Rescuers have pulled a two-year-old boy and his mother from the rubble of an apartment block in Islamabad – 24 hours after the last survivor was found there.
But moments like that are few and far between across the devastated region.
The death toll now stands at around 20,000 although officials say this could double as teams reach the most isolated villages in northwest Pakistan and Kashmir.
Despite a lack of equipment, the hunt continues but with every passing hour the chances of finding survivors falls.
In one school in Pakistan-controlled Kashmir, dozens of children were trapped inside when the massive earthquake – 7.7 on the Richter scale – hit on Saturday.
Muzaffarabad – the capital of Pakistani-administered Kashmir – bore the brunt of the shocks.
Aid is now starting to get through, despite the view on the ground in many areas that help has been extremely slow in coming.
Donations of money and assistance continue to rise; Kuwait and the United Arab Emirates have pledged 83 million euros each.
But the government is continuing to appeal for more – saying it will be a long struggle to recover from what is its worst-ever natural disaster.