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Rescue workers struggled to reach some of the worst-hit areas, held back by destroyed roads, poor weather and a lack of resources and heavy equipment.

Erdogan declared 10 Turkish provinces a disaster zone and imposed a state of emergency for three months that will permit the government to bypass parliament in enacting new laws and to limit or suspend rights and freedoms.

The government will open up hotels in the tourism hub of Antalya to temporarily house people impacted by the quakes, said Erdogan, who faces a national election in three months' time.

Across the region, rescuers toiled night and day as people waited in anguish by mounds of rubble clinging to the hope that friends, relatives and neighbours might be found alive

Two U.S. Agency for International Development teams with 80 people each and 12 dogs are set to arrive Wednesday morning in Turkey and head to the southeastern province of Adiyaman to focus on urban search and rescue.

Additional reporting by Kinda Makieh in Damascus, Suleiman al-Khalidi in Amman, Mehmet Caliskan in Hatay, Umit Ozdal in Malatya, Ezgi Erkoyun, Daren Butler and Jonathan Spicer in Istanbul, Timour Azhari and Maya Gebeily in Beirut; and Daphne Psaledakis and Humeyra Pamuk in Washington; Writing by Angus MacSwan and Alistair Bell; Editing by Mark Heinrich and Rosalba O'Brien