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Five days after a massive 7.8 magnitude earthquake rocked Turkey and Syria the number of dead is staggering.

Drone footage and satellite imagery have conveyed the stark reality of widespread destruction in an area that straddles two very different nations.

The scale of the disaster is enormous. “We’ve done a bit of mapping of the size of the affected area,” said Caroline Holt, director of disasters, climate and crises at the International Federation of the Red Cross (IFRC). “It’s the size of France.”

United Nations Secretary-General António Guterres said Thursday that “we haven’t yet seen the full extent of the damage and of the humanitarian crisis unfolding before our eyes,” while estimates from the World Health Organization suggest up to 23 million people could be impacted by the natural disaster.

Once search efforts have ended, attention will turn to longer-term reconstruction. Turkey has suffered earthquakes in the past, and has rebuilt. But how much can be learned from this history and will these lessons be implemented? And will the same efforts be matched across the border?

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History repeating itself in Turkey

The death toll broke the grim milestone of 22,000 on Friday. As it continues to climb, so too have feelings of anger and resentment. Turkey is no stranger to earthquakes and many feel that the government failed to prepare for another catastrophic event.

This frustration dogged Turkish President Recep Tayyip Erdogan as he made a whistle-stop tour of the Kahramanmaras region – near the epicenter of the deadly earthquake – on Wednesday and Thursday. Erdogan defended his government’s response, admitting to “shortcomings,” before stressing that it’s “not possible to be prepared for such a disaster.” He also announced that the government’s target was to rebuild “in one year,” though experts told CNN it could take much longer.

Major earthquakes such as these are infrequent, but many in Turkey are still harrowed by memories of the 1999 Izmit earthquake in the Marmara region.

Ajay Chhibber, an economist who was World Bank director for Turkey when that 7.6 magnitude quake struck two decades ago, told CNN that “it’s like a bad movie [that’s] come back again.” Similar to this week’s event, that tremor struck in the early hours but it occurred in the country’s northwest – a densely populated area closer to Istanbul. He said it lasted around 45 seconds, leaving more than 17,000 dead and an estimated 500,000 people homeless.

Flying into the region in the immediate aftermath, Chhibber told CNN he “hadn’t seen that much devastation before.” He recalled traveling in with the Japanese and German ambassadors at the time, who told him “this looks to us like World War II.”

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Buildings “flattened like pancakes” were among the apocalyptic scenes Chhibber encountered in 1999. In the city of Golcuk, where a naval base was located, he remembered seeing “submarines that were tossed up out of the water, lying 300, 400 feet up a mountain.”

“You could see submarines sitting there. It was unbelievable. And what I’m seeing now is just a redo,” he said.

Some may question if the Turkish president’s current target of a year for reconstruction is achievable, given he also said that more than 6,000 buildings had collapsed. But Chhibber pointed out that “Turkey is capable of moving very, very swiftly – if they can get their act together on this.”

Chhibber helped implement a four-part recovery plan in the wake of the 1999 disaster that provided cash to residents, aided in reconstructing infrastructure and housing, established an insurance system and developed an organizational system that cascaded from a national level down to the community for overall coordination efforts.

“Compared to disasters around the world, it was one of the most rapid reconstruction and recoveries that I ever saw,” Chhibber said. He added that the majority of the work was completed in two years.

Ismail Baris, professor of social work at Istanbul’s Uskudar University and former mayor of Golcuk at the time of the quake, told CNN in an email that “in addition to the collapsed private and public buildings, the city’s water transport pipes, water supply network, sewage system [and] storm water system were completely destroyed,” as well as 80% of the city’s roads. He added that the full reconstruction of the city took four years.

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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.
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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.
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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.
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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.

However, much of the reconstruction then was aided by the Turkish army, which was brought in when many local administrations collapsed. Chhibber said this enabled the rubble clearing to be done quickly.

“But Izmit is in the heartland of Turkey,” said Chhibber. Many Kurds live in the areas hit by the earthquake and bringing in the army may cause problems.

“This is a huge challenge,” said Ilan Kelman, professor of disasters and health at University College London. While the army has the personnel and resources, “they also have the unfortunate history of often abusing their power,” Kelman told CNN.

“The Kurds in that region and many Turks in that region, understandably, would be very hesitant to have the army in the streets even more than they have been,” he said.

Experts said there also needs to be a review of what went wrong. The country has strict rules that came into place after 1999 – construction regulations were implemented that required the more modern builds to be able to withstand these quakes. Yet many of the apartment blocks within the earthquake zone appeared to have been newly-constructed and still collapsed.

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Sinan Ulgen, a Turkish former diplomat currently chairing the Istanbul-based Centre for Economics and Foreign Policy, said there had been awareness regarding the preparations that still needed to be done but that “unfortunately over the past two decades, this has remained mostly on paper.”

“There was a special fund with taxes raised for rehabilitation of cities to withstand these types of natural disasters. Some of that money got squandered, didn’t go to the right places. And then the lack of enforcement, which is really the big liability,” Ulgen told UK broadcaster Channel 4. “The regulations have certainly been improved … but it’s really a matter of enforcing those regulations. And there, Turkey really needs to upgrade its game.”

