helping quake-hit Turkey

Kishor Jaiswal, a structural engineer at the US Geological Survey, warned there was a risk more buildings could collapse, presenting challenges to rescue operations.

“There is still a small chance of seeing an aftershock strong enough to bring those deteriorated structures down,” he told CNN Tuesday. “People should take a lot of care in accessing those weakened structures for these rescue efforts.”

View this interactive content on CNN.com

What’s happening in Syria?

In neighboring Syria, a country already suffering the effects of civil war, the devastation is widespread. At least 1,832 were killed across government-controlled areas and opposition-controlled areas, officials said.

The “White Helmets” group, officially known as the Syria Civil Defense, which operates in opposition-controlled areas, said Tuesday “the numbers are expected to rise significantly because hundreds of families are still under the rubble.”

Much of northwestern Syria, which borders Turkey, is controlled by anti-government forces, and aid agencies warn of an acute humanitarian crisis that is likely to be felt for months to come.

Dr. Bachir Tajaldin, Turkey country director at the Syrian American Medical Society, told CNN’s “This Morning” that the situation in Syria is complicated by political instability.

“The situation in Turkey is coordinated through a very well developed government. They have infrastructure, they have rescue teams,” Tajaldin said.

“In northern Syria, most of the services are provided by NGOs (non-governmental organizations) and through humanitarian aid. There is no central government to take care of the multi-sectoral response,” he said.

El-Mostafa Benlamlih, the UN’s Humanitarian Coordinator in Syria, told CNN the search and rescue mission was being hampered by the lack of heavy equipment and machinery.

He said the UN’s supply of stock has been distributed and more medicine and medical equipment is needed, and especially fresh water or tools to repair damaged water tanks.

Mohammed Al-Rifai/AFP/Getty Images
Rescuers in the Syrian town of Jandaris on Tuesday.

“Most of the communities depend on elevated tanks of water. Most of these elevated tanks of water were the first ones to fall, or to fall into disrepair. They need replacements or they need repair. We need all of this,” he said.

Around 4 million people in northern Syria were already displaced and relying on humanitarian support as a result of war, according to James Elder, spokesman for UNICEF, the United Nations Children’s Fund. This winter had been particularly tough due to the freezing conditions and a cholera outbreak.

“Everyone is overstretched in that part of the world … there is an enormous amount do,” he said. “People have fled their homes often standing around in bitterly cold conditions really without access to safe water. So water is key. Blankets, food, psychological support.”

