In Los Angeles County, the mortality rate among people experiencing homelessness (PEH) consistently increased between 2014 and 2019. In 2019, the mortality rate reached a peak for the given period at 2,021 deaths per 100,000 people. This statistic depicts the mortality rate among people experiencing homelessness between 2014 and 2019 in Los Angeles County.

The number of deaths of homeless people in England and Wales, by sex, five-year age group and underlying cause of death, 2013 to 2021 registrations. Experimental Statistics.

From July 1, 2021 to June 30, 2022, New York City's Department of Social Services/Department of Homeless Services (DHS) and Office of the Chief Medical Examiner (OCME) reported 684 deaths among individuals experiencing homelessness. Among these, around 329 were attributed to drug-related causes, making this the primary cause of death within this demographic. This statistic depicts the leading causes of death among persons experiencing homelessness in New York City between 2021 and 2022.

Note: This Dataset is updated nightly and contains all downloadable Medical Examiner-Coroner records, January 1, 2018 to current, related to deaths that occurred in the County of Santa Clara under the Medical Examiner-Coroner’s jurisdiction and those deaths reportable to the Medical Examiner-Coroner (non-jurisdictional cases/NJA) but in which the office did not assume jurisdiction.

The Santa Clara County Medical Examiner- Coroner’s Office determines cause and manner of death for those deaths that fall under the jurisdiction of the Medical Examiner-Coroner, as defined by California Government code 27491.

The Medical Examiner-Coroner will not be responsible for data verification, interpretation or misinformation once data has been downloaded and manipulated from the dashboard.

Refer to the following document to know more of which deaths are reportable: https://medicalexaminer.sccgov.org/sites/g/files/exjcpb986/files/Reportable%20Death%20Chart%202018.pdf.

In Los Angeles County, the number of deaths among people experiencing homelessness (PEH) had an overall increase when comparing the 12 months pre- and post-COVID-19. Among the leading death causes, drug overdose reported the biggest increase of 78 percent. Additionally, COVID-19 was the third leading cause of death from April 1, 2020 to March 31, 2021, resulting in 179 deaths during that time. This statistic depicts the number of deaths among people experiencing homelessness, 12 months pre- and post-COVID-19 pandemic, in Los Angeles County, by cause of death.

People experiencing homelessness have historically had high mortality rates compared to housed individuals in Canada, a trend believed to have become exacerbated during the COVID-19 pandemic. In this matched cohort study conducted in Toronto, Canada, we investigated all-cause mortality over a one-year period by following a random sample of people experiencing homelessness (n = 640) alongside matched housed (n = 6,400) and low-income housed (n = 6,400) individuals. Matching criteria included age, sex-assigned-at-birth, and Charlson comorbidity index. Data were sourced from the Ku-gaa-gii pimitizi-win cohort study and administrative databases from ICES. People experiencing homelessness had 2.7 deaths/100 person-years, compared to 0.7/100 person-years in both matched unexposed groups, representing an all-cause mortality unadjusted hazard ratio (uHR) of 3.7 (95% CI, 2.1–6.5). Younger homeless individuals had much higher uHRs than older groups (ages 25–44 years uHR 16.8 [95% CI 4.0–70.2]; ages 45–64 uHR 6.8 [95% CI 3.0–15.1]; ages 65+ uHR 0.35 [95% CI 0.1–2.6]). Homeless participants who died were, on average, 17 years younger than unexposed individuals. After adjusting for number of comorbidities and presence of mental health or substance use disorder, people experiencing homelessness still had more than twice the hazard of death (aHR 2.2 [95% CI 1.2–4.0]). Homelessness is an important risk factor for mortality; interventions to address this health disparity, such as increased focus on homelessness prevention, are urgently needed.

London had the highest homeless death rate in England and Wales in 2021, at **** homeless deaths per million population. By contrast, East England had the lowest homeless death rate at *** deaths per million population.

Decedents over whom the Pierce County Medical Examiner assumed jurisdiction, who are presumed to have been experiencing homelessness at the time of their death.

From July 1, 2021 to June 30, 2022, New York City's Department of Social Services/Department of Homeless Services (DHS) and Office of the Chief Medical Examiner (OCME) reported 684 deaths among persons experiencing homelessness. Furthermore, during this period the NYC Department of Social Services/Human Resources Administration (HRA) reported an additional 131 deaths among persons experiencing homelessness. This statistic depicts the number of deaths among persons experiencing homelessness in New York City between 2005 and 2022, by Reporting Agency.

Experimental Statistics showing the number of deaths of homeless people in England and Wales, by sex, five-year age group .

https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/deathsofhomelesspeopleinenglandandwales

Photo by Jon Tyson on Unsplash

In Los Angeles County, methamphetamine accounted for the highest share of overdose deaths among people experiencing homelessness (PEH) in the 12 months before and after the COVID-19 pandemic onset, contributing to approximately three-quarters of all overdose deaths in both years. Fentanyl ranked as the second leading cause of overdose death in both periods, but showed the largest increase in its contribution over the analyzed timeframe. This statistic depicts the percentage of deaths among people experiencing homelessness by overdose pre- and post-COVID-19 pandemic in Los Angeles County, by drug type.

Annual Experimental Statistics on the number of deaths of homeless people in England and Wales at local authority level. Deaths registered in 2013 to 2017.

Correction 20 January 2023 - An error was found in the population data used to calculate 2021 rates in this publication. This has been corrected, with the overall Scotland mortality rate for 2021 changing from 60.4 deaths per million population to 60.3 deaths per million. There were small changes to the rates for council areas also. Homeless deaths for the year 2021.

