{"id":7564,"date":"2021-01-12T00:00:00","date_gmt":"2021-01-12T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/people-experiencing-homelessness-are-more-likely-to-be-infected-with-and-die-of-covid-19-than-the-general-ontario-population\/"},"modified":"2023-06-14T18:16:32","modified_gmt":"2023-06-14T22:16:32","slug":"people-experiencing-homelessness-are-more-likely-to-be-infected-with-and-die-of-covid-19-than-the-general-ontario-population","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/people-experiencing-homelessness-are-more-likely-to-be-infected-with-and-die-of-covid-19-than-the-general-ontario-population\/","title":{"rendered":"People experiencing homelessness are more likely to be infected with and die of COVID-19 than the general Ontario population"},"content":{"rendered":"<p>In Ontario, people experiencing homelessness were more likely to be tested, test positive, be hospitalized, receive intensive care for, and die of COVID-19 compared to the general population, according to a new study by researchers at ICES and Lawson Health Research Institute.<\/p>\n<p>The study, published today in <em>CMAJ Open<\/em>, examined COVID-19 testing in Ontario, measuring test positivity and complications (i.e. hospitalization; admission to intensive care; and death within 21 days of a positive test) between January 23 and July 31, 2020. The researchers compared individuals with a recent history of homelessness and community-dwelling individuals.<\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_729ff61d3cd0a146f125514941f81dfc\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/Richard-Homelessness.png\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"download-section-buttons-secondary\" data-infographic-popup-open=\"block_729ff61d3cd0a146f125514941f81dfc-infographic-popup\" aria-haspopup=\"dialog\">\n\t\t\t\tClick to View\t\t\t<\/button>\n\t\t\t\t\t\t<\/div>\n\n\t\t<div class=\"infographic-popup\" id=\"block_729ff61d3cd0a146f125514941f81dfc-infographic-popup\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Infographic\" hidden>\n\t\t<div class=\"infographic-popup-overlay\" data-infographic-popup-close><\/div>\n\t\t<div class=\"infographic-popup-container\">\n\t\t\t<button type=\"button\" class=\"infographic-popup-close\" data-infographic-popup-close aria-label=\"Close infographic\">&times;<\/button>\n\t\t\t<img decoding=\"async\" class=\"infographic-popup-image\" src=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/Richard-Homelessness.png\" alt=\"Infographic\">\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<p>&#x201c;Legitimate concerns exist about the impact of the COVID-19 pandemic on persons experiencing homelessness. In Ontario, we found that during the first wave, this vulnerable population was more likely to test positive for COVID-19, even once priority testing was relaxed, and substantially more likely to experience COVID-19 related complications,&#x201d; says Lucie Richard, lead author of the study and research analyst at <a href=\"\/contact-us\/ices-western\/\">ICES Western<\/a>.<\/p>\n<p>The study of 29,407 individuals with a recent history of homelessness showed, once testing was equally available to all Ontarians, that the homeless were:\n<\/p>\n<ul class=\"list-style\">\n<li>45 per cent more likely to be tested (287.4 per 1,000 vs. 87.4\/1,000)<\/li>\n<li>76 per cent more likely to test positive (9.3 per 1,000 vs. 2.0\/1,000)<\/li>\n<\/ul>\n<p>At the height of the first wave, individuals with a recent history of homelessness were also:\n<\/p>\n<ul class=\"list-style\">\n<li>Over 20 times more likely to be hospitalized with COVID-19 (3.5 per 1,000 vs. 0.2\/1,000)<\/li>\n<li>Over 10 times more likely to be admitted into intensive care with COVID-19 (0.51 per 1,000 vs. 0.07\/1,000)<\/li>\n<li>Over 5 times more likely to die within 21 days of a COVID-19 infection (0.34 per 1,000 vs. 0.05\/1,000)<\/li>\n<\/ul>\n<p>Given incomplete data on homelessness, the study likely represents only about a third of people with a recent history of homelessness. Among the 29,407 individuals studied, 8,451 individuals tested for SARS-CoV-2 were identified, of whom 274 tested positive. Of these, 104 were admitted to hospital with COVID-19, including 15 admitted to ICU, and a total of 10 died within 21 days of their positive test diagnosis.<\/p>\n<p>&#x201c;This pandemic has highlighted health inequities that exist across the globe. For persons experiencing homelessness, high population density in shelters and high rates of morbidity has put them at increased risk from COVID-19. Our findings illustrate that the pandemic has taken a heavy toll on this vulnerable population.&#x201d; says <a href=\"\/ices-scientists\/salimah-shariff\/\">Dr. Salimah Shariff<\/a>, senior author on the study and ICES scientist.<\/p>\n<p>While numerous shelters have reported COVID-19 outbreaks, the researchers say little research has been done on the risk faced by people experiencing homelessness relative to the general population in Canada, in part because accurately capturing the homeless population is a challenge. The homeless population in this study was identified using a newly validated case definition that leverages administrative data collected during hospital health encounters. Previous work estimated that 1 in 200 Ontario adults experienced homelessness in 2016.