Chhibber too said Turkey hadn’t learned enough from the lessons of the past and questioned why there was a failure to enforce building regulations. He said the Turkish government had regularly allowed for so-called “construction amnesties” – essentially legal exemptions that, for a fee, allowed for projects without the necessary safety requirements. The most recent amnesty was passed in 2018.

He said building amnesties were “a huge issue.”

“They just go ahead and make the building. They don’t follow the code. They know that at some point some politicians – because they’re financing their political parties – they’ll grant them an amnesty. That’s a huge problem.”

Turkey’s justice minister said Friday that investigations into builders in earthquake regions had begun, according to Turkish state media Anadolu. “As a result, as I said, whoever has faults, negligence or deficiency will be brought to justice and they will be held accountable before the law,” Bekir Bozdağ said.

Syrian crises pile up

Across the border in Syria, rebuilding efforts will be even more complicated. Guterres warned Thursday that Syrians face “nightmares on top of nightmares,” and the World Food Programme has described the situation in the northwest of the country as a “catastrophe on top of catastrophe.”

“We have the perfect humanitarian storm in Syria,” said Caroline Holt, IFRC director for disasters, climate and crises.

The UN estimates more than four million people were already dependent on humanitarian aid in the worst-affected parts of rebel-controlled Syria, due to the civil war that has ravaged the country since 2011. When the earthquake struck there, many traumatized residents first wondered if they were being woken by the sound of warplanes once again.

“After 12 years of constant pain, suffering and living in a vulnerable context, your ability to withstand – especially in winter – the harsh conditions that you’re facing [is diminished],” Holt told CNN.

In Syria, political fault lines run deep. Some of the areas most impacted by the earthquake are controlled by the Assad regime, others by Turkish-backed and US-backed opposition forces, Kurdish rebels and Sunni Islamist fighters. These political divisions create logistical knots. Negotiating them will frustrate recovery efforts.

“The conflict – or conflicts – are much worse in that area of Syria than in that area of Turkey,” Kelman said.

While Turkey has political problems of its own, “they do have a comparatively strong government and comparatively strong military in comparison to Syria, which is at war,” he added.

Turkey also has greater “pre-earthquake resources,” Kelman said. “Neither country is especially rich, but Turkey at least has that baseline where they’ve not been in a major conflict dividing the country for 12 years. They have not been isolated through sanctions.”

The sanctions have created geopolitical obstacles that humanitarian aid has to maneuver around. The Assad regime insists that all aid to the country, including aid that is meant for areas outside its control, be directed to the capital Damascus. The Syrian government on Friday approved sending aid into rebel territory in the northwest, according to a statement, but provided no timeline for delivery.

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Syrian soldiers look on as rescuers use heavy machinery to sift through the rubble of a collapsed building in the northern city of Aleppo.

But the regime has long siphoned off aid intended for rebel-controlled regions. As such, relief workers attempting to clear the rubble depend on resources sent via a single road, the Bab al-Hawa crossing – the only humanitarian aid corridor between Turkey and Syria.

The result is that “most of the work is done by hand,” according to Mohammad Hammoud, Syria manager for the Norwegian Red Cross. Hammoud told CNN how Syria lacks the machinery available to Turkey – and the little machinery they have has no fuel to run on, after supplies from Damascus were shut off. “We are mainly reliant on manpower,” he said.

These discrepancies mean Syria’s recovery is likely to progress along a stunted timeline. Given its lack of coordination, basic questions may go unanswered for some time.

“It’s about, first of all, removing the debris and the rubble. What do you do with that? It can either become an environmental hazard, or it can become an asset, if you choose to pave roads with it,” said Holt.

The IFRC director estimates that in Turkey much of the recovery work will be done within two to three years. But in Syria, “we’re looking at a five to 10-year frame just to get recovery underway,” she said.

The years ahead

While disasters like this wreak havoc, they also create opportunities to prevent such havoc being wrought again. There is a man-made part of every natural disaster, according to Chhibber.

Earthquakes are inevitable; their effects are not. Chhibber said he saw this point illustrated after the Izmit earthquake in 1999. “You’d have one building completely erect, the next building completely flat like a pancake.” The same sights can now be seen in Turkey’s Gaziantep.

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A person walks among tents of Turkey's Disaster and Emergency Management Agency in the southeastern city of Kahramanmaras, on February 8.
IHA via AP
Aerial photo showing the destruction in Kahramanmaras city center on February 9.

For Chhibber, this is the result of choices. “There is an earthquake, but it need not be a disaster to this scale, unless it’s man-made. And the man-made part comes from the lack of a proper building code being enforced. There’s no reason these buildings should have collapsed that easily. Some of them were built only a year or two ago,” he said.

Kelman also stressed that disasters create the opportunity for things to be done differently. He hopes the quake can be used as a spur for “disaster diplomacy,” which asks “whether or not dealing with disasters in any way can end conflict and create peace.”

However, not all governments choose to take these opportunities.

Related article: How to help victims of the earthquake in Turkey and Syria

“We do have examples where people have taken the opportunity to say there has been a disaster, and we want to help people, so let’s try to reconstruct in such a way that we are supporting peace,” Kelman said.

“At the moment, I do not see either government responding in that way, and I do not see the world responding in that way.”

CNN’s Isil Sariyuce, Reyhan Baysan, Hande Atay Alam, Nadeen Ebrahim, Dalya Al Masri, Mostafa Salem and Eyad Kourdi contributed to this report.