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Edition: U.S. Article Comments (0) Video Full Focus Editor's choice A selection of our best photos from the past 24 hours. Full Article Follow Reuters Humanitarian crisis deepens in quake-hit Japan Tweet Share this Link this By Yoko Kubota 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... Email Print Factbox Factbox: Aid and rescue offers for Japan quake 12:32pm EDT Related News Japan economy shudders after shocks, BOJ pumps cash 5:06pm EDT Special report: Can Japan find "New Deal" after triple whammy? 1:48pm EDT Japan's crippled coastline - "It doesn't get worse than this" 8:18am EDT Japan fights to avert nuclear meltdown after quake Sun, Mar 13 2011 Analysis & Opinion Japan shows another side of the press Nuclear power: Go ahead or stop now? Related Topics World » United Nations » Japan » Natural Disasters » Related Video Japan faces food and power shortages 7:59am EDT Tales of survival in devastated Japan Evacuees, who fled from the vicinity of Fukushima nuclear power plant, sleep at an evacuation center set in a gymnasium in Kawamata, Fukushima Prefecture in northern Japan, March 14, 2011. Credit: Reuters/Yuriko Nakao By Yoko Kubota RIKUZENTAKATA, Japan | Mon Mar 14, 2011 1:38pm EDT 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 traumatized 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 brutalized 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." Local officials had lost contact with about 30,000 people, according to a survey by Kyodo News, raising concerns of a dramatic increase in the number of dead as authorities grapple with Japan's biggest emergency since World War Two. Roads and rail, power and ports have been crippled across much of the northeast of Japan's main island Honshu, hampering relief efforts. The government has mobilized 100,000 soldiers to deliver food, water and fuel. Around 70 countries have offered assistance. Hundreds of foreign rescue workers are assisting quake and tsunami victims but the United Nations does not plan to mount a bigger relief operation unless requested, U.N. aid officials said on Monday. "EXHAUSTED BOTH PHYSICALLY AND MENTALLY" "People are exhausted both physically and mentally," said Yasunobu Sasaki, the principal of a school converted into a shelter in Rikuzentakata, a nearly flattened village of 24,500 people in far-northern Iwate prefecture. There was not enough food for three meals a day and no heating, he said. Sanitation was a also problem. His shelter has fewer than 10 temporary toilets and several makeshift wooden toilets with a hole in the ground. "That's not enough for the around 1,800 people here," he said, adding medicine for the chronically ill was dwindling. All along the ravaged northeastern coast, there were similar scenes of desperation and destruction. The wall of water transported homes inland, swept ships into fields, upended cars and left trains scattered across fields like toys. Toshiyuki Suzuki, 61, has a heart pacemaker in his body and takes about seven kinds of medicine a day. He lost all of them when the waves swept away his home, along with his 91-year-old father and 25-year-old son. He cannot go to hospitals because there is no gasoline at local fuel stations. "I am having problems with walking and with my heartbeat. I absolutely need medicine." 1 2 Next World United Nations Japan Natural Disasters Tweet this Share this Link this Digg this Email Reprints We welcome comments that advance the story directly or with relevant tangential information. We try to block comments that use offensive language, all capital letters or appear to be spam, and we review comments frequently to ensure they meet our standards. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. Comments (0) Be the first to comment on reuters.com. Add yours using the box above. 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