A massive international rescue effort is underway in Turkey and Syria to reach victims trapped within rubble as survivors endured their first night in freezing conditions beside the crumbled remains of thousands of homes and buildings.

The death toll continues to climb more than 24 hours after the quake as search terms navigate blocked roads and damaged infrastructure to reach the affected area, which has been rattled by at least 100 aftershocks.

More than 4,300 people were killed on either side of the Turkey-Syria border when the 7.8-magnitude quake hit just after 4 a.m. local time Monday, sending tremors hundreds of miles as millions in the region were asleep.

At the quake’s destructive epicentre, thousands more were injured and many others remain missing, meaning the final death toll is likely to be far higher

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