The toll from last week's earthquake in Turkey and Syria rose above 35,000 on Monday, as rescue teams started to wind down the search for survivors and the aid effort shifted to hundreds of thousands of people made homeless.
One week after the 7.8-magnitude tremor, Turkish media reported a handful of people were still being pulled from the rubble and increasingly desperate conditions for survivors battling lack of hygiene, toilets and water.
The confirmed death toll rose to 35,224 as officials and medics said 31,643 people had died in Turkey and at least 3,581 in Syria after the February 6 earthquake, the fifth deadliest since the start of the 21st century.
The United Nations has decried the failure to ship desperately needed aid to war-torn regions of Syria and warned that the toll is set to rise higher as experts caution that hopes for finding people alive dim with each passing day.
"I could not do anything," said Syrian nurse anaesthetist Abdelbaset Khalil whose wife and two daughters were killed by the earthquake while he was already at work.
As hundreds of patients flooded into his hospital in the city of Harim in the rebel-held Idlib province on the border with Turkey, he worked through his grief.
The first day "passed like 50 years", he said.
In Kahramanmaras, close to the epicentre, 30,000 tents have been installed, 48,000 people are sheltering in schools and another 11,500 in sports halls, Turkey said.
Millions 'need to be fed'
"Send any stuff you can because there are millions of people here and they all need to be fed," appealed Turkish Interior Minister Suleyman Soylu late Sunday.
While hundreds of rescue teams were still working, efforts had ended in seven parts of the province, he added.
In Antakya, clean-up teams started to evacuate rubble and erect basic toilets as the telephone network started to come back in parts of the town, an AFP reporter said.
The city was patrolled by a strong police and military presence which authorities deployed to prevent looting following several incidents over the weekend.
Hatice Goz, a volunteer psychologist in Turkey's Hatay province, said she has been fielding "a barrage of calls" from frantic parents looking for missing children.
Turkish Vice President Fuat Oktay late Sunday said 108,000 buildings were damaged across the quake-hit zone with 1.2 million people being housed in student accommodation and 400,000 people evacuated from the affected region.
Aid packages, mainly clothes, were opened and spread across the streets in Hatay province, according to NTV. One video showed aid workers throwing clothes randomly into a crowd as people tried to grab whatever they could.
On Monday, the UN's relief chief Martin Griffiths visited Aleppo, where more than 200,000 people have been left homeless by the earthquake, according to the WHO.
Homeless in Aleppo
A convoy with supplies for northwest Syria arrived via Turkey, but Griffiths said more was needed for millions whose homes were destroyed.
In Syria the toll has not changed for several days and is expected to rise.
"We have so far failed the people in northwest Syria. They rightly feel abandoned. Looking for international help that hasn't arrived," Griffiths tweeted on Sunday.
Supplies have been slow to arrive in Syria, where years of conflict have ravaged the healthcare system, and parts of the country remain under the control of rebels battling the government of President Bashar al-Assad, which is under Western sanctions.
"Our focus now is on helping the Syrian people," said UN envoy Geir Pedersen in Damascus.
A 10-truck UN convoy has crossed into northwest Syria via the Bab al-Hawa border crossing, according to an AFP correspondent, carrying shelter kits, plastic sheeting, rope, blankets, mattresses and carpets.
Bab al-Hawa is the only point for international aid to reach people in rebel-held areas of Syria after nearly 12 years of civil war, after other crossings were closed under pressure from China and Russia.
The head of the World Health Organization met Assad in Damascus on Sunday and said the Syrian leader had voiced readiness for more border crossings to help bring aid into the rebel-held northwest.
Conflict, COVID, cholera, quake
"He was open to considering additional cross-border access points for this emergency," WHO chief Tedros Adhanom Ghebreyesus told reporters.
"The compounding crises of conflict, COVID, cholera, economic decline and now the earthquake have taken an unbearable toll," Tedros said a day after visiting Aleppo.
While Damascus had given the all-clear for aid convoys to go ahead from government areas, Tedros said the WHO was still waiting for a green light from rebel-held areas before going in.
Assad looked forward to further "efficient cooperation" with the UN agency to improve the shortage in supplies, equipment and medicines, his presidency said.
He had also thanked the United Arab Emirates for providing "huge relief and humanitarian aid", with pledges of tens of millions of dollars.
After days of grief, anger is growing in Turkey over the poor quality of buildings as well as the government's response to the country's worst disaster in nearly a century.
Three people were put behind bars by Sunday and seven more have been detained - including two developers who were trying to cross into neighbouring Georgia.