Helen Saulnier 
More than 4,000 people were killed and tens of thousands left homeless in Turkey and Syria in the cold night after a magnitude 7.8 earthquake, which caused significant damage in southeast Turkey and Syria early Monday.
The destructive quake was followed by a swarm of aftershocks, with one nearly as strong as the initial quake at magnitude 7.5 about 60 miles away.
The number of dead and injured is expected to rise as rescue workers search collapsed building for survivors in both countries. In Syria many more dead are feared in a region repeatedly devastated by more than a decade of civil war and a refugee crisis and where many war refugees live in buildings that are already wrecked from bombardments.
A man walks among rubble as he searches for people in a destroyed building in Adana, Turkey, on Monday.
(Khalil Hamra / Associated Press)
A rescuer reacts as he carries a body found in the rubble in Adana, Turkey.
(Can Erok / AFP/Getty Images)
A group of women navigates damaged roads in Fevzipasa, Turkey.
(Emin Sansar / Anadolu Agency)
A man is rescued from under rubble of a collapsed Police Guesthouse building in Hatay, Turkey, on Monday.
(Ercin Erturk / Anadolu Agency)
An aerial view of fire in overturned containers following the magnitude 7.8 earthquake in Hatay, Turkey.
(Murat Sengul / Anadolu Agency)
Mehmet Emin Ataoglu is rescued from under the rubble of six-story building in Iskenderun district of Hatay, Turkey, on Monday.
(Murat Sengul / Anadolu Agency)
An aerial view of debris of collapsed buildings in Hatay, Turkye, on Monday.
(Ercin Erturk / Anadolu Agency)
Hulya Irem Ister, 17, is rescued by emergency personnel from under rubble of a collapsed building in Kahramanmaras, Turkey.
(Emin Sansar / Anadolu Agency)
A man walks between damaged buildings while he carries a young child in Besnia, Idlib province, Syria, on Monday.
(Ghaith Alsayed/AP)
Women cry as they watch while the emergency teams search for people in the rubble of a destroyed building in Adana, Turkey.
(Khalil Hamra / Associated Press)
Men work lifting a large block of rebar concrete slab as they search for people among the debris in a destroyed building in Adana, Turkey.
(Khalil Hamra / Associated Press)
A woman reacts as rescuers search for survivors through the rubble of collapsed buildings in Adana, Turkey, on Monday after a magnitude 7.8 earthquake struck the country in the southeast.
(Can Erok / AFP via Getty Images)
Civil defense workers and residents on Monday search through the rubble of collapsed buildings in Harem, Syria. Damage was reported across several Turkish provinces, and rescue teams were being sent from around the country.
(Ghaith Alsayed / Associated Press)
Members of the Syrian White Helmets carry a young girl from a destroyed building in Harem, Syria, following a magnitude 7.8 earthquake that hit Syria, Turkey and Lebanon.
(Anas Alkharboutli / picture-alliance/dpa/ Associated Press)
Civil defense workers and residents search through the rubble of collapsed buildings in Harem near the Turkish border, Idlib province, Syria, on Monday.
(Ghaith Alsayed / Associated Press)
People injured in a morning earthquake receive treatment at al-Rahma hospital in Darkush, Syria, on the outskirts of the rebel-held northwestern province of Idlib, on Monday.
(Omar Haj Kadour / AFP via Getty Images)
People and emergency teams carry a person on a stretcher following their rescue from a collapsed building Monday in Adana, Turkey.
(Elifaysenurbay / IHA agency via Associated Press)
Following the magnitide 7.8 earthquake, two injured men and a child receive treatment at the Bab al-Hawa hospital in the rebel-held northern countryside of Syria’s Idlib province on the border with Turkey, early on Monday.
(Aaref Watad / AFP via Getty Images)
A man searches for people in a destroyed building Monday in Adana, Turkey.
(Khalil Hamra / Associated Press)
