The effects of a Biblical-sized earthquake in Turkey are catastrophic.

As the death toll from one of Turkey’s worst earthquakes in 100 years approaches 600, rescuers are frantically searching for survivors buried in rubble on both sides of the Turkey-Syria border.

A 7.8-magnitude earthquake with tremors as far away as Lebanon and Israel woke residents up around 4 a.m. on Monday, causing thousands more injuries.

The epicenter of the earthquake was 24.1 kilometers (14.9 miles) beneath the surface, 23 kilometers (14.2 miles) east of Nurdagi in Turkey’s Gaziantep province, according to the United States Geological Survey (USGS).