and turkey issues an international appeal for help. we ll be taking a look at how world leaders are responding. welcome to the programme. we begin in turkey and northern syria, where two powerful earthquakes have killed more than 2,000 people. many more injured and still missing. we ll look at the damage done and the rescue operations. first, let s see where this happened. the first earthquake had a magnitude of 7.8 the epicentre in turkey s gaziantep province. there have been almost 30 other shocks in the region, all powerful enough to magnify the damage. a second major earthquake 130km north of the first one. these pictures show buildings collapsing in south east turkey. the country has declared a state of emergency. here s president erdogan. translation: we do not know how far the number of dead and injured - will rise as debris removal works continue in many buildings in the earthquake zone. our hope is that we will recover from this disaster with the least loss of life
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news. next, tens of thousands of nurses and ambulance staff have been on strike in england, the first time both have been taking industrial action on the same day. some ambulance workers also into selection in wales. it has been warned this may be the most disruptive so far in this winter s health dispute and help health editor hugh pym reports. on a nurses picket line in liverpool today. kelly, who has been at the local hospital for over 25 years, explains why she was willing to go on strike. i would not be stood here now if i thought that i d left a patient at risk, but we need to do something. enough is enough. a few hundred metres away, ambulance staff were also picketing. we need more ambulances out on the road, but to staff those ambulances, then we need more staff and better conditions and a pay rise to keep staff here.
work through the night and in the cold trying to find survivors. tens of thousands of nurses and ambulance strikes had been on strike today the first time that both have taken industrial strike on the same day. some ambulance workers have been on strike in wales today. health leaders have warned that today s action could be the most destructive so far. our health editor reports. this nurse explains why she was willing to go on strike. i this nurse explains why she was willing to go on strike. i wouldn t have strike willing to go on strike. i wouldn t have strike today willing to go on strike. i wouldn t have strike today if willing to go on strike. i wouldn t have strike today if i willing to go on strike. i wouldn t have strike today if i thought i willing to go on strike. i wouldn t| have strike today if i thought that i had left a patient at risk. but we need to do something. find i had left a patient at risk. but we need to do something. need to do something. and a few hu
for patients, strikes mean cancellations of some routine operations and other care, and some disruption for hospitals. officially, emergency care is not affected by the strike action, but at local level hospitals reach their own agreements with the royal college of nursing. in this emergency department, there are fewer nurses on shift than on a normal day so other staff are drafted in. we just need to get some meds out. more consultants than usual are on shift, like phil here at st george s hospital in south london. he is helping dispense medication, a job that might normally be done by nurses. and postponements in routine care on strike days can mean more pressure on a&e. we encourage people to still come forward. if you need emergency life or limb saving care, we are here. if we have other areas of the hospital that are affected, such as day assessment units or day surgery units, it may be that more patients end up needing to come through the emergency department to receive urgent ca