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Fentanyl Drives Record 45% Rise in Homeless Deaths in Multnomah County in 2023

A county report reveals 456 homeless deaths last year, with fentanyl contributing to 89% of overdose fatalities, but officials see signs of improvement in 2024.

  • Multnomah County recorded 456 homeless deaths in 2023, a 45% increase from 2022 and the highest number since tracking began in 2011.
  • Fentanyl was a factor in 251 deaths, marking a sharp rise from just 74 fentanyl-related deaths among the homeless in 2022.
  • Drug overdoses accounted for 282 deaths, with methamphetamine also contributing to 81% of overdose fatalities.
  • Homeless individuals were significantly more likely than the general population to die from overdoses, transportation-related injuries, homicide, or suicide.
  • Officials express cautious optimism for 2024, citing early data suggesting a decline in fentanyl-related deaths following local and state emergency measures.
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