ADANA, Turkey (AP) — The death toll from a 7.8 magnitude earthquake and multiple aftershocks rose to more than 5,000 on Tuesday as more bodies were pulled from the rubble of collapsed buildings.

Turkey’s Vice President Fuat Oktay said the total number of deaths in Turkey had risen to 3,419, with another 20,534 people injured. That brought the number of people killed to 5,102, with another 1,602 people confirmed dead on the Syrian side of the border.

Countries around the world dispatched teams to assist in the rescue efforts, and Turkey’s disaster management agency said more than 24,400 emergency personnel were now on the ground. But with such a wide swath of territory hit by Monday’s earthquake and nearly 6,000 buildings confirmed to have collapsed in Turkey alone, their efforts were spread thin.

Attempts to reach survivors were also impeded by temperatures below freezing and close to 200 aftershocks, which made the search through unstable structures perilous.

Nurgul Atay told The Associated Press she could hear her mother’s voice beneath the rubble of a collapsed building in the city of Antakya, the capital of Hatay province, but that her and others efforts to get into the ruins had been futile without any rescue crews and heavy equipment to help.

“If only we could lift the concrete slab we’d be able to reach her,” she said. “My mother is 70-years-old, she won’t be able to withstand this for long.”

Across Hatay province, just southwest of the earthquake’s epicenter, officials say as many as 1,500 buildings were destroyed and many people reported relatives being trapped under the rubble with no aid or rescue teams arriving.

In areas where teams worked, occasional cheers broke out through the night as survivors were brought out of the rubble.

The quake, which was centered in Turkey’s southeastern province of Kahramanmaras, sent residents of Damascus and Beirut rushing into the street and was felt as far away as Cairo.

The medical aid organization Doctors Without Borders confirmed Tuesday that one of its staff members was among the dead after his house in Syria’s Idlib province collapsed, and that others had lost family members.

“We are very shocked and saddened by the impact of this disaster on the thousands of people touched by it, including our colleagues and their families,” said Sebastien Gay, the group’s head of mission in Syria.

Gay said health facilities in northern Syria were overwhelmed with medical personnel working around “around the clock to respond to the huge numbers of wounded.”

In Turkey’s Hatay province, thousands of people sheltered in sports centers or fair halls, while others spent the night outside, huddled in blankets around fires.

Turkey has large numbers of troops in the border region with Syria and has tasked the military to aid in the rescue efforts, including setting up tents for the homeless and a field hospital in Hatay province. Defense Minister Hulusi Akar said a humanitarian aid brigade based in Ankara and eight military search and rescue teams had also been deployed.

A navy ship docked on Tuesday at the province’s port of Iskenderun, where a hospital collapsed, to transport survivors in need of medical care to the nearby city of Mersin. Thick, black smoke rose from another area of the port, where firefighters have not yet been able to douse a fire that broke out among shipping containers that were toppled by the earthquake.

In the Turkish city of Gaziantep, a provincial capital about 33 kilometers (20 miles) from the epicenter, people took refuge in shopping malls, stadiums, mosques and community centers.

At least 3,381 people were killed in 10 Turkish provinces, with more than 20,000 injured, according to the latest figures from Turkish authorities on Tuesday. The death toll in government-held areas of Syria climbed to 769 people, with some 1,450 injured, according to the Health Ministry. In the country’s rebel-held northwest, groups that operate there said at least 450 people died, with many hundreds injured. Turkish President Recep Tayyip Erdogan declared seven days of national mourning.

Authorities fear the death toll will keep climbing as the rescuers look for survivors among tangles of metal and concrete spread across the region beset by Syria’s 12-year civil war and refugee crisis.

In the latest pledges of international help, South Korean President Yoon Suk Yeol said he was preparing to swiftly dispatch a 60-person search and rescue team as well as medical supplies and 50 soldiers. Pakistan’s government sent a flight carrying relief supplies and a 50-member search and rescue team early Tuesday, and said there will be daily aid flights to Syria and Turkey from Wednesday. India said it would send two search and rescue teams, including specially trained dogs and medical personnel.

Pakistani Prime Minister Shehbaz Sharif will travel to Ankara Wednesday to express his condolences and solidarity, according to a statement from Islamabad.

U.S. President Joe Biden called Erdogan to express condolences and offer assistance to the NATO ally. The White House said it was sending search-and-rescue teams to support Turkey’s efforts.

The quake piled more misery on a region that has seen tremendous suffering over the past decade. On the Syrian side, the affected area is divided between government-controlled territory and the country’s last opposition-held enclave, which is surrounded by Russian-backed government forces. Turkey is home to millions of refugees from the Syrian civil war.

In the rebel-held enclave, hundreds of families remained trapped in rubble, the opposition emergency organization known as the White Helmets said in a statement. The area is packed with some 4 million people displaced from other parts of the country by the war. Many live in buildings that are were already damaged by military bombardments.

Strained medical centers quickly filled with injured people, rescue workers said. Some facilities had to be emptied, including a maternity hospital, according to the SAMS medical organization.

More than 7,800 people were rescued across 10 provinces, according to Orhan Tatar, an official with Turkey’s disaster management authority.

