Mar. 15, 2011 -- RIKUZENTAKATA, Japan (Reuters) -- Millions of people in Japan's devastated northeast were spending a fourth night without water, food or heating in near-freezing temperatures, as tens of thousands of rescue workers struggled to reach them.
As bodies washed up on the coast, injured survivors, children and elderly crammed into makeshift shelters, often without medicine. By Monday, 550,000 people had been evacuated after the earthquake and tsunami that killed at least 10,000.
The humanitarian crisis was unfolding on multiple fronts -- from a sudden rise in newly orphaned children to shortages of water, food, fuel and electricity to overflowing toilets in overwhelmed shelters and erratic care of traumatised survivors.
"It is the elderly who have been hit the hardest," said Patrick Fuller of the International Federation of Red Cross, in a memo written from Ishinomaki, one of several coastal cities brutalised by the swirling wall of waves.
"The tsunami engulfed half the town and many lie shivering uncontrollably under blankets. They are suffering from hypothermia having been stranded in their homes without water or electricity."