<\/p>\n<p>The researchers add that their findings corroborate recent warnings from experts about the risk faced by people experiencing homelessness during the pandemic, underscoring the value of measures aimed to protect this population from outbreaks.<\/p>\n<p><em>Author block: Lucie Richard, Richard Booth, Jennifer Rayner, Kristin K. Clemens, Cheryl Forchuk and Salimah Z. Shariff.<\/em><\/p>\n<p>The article &#x201c;Testing, infection and complication rates of coronavirus disease 2019 (COVID-19) among people with a recent history of homelessness in Ontario, Canada: a retrospective cohort study,&#x201d; is published in the January 12, 2021 issue of <em>CMAJ Open<\/em>.<\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<p><strong><br \/>\nAbout Lawson Health Research Institute&#xa0;<\/strong><br \/>\nAs the research institute of London Health Sciences Centre and St. Joseph&apos;s Healthcare London, and working in partnership with Western University, Lawson Health Research Institute is committed to furthering scientific knowledge to advance healthcare around the world. <a href=\"http:\/\/www.lawsonresearch.ca\" title=\"opens external link\">www.lawsonresearch.ca<\/a>&#xa0;<\/p>\n<h2>For more information, please contact:<\/h2>\n<p>\nDeborah Creatura<br \/>\nCommunications Strategist, ICES<br \/>\n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>\n647-406-5996<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In Ontario, people experiencing homelessness were more likely to be tested, test positive, be hospitalized, receive intensive care for, and die of COVID-19 compared to the general population, according to a new study by researchers at ICES and Lawson Health Research Institute. The study, published today in CMAJ Open, examined COVID-19 testing in Ontario, measuring [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[20,39,19],"class_list":["post-7564","news_release","type-news_release","status-publish","hentry","topic-health-and-health-care-inequality","topic-infectious-diseases","topic-marginalized-populations"],"acf":{"infographic":[9336],"journal_article":[2411],"research_report":[],"atlas":[],"research_program":[6743],"site":[6739],"ices_scientist":[1359],"announce_or_event":[],"video":[15709],"iitn_type":false,"iitn_title":"Ontario's homeless 5 times more likely to die of COVID-19, study finds","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.cbc.ca\/news\/canada\/toronto\/ontario-s-homeless-5-times-more-likely-to-die-of-covid-19-study-finds-1.5869024","iitn_source_link_text":"CBC","sitecore_item_id":"96182ED1-8B5C-4771-89A9-7CA909E632DE","sitecore_item_name":"People-experiencing-homelessness-are-more-likely-to-be-infected-with-and-die-of-COVID-19","sitecore_field_values":"{\n  \"Content\": \"<p>In Ontario, people experiencing homelessness were more likely to be tested, test positive, be hospitalized, receive intensive care for, and die of COVID-19 compared to the general population, according to a new study by researchers at ICES and Lawson Health Research Institute.<\/p>n<p>The study, published today in <em>CMAJ Open<\/em>, examined COVID-19 testing in Ontario, measuring test positivity and complications (i.e. hospitalization; admission to intensive care; and death within 21 days of a positive test) between January 23 and July 31, 2020. The researchers compared individuals with a recent history of homelessness and community-dwelling individuals.<\/p>n<p><a href=\"~\/media\/95C92B9B884947E288B848442C029150.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'Richard-HomelessnessInfographicJanuary2021',this.href]);\"><img height=\"204\" alt=\"People experiencing homelessness are more likely than other Ontarians to test positive for and die of COVID-19\" width=\"350\" src=\"~\/media\/59487D3065964118A1CF7C0C6ACA79C3.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>&ldquo;Legitimate concerns exist about the impact of the COVID-19 pandemic on persons experiencing homelessness. In Ontario, we found that during the first wave, this vulnerable population was more likely to test positive for COVID-19, even once priority testing was relaxed, and substantially more likely to experience COVID-19 related complications,&rdquo; says Lucie Richard, lead author of the study and research analyst at <a href=\"~\/link.aspx?_id=3B4AF7E86835410BAEB8360A79CA0ED8&amp;_z=z\">ICES Western<\/a>.