ADANA, Turkey (AP) — A powerful 7.8 magnitude earthquake rocked wide swaths of Turkey and neighboring Syria on Monday, killing more than 2,300 people and injuring thousands more as it toppled hundreds of buildings and trapped residents under mounds of rubble or pancaked floors.
Authorities feared the death toll would climb as rescuers searched through tangles of metal and concrete for survivors in a region beset by more than a decade of Syria’s civil war and a refugee crisis.
Residents jolted out of sleep by the pre-dawn quake rushed outside in the rain and snow to escape falling debris, while those who were trapped cried for help. Major aftershocks, including one nearly as strong as the initial quake, continued to rattle the region.
“I don’t have the strength anymore,” one survivor could be heard calling out from beneath the rubble in the Turkish city of Adana, as rescue workers tried to reach him, said a resident, journalism student Muhammet Fatih Yavuz. He said three buildings near his home were toppled.
The quake, which was centered on Turkey’s southeastern province of Kahramanmaras, sent residents of Damascus rushing into the street and was felt as far away as Cairo and Beirut.
“Because the debris-removal efforts are continuing in many buildings in the earthquake zone, we do not know how high the number of dead and injured will rise,” Turkish President Recep Tayyip Erdogan said.
In Adana, 20 or so people used power saws atop a collapsed cement building to clear out space for any survivors to climb out or be rescued. The men picked up rubble and threw it elsewhere in a tedious process.
The quake piled more misery on a region that has seen tremendous suffering over the past decade. On the Syrian side, the area affected is divided between government-held territory and the country’s last opposition-held enclave, which is surrounded by Russian-backed government forces. Turkey, meanwhile, is home to millions of refugees from the civil war.
In the rebel-held enclave, hundreds of families remained trapped in rubble, the opposition emergency organization called 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 of them live in buildings that are already wrecked from past bombardments.
Strained health facilities quickly filled with injured, rescue workers said. Others had to be emptied, including a maternity hospital, according to the SAMS medical organization.
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, a 7.5 magnitude quake struck more than 100 kilometers (60 miles) away.
The second jolt in the afternoon caused a multistory apartment to topple face-forward onto the street in the Turkish city of Sanliurfa, disintegrating into rubble and raising a cloud of dust as bystanders screamed, according to video of the scene.
Orhan Tatar, an official from Turkey’s disaster management agency, said it was a new earthquake, but Yaareb Altaweel, a seismologist with the USGS, said it was considered an aftershock because it took place on the same fault line as the first.
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. A hospital came down in the Mediterranean coastal city of Iskenderun, but casualties were not immediately known, Turkish Vice President Fuat Oktay said.
