Turkish President Tayyip Erdogan has declared a state of emergency in 10 provinces devastated by two earthquakes that killed more than 7200 people and left a trail of destruction across a wide area of southern Turkey and neighbouring Syria.

A day after the quakes hit, rescuers working in harsh conditions struggled to dig people out of the rubble of collapsed buildings.

As the scale of the disaster became ever more apparent, the death toll looked likely to rise considerably. One United Nations official said it was feared thousands of children may have been killed.

And residents in several damaged Turkish cities voiced anger and despair at what they said was a slow and inadequate response from the authorities to the deadliest earthquake to hit Turkey since 1999.

“There is not even a single person here. We are under the snow, without a home, without anything,” said Murat Alinak, whose home in Malatya had collapsed and whose relatives are missing. “What shall I do, where can I go?”

Monday’s magnitude 7.8 quake, followed hours later by a second one almost as powerful, toppled thousands of buildings including hospitals, schools and apartment blocks.

Tens of thousands of people were injured or left homeless in cities in Turkey and northern Syria.

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Winter weather has hampered rescue and relief efforts and made the plight of the homeless even more miserable. Some areas were without fuel and electricity.

Aid officials voiced particular concern about the situation in Syria, already afflicted by a humanitarian crisis after nearly 12 years of civil war.

Erdogan on Tuesday declared 10 Turkish provinces a disaster zone and imposed a state of emergency there for three months. This will permit the government to bypass parliament in enacting new laws and to limit or suspend rights and freedoms.

The government will open up hotels in the tourism hub of Antalya to temporarily house people impacted by the quakes, said Erdogan, who faces a national election in three months’ time.

The death toll in Turkey rose to 5434, Health Minister Fahrettin Koca said, adding that 31,777 people were injured. In Syria, the toll was at least 1832, according to the government and a rescue service in the insurgent-held northwest.

Turkish authorities say some 13.5 million people were affected in an area spanning roughly 450 km from Adana in the west to Diyarbakir in the east, and 300 km from Malatya in the north to Hatay in the south.

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IMAGE: AP Photo/Emrah Gurel

Syrian authorities have reported deaths as far south as Hama, some 250 km from the epicentre.

“It’s now a race against time,” World Health Organization Director General Tedros Adhanom Ghebreyesus said in Geneva. “Every minute, every hour that passes, the chances of finding survivors alive diminishes.”

Across the region, rescuers toiled night and day as people waited in anguish by mounds of rubble clinging to the hope that friends, relatives and neighbours might be found alive

In Antakya, capital of Hatay province bordering Syria, rescue teams were thin on the ground and residents picked through debris themselves. People pleaded for helmets, hammers, iron rods and rope.

More than 12,000 Turkish search and rescue personnel are working in the affected areas, along with 9000 troops. Some 70 countries and sending personnel, equipment and aid.

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But the sheer scale of the disaster is daunting.

Turkey’s Disaster and Emergency Management Authority said 5775 buildings had been destroyed in the quake and that 20,426 people had been injured.

In Geneva, UNICEF spokesperson James Elder said: “The earthquakes…may have killed thousands of children.”

Syrian refugees in northwest Syria and in Turkey were among the most vulnerable people affected, Elder said.

The Syrian state news agency SANA said at least 812 people were killed and 1449 people injured in the government-held provinces of Aleppo, Latakia, Hama, Idlib and Tartous.

At least 1020 people were killed in Syria’s opposition-held northwest and 2300 injured with the toll expected to “rise dramatically”, the White Helmets rescue team said.

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