<\/p>n<p>The study of 29,407 individuals with a recent history of homelessness showed, once testing was equally available to all Ontarians, that the homeless were:n<\/p>n<ul class=\"list-style\">n    <li>45 per cent more likely to be tested (287.4 per 1,000 vs. 87.4\/1,000)<\/li>n    <li>76 per cent more likely to test positive (9.3 per 1,000 vs. 2.0\/1,000)<\/li>n<\/ul>n<p>At the height of the first wave, individuals with a recent history of homelessness were also:n<\/p>n<ul class=\"list-style\">n    <li>Over 20 times more likely to be hospitalized with COVID-19 (3.5 per 1,000 vs. 0.2\/1,000)<\/li>n    <li>Over 10 times more likely to be admitted into intensive care with COVID-19 (0.51 per 1,000 vs. 0.07\/1,000)<\/li>n    <li>Over 5 times more likely to die within 21 days of a COVID-19 infection (0.34 per 1,000 vs. 0.05\/1,000)<\/li>n<\/ul>n<p>Given incomplete data on homelessness, the study likely represents only about a third of people with a recent history of homelessness. Among the 29,407 individuals studied, 8,451 individuals tested for SARS-CoV-2 were identified, of whom 274 tested positive. Of these, 104 were admitted to hospital with COVID-19, including 15 admitted to ICU, and a total of 10 died within 21 days of their positive test diagnosis.<\/p>n<p>&ldquo;This pandemic has highlighted health inequities that exist across the globe. For persons experiencing homelessness, high population density in shelters and high rates of morbidity has put them at increased risk from COVID-19. Our findings illustrate that the pandemic has taken a heavy toll on this vulnerable population.&rdquo; says <a href=\"~\/link.aspx?_id=E8DA0CD313414EA5846DD3FCFCEB3137&amp;_z=z\">Dr. Salimah Shariff<\/a>, senior author on the study and ICES scientist.<\/p>n<p>While numerous shelters have reported COVID-19 outbreaks, the researchers say little research has been done on the risk faced by people experiencing homelessness relative to the general population in Canada, in part because accurately capturing the homeless population is a challenge. The homeless population in this study was identified using a newly validated case definition that leverages administrative data collected during hospital health encounters. Previous work estimated that 1 in 200 Ontario adults experienced homelessness in 2016.<\/p>n<p>The researchers add that their findings corroborate recent warnings from experts about the risk faced by people experiencing homelessness during the pandemic, underscoring the value of measures aimed to protect this population from outbreaks.<\/p>n<p><em>Author block: Lucie Richard, Richard Booth, Jennifer Rayner, Kristin K. Clemens, Cheryl Forchuk and Salimah Z. Shariff.<\/em><\/p>n<p>The article &ldquo;Testing, infection and complication rates of coronavirus disease 2019 (COVID-19) among people with a recent history of homelessness in Ontario, Canada: a retrospective cohort study,&rdquo; is published in the January 12, 2021 issue of <em>CMAJ Open<\/em>.<\/p>n<p><em><span style=\"color: #002060;\">ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter:<\/span> <a href=\"https:\/\/twitter.com\/ICESOntario\">@ICESOntario<\/a><\/em><\/p>n<p><strong>nAbout Lawson Health Research Institute&nbsp;<\/strong><br \/>nAs the research institute of London Health Sciences Centre and St. Joseph's Healthcare London, and working in partnership with Western University, Lawson Health Research Institute is committed to furthering scientific knowledge to advance healthcare around the world. <a href=\"http:\/\/www.lawsonresearch.ca\" title=\"opens external link\">www.lawsonresearch.ca<\/a>&nbsp;<\/p>n<h2>For more information, please contact:<\/h2>n<p>nDeborah Creatura<br \/>nCommunications Strategist, ICES<br \/>n<a href=\"mailto:deborah.creatura@ices.on.ca\">deborah.creatura@ices.on.ca<\/a><br \/>n647-406-5996<\/p>\",\n  \"Title\": \"People experiencing homelessness are more likely to be infected with and die of COVID-19 than the general Ontario population\",\n  \"Short title\": \"People experiencing homelessness are\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"In Ontario, people experiencing homelessness were more likely to be tested, test positive, be hospitalized, receive intensive care for, and die of COVID-19 compared to the general population.\",\n  \"Location\": \"London\",\n  \"In The News\": \"{689ED557-05F1-4390-A067-E310FC2BA865}\",\n  \"ICES Scientists\": \"{E8DA0CD3-1341-4EA5-846D-D3FCFCEB3137}\",\n  \"ICES Locations\": \"{3B4AF7E8-6835-410B-AEB8-360A79CA0ED8}\",\n  \"Research Programs\": \"{92CC48EB-79AA-49F6-8A80-16D185170261}\",\n  \"Posted Date\": \"20210112T000000\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" title=\"opens related ablstracgt\" querystring=\"\" target=\"\" id=\"{BBBB2E8C-924F-4ACD-B1E8-C665F05B648A}\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2021&amp;page=1#Richard-Homelessness\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\",\n  \"Related Link2\": \"<link text=\"ICES research video\" linktype=\"external\" url=\"~\/Publications\/Videos?year=2021&amp;page=1#homelessness\" anchor=\"\" title=\"opens related video\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2021\/People-experiencing-homelessness-are-more-likely-to-be-infected-with-and-die-of-COVID-19"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | People experiencing homelessness are more likely to be infected with and die of COVID-19 than the general Ontario population<\/title>\n<meta name=\"description\" content=\"In Ontario, people experiencing homelessness were more likely to be tested, test positive, be hospitalized, receive intensive care for, and die of\" \/>\n<meta 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