Heavy snow is falling across Japan’s devastated north-east region adding to the difficulties of the rescue teams.
As temperatures plummet there are grave concerns for the well-being of the elderly and very young as the lack of fuel means no heating and little transport.
Relief teams say the snow reduces the chances of pulling anyone out alive from the debris.
Makeshift morgues are littered around the grey, dank landscape and people say the stench of decaying bodies and rancid seawater is overwhelming.
In Sendai, the city worst hit by the deadly quake and tsunami, destruction is everywhere.
Chinese search and rescue teams are in Japan assisting in the relief effort as the international community comes together to help the nation in its hour of need.
As many as 10,000 are confirmed dead with thousands more missing or displaced.