Starting in January 2017, Toronto Public Health (TPH) began tracking the deaths of people experiencing homelessness to get a more accurate estimate of the number of deaths and their causes. TPH leads the data collection, analysis and reporting. The Shelter, Support and Housing Administration (SSHA) and health and social service agencies that support people experiencing homelessness share information about a death with TPH and the Office of the Chief Coroner of Ontario (OCCO) verifies some of the data. For this data collection initiative, homelessness is defined as “the situation of an individual or family without stable, permanent, appropriate housing, or the immediate prospect, means and ability of acquiring it”.

From July 1, 2021 to June 30, 2022, New York City's Department of Social Services/Department of Homeless Services (DHS) and Office of the Chief Medical Examiner (OCME) reported 684 deaths among persons experiencing homelessness. Of this total, around 345 deaths occurred in hospitals, while 155 occurred in shelters. This statistic depicts the number of deaths among persons experiencing homelessness in New York City as reported by the DHS and the OCME between 2021 and 2022, by location of death

A. SUMMARY This archived dataset includes data for population characteristics that are no longer being reported publicly. The date on which each population characteristic type was archived can be found in the field “data_loaded_at”. B. HOW THE DATASET IS CREATED Data on the population characteristics of COVID-19 cases are from:  * Case interviews  * Laboratories  * Medical providers    These multiple streams of data are merged, deduplicated, and undergo data verification processes.   Race/ethnicity * We include all race/ethnicity categories that are collected for COVID-19 cases. * The population estimates for the "Other" or “Multi-racial” groups should be considered with caution. The Census definition is likely not exactly aligned with how the City collects this data. For that reason, we do not recommend calculating population rates for these groups. Gender * The City collects information on gender identity using these guidelines. Skilled Nursing Facility (SNF) occupancy * A Skilled Nursing Facility (SNF) is a type of long-term care facility that provides care to individuals, generally in their 60s and older, who need functional assistance in their daily lives.  * This dataset includes data for COVID-19 cases reported in Skilled Nursing Facilities (SNFs) through 12/31/2022, archived on 1/5/2023. These data were identified where “Characteristic_Type” = ‘Skilled Nursing Facility Occupancy’. Sexual orientation * The City began asking adults 18 years old or older for their sexual orientation identification during case interviews as of April 28, 2020. Sexual orientation data prior to this date is unavailable. * The City doesn’t collect or report information about sexual orientation for persons under 12 years of age. * Case investigation interviews transitioned to the California Department of Public Health, Virtual Assistant information gathering beginning December 2021. The Virtual Assistant is only sent to adults who are 18+ years old. Learn more about our data collection guidelines pertaining to sexual orientation. Comorbidities * Underlying conditions are reported when a person has one or more underlying health conditions at the time of diagnosis or death. Homelessness Persons are identified as homeless based on several data sources: * self-reported living situation * the location at the time of testing * Department of Public Health homelessness and health databases * Residents in Single-Room Occupancy hotels are not included in these figures. These methods serve as an estimate of persons experiencing homelessness. They may not meet other homelessness definitions. Single Room Occupancy (SRO) tenancy * SRO buildings are defined by the San Francisco Housing Code as having six or more "residential guest rooms" which may be attached to shared bathrooms, kitchens, and living spaces. * The details of a person's living arrangements are verified during case interviews. Transmission Type * Information on transmission of COVID-19 is based on case interviews with individuals who have a confirmed positive test. Individuals are asked if they have been in close contact with a known COVID-19 case. If they answer yes, transmission category is recorded as contact with a known case. If they report no contact with a known case, transmission category is recorded as community transmission. If the case is not interviewed or was not asked the question, they are counted as unknown. C. UPDATE PROCESS This dataset has been archived and will no longer update as of 9/11/2023. D. HOW TO USE THIS DATASET Population estimates are only available for age groups and race/ethnicity categories. San Francisco po

BackgroundOpioid use disorder (OUD) is a growing public health crisis, with opioids involved in an overwhelming majority of drug overdose deaths in the United States in recent years. While medications for opioid use disorder (MOUD) effectively reduce overdose mortality, only a minority of patients are able to access MOUD; additionally, those with unstable housing receive MOUD at even lower rates.ObjectiveBecause MOUD access is a multifactorial issue, we leverage machine learning techniques to assess and rank the variables most important in predicting whether any individual receives MOUD. We also seek to explain why persons experiencing homelessness have lower MOUD access and identify potential targets for action.MethodsWe utilize a gradient boosted decision tree algorithm (specifically, XGBoost) to train our model on SAMHSA’s Treatment Episode Data Set-Admissions, using anonymized demographic and clinical information for over half a million opioid admissions to treatment facilities across the United States. We use Shapley values to quantify and interpret the predictive power and influencing direction of individual features (i.e., variables).ResultsOur model is effective in predicting access to MOUD with an accuracy of 85.97% and area under the ROC curve of 0.9411. Notably, roughly half of the model’s predictive power emerges from facility type (23.34%) and geographic location (18.71%); other influential factors include referral source (6.74%), history of prior treatment (4.41%), and frequency of opioid use (3.44%). We also find that unhoused patients go to facilities that overall have lower MOUD treatment rates; furthermore, relative to housed (i.e., independent living) patients at these facilities, unhoused patients receive MOUD at even lower rates. However, we hypothesize that if unhoused patients instead went to the facilities that housed patients enter at an equal percent (but still received MOUD at the lower unhoused rates), 89.50% of the disparity in MOUD access would be eliminated.ConclusionThis study demonstrates the utility of a model that predicts MOUD access and both ranks the influencing variables and compares their individual positive or negative contribution to access. Furthermore, we examine the lack of MOUD treatment among persons with unstable housing and consider approaches for improving access.