A report from the Illinois Department of Public Health (IDPH) has revealed that residents experiencing homelessness rely heavily on emergency care and die nearly 20 years earlier than housed populations.

Emergency Rooms Become Front Line of Care

According to a press release from the IDPH, a statewide morbidity and mortality study revealed the health toll facing people who are homeless across Illinois. Unhoused residents rely heavily on hospital emergency departments, logging more than 1.8 million hospital visits between 2017 and 2023.

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Researchers found roughly 75,000 individuals accounted for these visits, a median of 14 trips per person, often using ERs as their primary source of care.

The report estimates that about 10,000 Illinoisans experienced literal homelessness during that period, while more than 200,000 others lived in unstable or temporary housing situations, figures that officials warn are likely undercounted.

Premature Deaths and Preventable Risks

The data shows that homelessness dramatically shortens lives, with the average age of death for people experiencing homelessness being 55.5 years old, which is nearly two decades younger than Illinois' housed population average of 74.2.

While many deaths were from chronic illnesses, the report highlights disproportionate risks from preventable causes.

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Unhoused residents were far more likely to die from drug overdoses, traumatic injuries, or extreme cold exposure, according to the press release. Homicide rates were nearly three times higher than among housed Illinoisans.

Veterans and former public servants were also represented among those who died, underscoring the scope of this health crisis.

Targeted Interventions Planned

According to the IDPH Director, Dr. Sameer Vohra, these findings will help guide a more targeted strategy, including expanding naloxone distribution, improving shelter-based healthcare outreach, and enhancing housing assistance through programs like HOPWA (Housing Opportunities for Persons with AIDS).

State officials are also considering better health tracking, a mortality review board, and increased warming center access.

Health leaders also say that early intervention, housing, stability, and coordinated care remain the most effective ways to reduce hospitalizations and save lives.

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