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Freezing winter weather conditions and the sheer scale of the destruction have hampered rescue efforts for days after the 7.8-magnitude quake hit Monday.
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The number of quake-related deaths recorded is now greater than the 2011 earthquake that rocked Japan and spurred a tsunami, killing roughly 20,000 people and triggering the Fukushima nuclear disaster.
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Robert Holden, the World Health Organization's incident response manager, said at a news conference in Geneva Thursday "a lot" of survivors were "out in the open, in worsening and horrific conditions" with "major disruptions" to accessing water fuel, electricity
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"We are in real danger of seeing a secondary disaster which may cause harm to more people than the initial disaster if we don’t move with the same pace and intensity as we are doing on the search and rescue side," Holden added.
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Turkey's Disaster and Emergency Management Authority has confirmed on Friday that the country's quake death toll had risen to 19,875 and that 79,717 people had been injured in the disaster.
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The death toll from this week's massive earthquakes and aftershocks in Syria and Turkey passed 23,300 on Friday, as hope for finding survivors trapped under toppled buildings began to fade.
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Syrian state media said Thursday at least 1,347 people were killed and over 2,295 others injured in government-held areas.
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The Syrian Civil Defense, first responders also known as the White Helmets, said Friday more than 2,166 people had died and another 2,950 were injured in opposition-held areas — bringing the country's death toll from the quake to at least 3,513 people.
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the overall death toll to more than 23,300.
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