Her father, mother and four-year-old sister were among the nearly 40,000 people killed in the 7.8-magnitude quake that struck Turkey and Syria on February 6.
After years of war and displacement in Syria, the disaster orphaned many children when their families were lost under the rubble.
"She keeps asking for her father, her mother and her sister," said Abdullah Sherif, Hanaa's uncle, at Maarrat Misrine hospital in Syria's northwestern Idlib province.
"We have not dared to tell her the truth yet."
Hanaa was trapped for 33 hours under the rubble of her collapsed building in the border town of Harim, before she was pulled out and rushed to the hospital about 25 kilometres (15 miles) away.
When she got there, she was "in a critical condition", her doctor Bassel Staif said. "She suffered severe dehydration, having been under the rubble without food or water and in the cold weather."
Hanaa's condition has since stabilised, and she sometimes smiles despite the injuries on her face.
But her left arm, which is in a cast, was crushed during the quake, Staif said, noting that his team is doing its best to save it.
"She has now left the intensive care unit, her condition is stable. But she is at risk of having an arm amputated."
- 'Trauma on top of trauma' -
In the hospital room packed with Valentine's Day balloons, Hanaa's uncle remains by her side. But he fears her condition will only worsen when she learns of her family's fate.
The little girl has only her grandparents and uncles to raise her in this rebel-held region, home to some four million people, many of them displaced from other parts of war-torn Syria.
Last week's quake has affected more than seven million children, including 2.5 million in Syria alone, according to James Elder, spokesman for the UN children's agency UNICEF.
He says the disaster has piled more misery on Syrian children who have only witnessed tragedy in their lives because of the war that broke out more than a decade ago.
Every child under the age of 12 "has known nothing but conflict, violence or displacement," said Elder. "Some children have been displaced six or seven times.
"For many of these children... this is trauma on top of trauma."
Samah Hadid of the Norwegian Refugee Council has also warned that children are at "grave psychological risk due to the scale of the shock".
- 'We could only hear screams' -
Three-year-old Arslan was the sole survivor from his family after their building in Harim was one of least 35 destroyed.
His uncle, Ezzat Hamdi, says rescuers kept digging for three days to find the bodies of Arslan's father, mother and siblings.
"We found the father's body hugging the boy," said Hamdi, 30, adding that the mother's body was found two metres away.
The little boy has since been kept in intensive care, with Hamdi watching over him.
"The child's lower limbs were crushed" and he suffered internal damage, said doctor Omar al-Ali of the children's hospital in Sarmada.
For Obada Zikra, a member of the White Helmets rescue group that operates in Syria's rebel-held areas, the first hours of the quake disaster were the most agonising.
"We could only hear the screams and moans of children," he said, noting the brief bursts of joy whenever rescuers found a child alive.
"We have pulled out many children who are still alive, but also dead ones," he said.
"The children of our region have lived through many tragedies. We hope that they will lead different lives... and enjoy the support that any child in the world gets."
Syria quake survivors battle cold in tents and vehicles
Jindayris, Syria (AFP) Feb 16, 2023 -
Since the earthquake destroyed her home, Syrian teacher Suzanne Abdallah has lived in a small truck crammed with her family members, just a stone's throw from where their house stood.
"Ten of us pile into this truck. We sleep sitting up," said the 42-year-old, wearing multiple layers of clothes and a wooled scarf wrapped around her head against the biting winter cold.
Her infant boy was sleeping in a makeshift hammock made from a blanket that was swinging from the packed vehicle's roof, as seven other children were sharing a basic breakfast inside.
"Conditions are difficult, especially as I have a toddler," said Abdallah. "I woke up this morning and found his hands were extremely cold, so I put him in the sun to warm him.
"We want a shelter; we need help for the sake of the little children."
Abdallah and her family are among several million Syrians made homeless, according to UN estimates, by the 7.8-magnitude quake that also devastated vast areas of Turkey.
More than 40,000 people were killed across the two countries by the February 6 disaster that flattened entire districts, including in Abdallah's home city of Jindayris on the Turkish border.
Syria's people have endured more than a decade of brutal civil war, and many fled to the rebel-held Idlib province from other regions now under the control of President Bashar al-Assad's forces.
Survivors of the powerful quake have since huddled in whatever places they could find, many sleeping in tents and vehicles, others huddling around fires outside.
- 'Lives are tragic' -
Abdallah's father-in-law turned his vehicle into a makeshift home for his sons and their families, covering the top of the truck with blankets and rugs for added insulation.
"Living in a car is difficult; we are two households," Abdallah told AFP.
Around here, much of the district has been reduced to rubble, from which rescuers from the White Helmets group recovered more than 500 bodies.
Jindayris is among the cities worst-hit by the quake that killed more than 3,600 people across five Syrian provinces, claiming the highest death tolls in Idlib and Aleppo.
Families here have slept in schools, mosques and displacement camps or in basic shelters built in open spaces such as olive groves and public squares.
Across the town, the families of retired employee Abdelrahman Haji Ahmed and his neighbours now live in makeshift tents pitched in the middle of their demolished street.
At night, the women and children huddle inside them, under tattered plastic sheets and blankets, while Ahmed and the other men sleep under the stars.
"There is no electricity, no water, no sanitation," he told AFP, his ruined former home behind him. "The lives of all the families are tragic."
Ahmed held his little daughter, watched on by other children, and said that right now all his family needs is "one or two tents so that the families can rest.
"Then we will see what to do next, but this is what we ask for now," he added. "We are not thinking about the future. The situation we are in now does not allow it."
- 'No longer tolerable' -
Some international aid has arrived in the region, including in truck convoys that crossed the Turkish borders, but many here remain in desperate need.
The UN Office for the Coordination of Humanitarian Affairs says shelters are among the top priority needs, along with emergency food, heating and hygiene facilities.
The UN children's agency UNICEF stresses the urgent need for "access to safe drinking water and sanitation services, which are critical in preventing illness" following the quake.
In another camp, on the outskirts of Jindayris, 63-year-old Khawthar al-Shaqi now lives with her daughter and grandchildren after spending the first four nights in the open.
"We took refuge in the camp where we could find a shelter," said Shaqi, who years ago fled her home city of Homs and says she now lacks the means to meet even their most basic needs.
"We cannot afford to buy a bottle of water or clothes," she said as the little children played outside the tent. "If we want to go to the city, we do not have transportation or money."
"Conditions are no longer tolerable and we don't know what to do with the children. Here we are sitting in the cold... We have nothing but God's mercy."
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