Across Turkey and Syria, the number of fatalities now far exceeds the 18,400 who died in a 2011 earthquake off Fukushima in Japan, and the 18,000 killed after the Istanbul quake of 1999.
Officials fear there will be many more deaths in the days ahead, and the chances of finding survivors are dimming fast - meaning rescue teams are having to make difficult choices.
In Adiyaman, someone was seen pleading with rescuers to look through the rubble of a building where their relatives were trapped. They refused - saying no one was alive there and they needed to prioritise areas where there is a hope of finding survivors.Why did so many buildings crumble? Experts say it is possible that people could survive a week or more within a collapsed building, but far fewer survivors are being pulled from wreckage.
A two-year-old boy was rescued after spending 79 hours under rubble in Hatay - raising spirits among exhausted search crews. And in Antakya, footage from local media showed a 10-year-old girl being found alive. Medics had to amputate an arm to free her, and her parents and three siblings died.
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