International aid agencies are stepping up efforts to help millions of homeless people, many sleeping in tents, mosques, schools or cars, 11 days after a massive earthquake hit Turkey and Syria killing more than 43,000. People were reported to have been pulled alive from the rubble in Turkey on Thursday, but such rescues have become increasingly rare, leaving anger to smoulder as hope dies.

The 7.8 magnitude earthquake struck in the dead of night on Feb. 6. More than 10 days after it struck, rescuers overnight pulled out a child, a woman and two men alive from wreckage. Neslihan Kilic, a 29-year-old mother of two, was removed from the rubble of a building in Kahramanmaras, after being trapped for 258 hours when a forklift operator lifted her bed and noticed her hand move, the private DHA news agency reported late Thursday. Her father, Cuma Yalcinoz, had been waiting outside. “I believed she would come out,” he said. “I had a feeling.” Kilic’s husband and children were still missing.