Over 230 people died in a magnitude 7.6 earthquake in Japan’s west coast a month ago, and 4,000 homes were destroyed. 40,000 homes have no running water, and over 13,000 residents are in evacuation centers. Survivors are dealing with freezing temperatures and unhygienic conditions, with some areas not expecting water to be restored for another two months. The extreme cold is particularly difficult for those whose homes were destroyed and are now sleeping in their cars. Public health specialists are concerned about the spread of the flu, as seen after the Kobe earthquake in 1995, and officials plan to start immunizing evacuees against influenza. The area has experienced considerable snowfall, and authorities have issued a landslide warning. The situation is very challenging, with many still without basic necessities like water and shelter.