Pipes are the major problems. When the temps dip below zero and winds find their way into old houses, pipes start to freeze, and break. The Water company too is busy. Especially when snow levels are low, this type of cold can get down into waterlines that are at marginal depths. Quite a few houses I know have "bleeders" cut into their main water line. The water co. calls those houses to turn on those bleeders to keep a trickle moving through the lines.
And heating can't always keep up in some houses. So out come electric heaters, extension cords, and fires. It's tough time for many people. I'd imagine suicide rates go up about now, but I don't want to sound depressing.