Mexican officials said another 58 people were missing following a massive landslide in the mountains north of Acapulco.
The storm that devastated the Pacific resort at the weekend has regained strength and become Hurricane Manuel, taking a route that could see it make landfall on Mexico's north-western coast.
It would be a third blow to a country, which is still reeling from the one-two punch of Manuel's first landfall and Hurricane Ingrid, which hit the eastern coast.
Sinaloa state civil protection authorities said some areas were already flooding in the towns of Escuinapa, El Rosario and Mazatlan.
At least 60 families were evacuated from the fishing village of Yameto, in the Sinaloan town of Navolato. The affected area consists mainly of fishing villages.
Outside Acapulco, federal authorities reached the mountain village of La Pintada by helicopter and evacuated dozens of people, many of whom were hurt, one seriously.