A convoy of U.N. aid trucks passed through a newly reopened border crossing into northwestern Syria Tuesday, where some earthquake survivors have been waiting for help for over a week.

In Turkey, nine survivors were pulled from the wreckage Tuesday as the death toll from last Monday’s 7.8-magnitude earthquake and aftershocks topped 41,000 across Turkey and Syria.

The World Health Organization warned of the risk of waterborne diseases amid the massive destruction and displacement in both countries. Medical workers also report many patients with mental health concerns, including PTSD. This is Diana Fattal, a UNICEF worker in Syria.

Diana Fattal: “Thousands of children faced on the 6th of February a crisis within a crisis, where they continue to face complex situation of displacement, of fear and extreme cold weather. As you see, that this collective shelter, that used to be a school, is now accommodating families that lost houses and loved ones.”