Even though rescue operations continue, the hope to find more survivors in the rubble has started to fade. Thousands of buildings have been toppled in Turkey and Syria.

Over two dozen countries have sent their relief teams along with relief material to Turkey, including India. The earthquake and the toll is the largest in the region in decades.?

Amid calls for the Turkish government to send more help to the disaster zone, President Recep Tayyip Erdogan toured a “tent city” in Kahramanmaras where people forced from their homes are living. He conceded shortfalls early on in the response but vowed that no one would "be left in the streets.”

Search teams from more than two dozen countries have joined tens of thousands of local emergency personnel, and aid pledges have poured in from around the world. But the scale of destruction from the 7.8 magnitude quake and its powerful aftershocks was so immense — and spread so wide, including in areas isolated by Syria's ongoing civil war — that many are still waiting for help.?

In the Turkish city of Malatya, bodies were placed side by side on the ground, covered in blankets, while rescuers waited for funeral vehicles to pick them up, according to former journalist Ozel Pikal who saw eight bodies pulled from the ruins of the building.

Pikal, who took part in the rescue efforts, said he believes at least some of the victims may have frozen to death as temperatures dipped to minus 6 degrees Celsius (21 Fahrenheit).

“Today isn't a pleasant day, because as of today there is no hope left in Malatya,” Pikal told the AP by telephone. “No one is coming out alive from the rubble.”

Pikal said a hotel building collapsed in the city, and more than a hundred people may be trapped.

There was a shortage of rescuers in the area he was in, and the cold hampered rescue efforts by volunteers and government teams, he said. Road closures and damage in the region have also impeded mobility and access.

“Our hands cannot pick up anything because of the cold,” said Pikal. “Work machines are needed.”

The scale of suffering was staggering in a region already beset by more than a decade of civil war in Syria that has displaced millions within the country and sent more to seek refuge in Turkey. With thousands of buildings toppled, it was not clear how many people might still be trapped underneath the rubble.

Turkey's disaster management agency said the country's death toll passed 8,500. The Syrian Health Ministry said the death toll in government-held areas has climbed past 1,200, while at least 1,400 people have died in the rebel-held northwest, according to volunteer first responders known as the White Helmets.

That brought the overall total to 11,000 since Monday's earthquake and multiple strong aftershocks. Tens of thousands more are injured.

A 2011 earthquake near Japan that triggered a tsunami left nearly 20,000 people dead. Neither Turkiye nor Syria provided figures for the number of people still missing as Pope Francis asked during his weekly general audience for prayers and demonstrations of solidarity following the “devastating” earthquake.

Syrian officials said the bodies of more than 100 Syrians who died during the earthquake in Turkiye were brought back home for burial through the Bab al-Hawa border crossing. Mazen Alloush, an official on the Syrian side of the border, said 20 more bodies were on their way to the border, adding that all of them were Syrian refugees who fled war in their country.

While concerns are rising for those still trapped, Polish rescuers working in Turkiye said they had pulled nine people alive from the rubble so far, including parents with two children and a 13-year-old girl from the ruins in the city of Besni.?

They acknowledged that low temperatures were working against them, though two firefighters told Polish TVN24 that the fact that people were caught in bed under warm covers by the pre-dawn quake could help. The rescuers are currently trying to reach a woman who they know is in her bed.

Nearly two days after the quake, rescuers pulled a 3-year-old boy, Arif Kaan, from beneath the rubble of a collapsed apartment building in Kahramanmaras, which is not far from the epicentre.?

(With AP inputs)