Rescue teams have been working through the night in Turkey and Syria to reach people trapped under flattened concrete and twisted metal.
The earthquake with a magnitude of 7.8 hit central Turkey and northwest Syria on Monday morning.
The death toll has now exceeded 5,000 with tens of thousands more displaced.
This TV crew was broadcasting live when a second magnitude 7.5 earthquake hit Turkey ⤵️ pic.twitter.com/XM5VVH7Qrl
— Al Jazeera English (@AJEnglish) February 6, 2023
With whole neighbourhoods destroyed, the Turkish government says more than 300,000 people are sheltering in dormitories and universities.
Sky's Alex Crawford is in Turkey, not far north of the Syrian border.
"We saw crowds of people looting the supermarkets saying they were hungry, had nowhere to stay, no homes, no food. And crucially no help at the moment, which is the constant message we are getting from people in this area."