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An aerial view of collapsed buildings in Hatay, Turkey, on February 18, 2023.
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Tent city set up in Hatay, Turkey by the coordination of Disaster and Emergency Management Authority (AFAD) of Turkey on February 18.
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People pray for earthquake victims at Grand Camlica Mosque during the Lailat al Miraj in Istanbul on February 17.
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People wait near a collapsed building in Kahramanmaras, Turkey, hoping for news of their missing relatives on February 14.
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A woman is rescued from rubble in Hatay, Turkey on February 14. Rescue teams in southern Turkey said they were still hearing voices from under the rubble more than a week after the earthquake.
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Children sleep in a tent in Idlib, Syria, where an amusement part was turned into a shelter for earthquake victims.
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A man walks near a building that toppled over onto a neighboring structure in Golbasi, Turkey, on February 13.
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People dig graves for earthquake victims in Idlib on February 13.
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People line up to receive supplies in Samandag, Turkey, on February 13.
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This satellite image, taken on February 13, shows a landslide blocking a road in Islahiye, Turkey.
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Derya Akdogan is rescued from the rubble of a collapsed building in Hatay on February 13.
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Two people walk through earthquake ruins in Hatay on February 12.
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Members of a Greek rescue team work at the site of a collapsed building in Hatay on February 11.
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Sezai Karabas is put on a stretcher after being rescued from rubble in Gaziantep, Turkey, on February 11. Karabas' young daughter Sengul was also rescued.
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Turkish President Recep Tayyip Erdogan meets with residents in Diyarbakir, Turkey, on February 11.
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Residents walk near a destroyed mosque in Antakya, Turkey, on Friday, February 10.
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People bury earthquake victims in Adiyaman, Turkey, on February 10.
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Rescuers try to free a child trapped under rubble in Hatay on February 10.
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People sit on furniture outside damaged buildings in Jandaris, Syria, on February 10.
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Cranes remove debris next to destroyed buildings in Antakya on February 10.
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People mourn their loved ones as earthquake victims are buried in Adiyaman on February 10.
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Rubble is seen in Kahramanmaras on February 10.
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A man lies on a stretcher after he was rescued in Kahramanmaras on February 10.
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This aerial photo shows damage in Kahramanmaras on February 10.
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Raziye Kilinc is carried through a crowd on a stretcher after she was rescued from a destroyed building in Iskenderun, Turkey, on February 10. Her daughter is seen waving at the top.
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A man walks past collapsed buildings in Hatay on February 10.
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Search-and-rescue workers aid a cat that was rescued in Kahramanmaras on February 10.
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A woman mourns at a hospital in Kahramanmaras while others rest nearby on February 10.
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Rescuers carry Zeynep Kahraman after pulling her alive from the rubble of a building in Kirikhan, Turkey, on February 10.
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A rescuer shows a hole where he was speaking to Kahraman while she was still under the debris on February 9.
IHA via AP
Destruction is seen in the city center of Kahramanmaras on February 9.
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Rescuers move a 14-year-old girl from under some rubble in Kahramanmaras on February 9.
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Firefighter Erhan Sarac and other rescue team members celebrate after a successful evacuation in Elbistan, Turkey, on February 9.
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Mehmet Nasir Duran sits on a chair as heavy machines remove debris from a building where five of his family members were trapped in Nurdagi, Turkey, on February 9.
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People stand next to the dead bodies of earthquake victims in Elbistan on February 9.
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A man, center, reacts after rescue team members removed the dead body of his father in Elbistan.
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Members of search-and-rescue teams work at the site of a collapsed building in Hatay on February 9.
IHA via AP
Destruction is seen in the center of Hatay on February 9.
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A couple mourns the loss of their daughter as her body is transferred to Syria from the Turkish crossing point of Cilvegozu on February 9.
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A bird pulled from the rubble in Hatay is given water on February 9.
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Search-and-rescue efforts continue in Aleppo on February 8.
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Abdulalim Muaini lies under the rubble next to the body of his wife, Esra, in Hatay on February 8. Reuters reported that he was pulled out of the rubble later and survived. His children also died.
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Rescuers carry a man who was stuck in the rubble for two days in Hatay.
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Rescue workers carry 8-year-old survivor Yigit Cakmak from the site of a collapsed building in Hatay on February 8. It was more than 50 hours after the earthquake struck. The boy was passed from rescuer to rescuer until he was finally in the arms of his mother who was waiting at the site.
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People work at the site of a collapsed building in Kahramanmaras on February 8.
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Volunteers distribute aid to people in Antakya on February 8.
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A firefighter works at the Turkish port of Iskenderun, where a fire broke out in the aftermath of the quake.
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Mahmut Salman, 16, is rescued in Hatay on February 8.
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A person walks among tents in Kahramanmaras on February 8.
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The foot of a dead child is seen under a destroyed building in Kahramanmaras on February 8.
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A firefighter searches for people in the rubble of a destroyed building in Gaziantep on February 8.
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Search-and-rescue teams carry 2-year-old Vafe Sabha, who was pulled from rubble along with her mother in Hatay on February 8.
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Volunteers share an emotional moment as they take part in a rescue operation in Hatay on February 8.
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Search-and-rescue efforts continue in Hatay on February 7.
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Mesut Hancer holds the hand of his 15-year-old daughter Irmak, who died in Kahramanmaras.
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Smoke billows from the port in Iskenderun as emergency workers continue rescue efforts on February 7.
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Two people embrace near the rubble of a collapsed building in Hatay on February 7.
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Emergency workers search for people in a destroyed building in Adana, Turkey, on February 7.
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A baby girl who was reportedly rescued from the rubble of her family's home receives treatment at a hospital in Afrin, Syria, on February 7. Her umbilical cord was still attached to her mother when she was found, a relative told Agence France-Presse. Her mother is believed to have died after giving birth.
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People in the Syrian village of Hajji Iskandar mourn over the bodies of a family and close neighbors who were killed in the quake.
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People wait for news of their loved ones, who were believed to be trapped under a collapsed building in Hatay on February 7.
IHA via AP
Destruction is seen in Hatay's city center on February 7.
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Police carry a child who was rescued from rubble in Hatay on February 7.
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A man reacts in Jandaris on February 7.
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Search-and-rescue efforts continue through cold weather conditions in Malatya, Turkey, on February 7.
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A woman mourns for a dead relative in Turkey's Hatay province on February 7.
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People try to identify the bodies of victims outside a hospital in Aleppo on February 6.
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A rescue team works at a collapsed building in Osmaniye, Turkey, on February 6.
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A child looks out from a bus where people were sleeping in Antakya on February 6.
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People gather around a bonfire in Kahramanmaras.
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Search-and-rescue personnel work at a collapsed building in Malatya on February 6.
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Residents rescue an injured girl from the rubble of a collapsed building in Jandaris on February 6.
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Rescuers work in Antakya on February 6.
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A man weeps as he carries the body of his infant son who was killed in Jandaris.
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This aerial photo shows damage in Hatay on February 6.
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A fire burns near overturned containers in Hatay.
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People wait as rescue operations take place in Diyarbakir on February 6.
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People search a destroyed building in Adana on February 6.
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This aerial photo shows a damaged building in Adana.
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Quake victims are treated in the emergency ward of the Bab al-Hawa hospital in Syria's Idlib province.
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A person climbs through the rubble of a collapsed building in Hatay.
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A man reacts as people search for survivors in Diyarbakir.
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A person is rescued from a destroyed building in Gaziantep.
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Residents search through collapsed buildings in the Syrian village of Besnia.
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A building is destroyed in Adana.
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A woman reacts as rescuers search for survivors in Adana.
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Civilians and members of the Syria Civil Defense try to save people trapped beneath a destroyed building in Idlib.
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The quake damaged Turkey's Gaziantep Castle.
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Search-and-rescue efforts continue at the site of a destroyed building in Diyarbakir.
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A cat is tended to after being rescued from the rubble in Diyarbakir.
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Emergency workers rescue a child from a collapsed building in Diyarbakir.
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People work through the rubble of a collapsed building in Diyarbakir.
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People search for survivors in Diyarbakir.
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Members of the Syria Civil Defense, aka the White Helmets, retrieve an injured man from the rubble of a collapsed building in Azaz, Syria.
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People search a destroyed building in Diyarbakir.
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People look on at the site of a destroyed building in Adana.
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People search under the rubble of a building that collapsed in Azmarin, Syria.
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People warm themselves outside of earthquake-affected areas in Aleppo on February 6.
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The historic Yeni Mosque is damaged in Malatya.
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People search through rubble at a destroyed building in Diyarbakir.