The region sits on top of major fault lines and is frequently shaken by earthquakes. Some 18,000 were killed in similarly powerful earthquakes that hit northwest Turkey in 1999.

The U.S. Geological Survey measured Monday’s quake at 7.8, with a depth of 18 kilometers (11 miles). Hours later, another quake, likely triggered by the first, struck more than 100 kilometers (60 miles) away with 7.5 magnitude.

The second jolt caused a multistory apartment building in the Turkish city of Sanliurfa to topple onto the street in a cloud of dust as bystanders screamed, according to video of the scene.

Thousands of buildings were reported collapsed in a wide area extending from Syria’s cities of Aleppo and Hama to Turkey’s Diyarbakir, more than 330 kilometers (200 miles) to the northeast.

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Alsayed reported from Azmarin, Syria, while Fraser reported from Ankara, Turkey. Associated Press writers Zeynep Bilginsoy and Robert Badendieck in Istanbul, Bassem Mroue and Kareem Chehayeb in Beirut, Kim Tong-hyung in Seoul, South Korea, and Riazat Butt in Islamabad, contributed to this report.

• Powerful Quake Kills at Least 4,000 People in Turkey, Syria

ANKARA, Turkey (AP) — A powerful 7.8 magnitude earthquake rocked southeastern Turkey and northern Syria early Monday, toppling hundreds of buildings and killing more than 4,000 people.. Hundreds were still believed to be trapped under rubble, and the toll was expected to rise as rescue workers searched mounds of wreckage in cities and towns across the area.

On both sides of the border, residents jolted out of sleep by the pre-dawn quake rushed outside on a cold, rainy and snowy winter night, as buildings were flattened and strong aftershocks continued.

Rescue workers and residents in multiple cities searched for survivors, working through tangles of metal and giant piles of concrete.

In the Turkish city of Adana, one resident said three buildings near his home collapsed. “I don’t have the strength anymore,” one survivor could be heard calling out from beneath the rubble as rescue workers tried to reach him, said the resident, journalism student Muhammet Fatih Yavus. Further east in Diyarbakir, cranes and rescue teams rushed people on stretchers out of a mountain of pancaked concrete floors that was once an apartment building.

On the Syrian side of the border, the quake smashed opposition-held regions that are packed with some 4 million people displaced from other parts of Syria by the country’s long civil war. Many of them live in decrepit conditions with little health care. Rescue workers said hospitals in the area were quickly filled with the injured.

“We fear that the deaths are in the hundreds,” Muheeb Qaddour, a doctor, said by phone from the town of Atmeh, referring to the entire rebel-held area. Raed Salah, the head of the White Helmets, the emergency organization in opposition areas, said whole neighborhoods were collapsed in some areas.

The quake, felt as far away as Cairo, struck a region that has been shaped by more than a decade of civil war in Syria. Millions of Syrian refugees live in Turkey. The swath of Syria affected by the quake is divided between government-held territory and the country’s last opposition-held enclave, which is surrounded by Russian-backed government forces. The quake was centered about 90 kilometers (60 miles) from the Syrian border outside the city of Gaziantep, a major Turkish provincial capital.

At least 20 aftershocks followed, some hours later during daylight, the strongest measuring 6.6, Turkish authorities said.

Turkish President Recep Tayyip Erdogan said on Twitter that “search and rescue teams were immediately dispatched” to the areas hit by the quake.

“We hope that we will get through this disaster together as soon as possible and with the least damage,” he wrote.

There were at least 6 aftershocks, and Interior Minister Suleyman Soylu urged people not to enter damaged buildings due to the risks.

“Our priority is to bring out people trapped under ruined buildings and to transfer them to hospitals,” he said.

Tallies from various officials put the toll at at least 38 dead in Turkey and 62 in Syria.

At least 130 buildings tumbled down in Turkey’s Malatya province, neighboring the epicenter, Gov. Hulusi Sahin said. In the Turkish city of Diyarbakir, at least 15 buildings collapsed. Rescue teams called for silence as they listed for survivors in a toppled 11-story building.

In northwest Syria, the opposition’s Syrian Civil Defense described the situation in the rebel-held region as “disastrous” adding that entire buildings have collapsed and people are trapped under the rubble. The civil defense urged people to evacuate buildings to gather in open areas. Emergency rooms were full of injured, said Amjad Rass, president of the Syrian American Medical Society.

The U.S. Geological Survey said the quake was centered about 33 kilometers (20 miles) from Gaziantep, a major city and provincial capital. It was centered 18 kilometers (11 miles) deep, and a strong 6.7 aftershock rumbled about 10 minutes later.

Syria’s state media reported that some buildings collapsed in the northern city of Aleppo and the central city of Hama.

In Damascus, buildings shook and many people went down to the streets in fear.

The quake jolted residents in Lebanon from beds, shaking buildings for about 40 seconds. Many residents of Beirut left their homes and took to the streets or drove in their cars away from buildings.

The earthquake came as the Middle East is experiencing a snowstorm that is expected to continue until Thursday.

Turkey sits on top of major fault lines and is frequently shaken by earthquakes.

Some 18,000 were killed in powerful earthquakes that hit northwest Turkey in 1999.