The Japan Times - First UN team since quake enters rebel-held Syria as toll tops 35,000

As hopes fade of finding people alive under the debris more than a week after the 7.8-magnitude quake struck, the focus has switched to providing food and shelter to the vast numbers of survivors.

But activists and emergency teams in Syria's northwest have decried the UN's slow response to the quake in rebel-held areas, contrasting it with the planeloads of humanitarian aid that have been delivered to government-controlled airports.

"I don't want to sit here and give excuses, but I wanted to share that we are all collectively in the same place," Sanjana Quazi, who heads the UN Office for the Coordination of Humanitarian Affairs in Turkey, told reporters in the rebel-held town of Sarmada.

Fears have grown for survivors on both sides of the border, with the UN saying more than seven million children have been negatively impacted between Syria and Turkey, and noting fears that "many thousands" more had died.

"It is tragically clear that numbers will continue to grow," said James Elder, spokesman for the UN children's agency UNICEF, adding that the final toll would be "mind-boggling".

The confirmed death toll from the quake stands at 35,662 as officials and medics said 31,974 people had died in Turkey and at least 3,688 in Syria.

The count has barely changed in Syria for several days and was expected to rise.

- Sanitation risks -

The disaster's mental strain was accompanied by the hard realities of surviving in cities turned to ruin in the middle of the winter freeze.

In Turkey's Kahramanmaras, huge crowds depended on a single toilet that still functioned in a central mosque.

"There are no toilets, the toilets should be set up in tents," Husne Duz, 53, who has lived with thousands of others in a tent city for the past week.

"I walk five kilometres every day to come here for a toilet. We cannot find any other place," Erdal Lale, 44, told AFP.

The acrid smell of smoke from hundreds of fires that people have kept going to keep away the cold permeated much of Turkey's disaster zone.

"We need to take showers. There is a need for washing machines for clothes," Duz said.

- Aid for Syria -

In the devastated Turkish city of Antakya, clean-up teams have been shifting rubble and putting up basic toilets as the telephone network started to come back in parts of the town, an AFP reporter said.

Food and other aid supplies were flowing in to the city, as well as Kahramanmaras, AFP teams reported.

But getting aid into neighbouring Syria, already racked by 12 years of civil war, is of particular concern.

Syrian President Bashar al-Assad, isolated and subject to Western sanctions, called for international assistance to help rebuild infrastructure in the country.

A Saudi plane carrying aid landed in second city Aleppo, the first in more than a decade of war in Syria, a transport ministry official told AFP, with two more consignments expected later this week.

UN Secretary-General Antonio Guterres said Monday Assad has agreed to open two more border crossings from Turkey to northwest Syria to allow in aid.

Before the earthquake struck, almost all of the crucial humanitarian aid for the more than four million people living in rebel-controlled areas of northwest Syria was being delivered through just one crossing.

- Rescue hopes -

A week after the February 6 quake toppled buildings across the region, people were still being found alive under the rubble.

"It's a miracle to find a patient still alive under the rubble," doctor Yilmaz Aydin told AFP.

"From now on, the survivors are likely to be in a more critical condition. The majority of them will need life-saving treatment," said Aydin.

One is 25-year-old Syrian woman Abir, who spent 180 hours trapped under the rubble.

"Her heart stopped two times but we managed to bring her back," said doctor Nihat Mujdat Hokenek.

burs-sea/zak/jmm

K.Yamaguchi--JT