Hospitals in the country are overwhelmed as victims seek help, with some facilities damaged by the quake. And there is particular concern about the spread of illness, especially among children, who were already living in extreme hardship.

A volunteer with the “White Helmets” said the organization does not have enough help to handle this disaster.

“Our teams are working around the clock to help to save the injured people. But our capabilities, our powers are not enough to handle this disaster. This disaster is bigger than any organization in northwest Syria,” Ismail Alabdullah told CNN. “This disaster needs international efforts to handle.”

Complicating efforts, the road leading to the only humanitarian aid border crossing between Turkey and Syria has been damaged, the UN said on Tuesday.

While the crossing is intact and continues to be used as a trans-shipment hub, the road leading to the crossing has been damaged and that’s “temporarily disrupted our ability to fully use it,” Stephane Dujarric, spokesperson for UN Secretary General Antonio Guterres, said at a briefing.

What’s been the international response?

The international community has been quick to offer assistance to Turkey and Syria as the full scale of the disaster becomes clear.

By Tuesday morning, planes carrying aid from Iraq and Iran, including food, medicines and blankets, arrived at Damascus International Airport in Syria, Syrian state media SANA reported.

Japan announced it would send the country’s Disaster Relief Rescue team to Turkey, and on Monday night, the first of two Indian disaster relief teams left for Turkey with dog squads and medical supplies. Pakistan has also dispatched two search and rescue teams to the ravaged country, while Australia and New Zealand committed funds for humanitarian assistance.

The European Union activated its crisis response mechanism, while the United States said it would send two search and rescue units to Turkey. Palestinian civil defense and medical teams will also be sent to Turkey and Syria to help in rescue operations.

Meanwhile, 10 units of the Russian army with more than 300 soldiers are clearing debris and helping in search and rescue operations in Syria, Russia’s Defense Ministry said. Russia is the strongest foreign power operating in Syria, and Russian President Vladimir Putin has long allied with Syrian President Bashar al-Assad.

The United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) said emergency response teams from the United Nations Disaster Assessment and Coordination (UNDAC), the International Search and Rescue Advisory Group (INSARAG) and the WHO’s Emergency Medical Teams (EMT) are being mobilized to Turkey to assist in the humanitarian response.

“The UN and partners are closely monitoring the situation on the ground and are looking to mobilize emergency funds in the region,” the UNOCHA said in a report Monday.

But on Tuesday, UNOCHA spokesperson Madevi Sun-Suon told CNN that aid shipments from Turkey to Syria have been “temporarily disrupted due to road challenges.”

CNN’s Sahar Akbarzai, Ruba Alhenawi, Mitchell McCluskey, Mayumi Maruyama, Manveena Suri, Gul Tuysuz, Mia Alberti, Hira Humayun, Becky Anderson and Hande Atay Alam contributed reporting.