A number of survivors of the powerful New Year's Day earthquake that devastated central Japan are still enduring harsh conditions in shelters or sleeping in their cars.

In Ishikawa Prefecture, 232 people had been confirmed dead as of 2 p.m. on Friday, including 14 who died of suspected disaster-related causes.

Hirota Juko of Suzu City was trapped under her home with her husband and mother-in-law after the quake. She was eventually rescued by neighbors, but she was the only one to make it out alive.

Hirota said her husband had managed a dry cleaning shop for many years and was an active member of the community. She said she will try to move forward.

In Wajima City, many evacuees are still sleeping in their cars due to concerns over infectious diseases.

The risk of so-called "economy class syndrome" rises when people stay inside cars for long periods. Nurses are visiting the cars to encourage people to exercise and drink water to prevent symptoms.

Weather officials say it will start raining in the disaster-hit region on Saturday afternoon. Rainy or snowy weather is expected to continue for some days.

The officials warn the ground is still loose after the quake and that there is a risk of landslides.

Evacuees are advised to take precautions against hypothermia, including covering themselves with blankets and exercising.