"They are still pulling people and bodies from the collapsed buildings, so we know the numbers of casualties will increase. Over 500 buildings have collapsed in Gazientep. It’s snowing right now and it’s absolutely freezing. We are highly concerned for everyone who has been forced out of their homes in these freezing temperatures. We are particularly worried about the older Syrian refugees whose circumstances have already deteriorated due to years of living in appalling conditions in displaced people’s camps. We urgently need to get help to them, but it is extremely challenging with most of the routes into northwest Syria inaccessible; many roads are badly damaged and phone lines are down.”