AID workers in northern Syria are desperate for more help, with one doctor warning that there are not enough medical supplies for a fifth of those needing them.

As of today, the official death toll from Monday’s earthquake has surpassed 22,300, with Turkish medics reporting 18,991 deaths and Syrian authorities saying 3,377 people have died.

The 7.8 magnitude earthquake hit the border region between the two nations in an area home to more than 13.5 million people.