Résumés
Abstract
This descriptive paper presents deaths among people experiencing street homelessness in Chile, drawing from systematically and retrospectively compiled media reports from 2020 to August 2025. The findings reveal a disproportionately high burden of premature mortality, with violent and preventable causes - particularly homicide - dominating the causes. Other significant causes include accidents, illnesses, and hypothermia, underscoring diverse and persistent risks. The results highlight critical gaps in national data systems and the urgent need for targeted prevention strategies, including enhance safety, improved access to healthcare, seasonal risk mitigation, and comprehensive housing interventions. Establishing standardized real-time mortality monitoring could enable earlier risk detection and more effective evidence-based policies to reduce preventable deaths and protect the rights and dignity of this marginalized population.
Keywords:
- homelessness,
- premature death,
- Chile,
- homicide,
- press reports
Parties annexes
Bibliography
- Aldridge, R. W., Story, A., Hwang, S. W., Nordentoft, M., Luchenski, S. A., Hartwell, G., Tweed, E. J., Lewer, D., Vittal Katikireddi, S., & Hayward, A. C. (2018). Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: A systematic review and meta-analysis. Lancet, 391(10117), 241-250. https://doi.org/10.1016/s0140-6736(17)31869-x
- Chang, J. S., Riley, P. B., Aguirre, R. J., Lin, K., Corwin, M., Nelson, N., & Rodriguez, M. (2022). Harms of encampment abatements on the health of unhoused people. SSM - Qualitative Research in Health, 2, 100064. https://doi.org/10.1016/j.ssmqr.2022.100064
- Chang, J. S., Saxton, K., Bright, G., Jorden, M. A., Gutierrez, A., & Xia, K. (2023). Deaths of profound despair: A retrospective cohort study of mortality among people experiencing homelessness. PLOS ONE, 18(2), e0281912. https://doi.org/10.1371/journal.pone.0281912
- Choi, J., Cho, Y., Shim, E., & Woo, H. (2016). Web-based infectious disease surveillance systems and public health perspectives: A systematic review. BMC Public Health, 16(1), 1238. https://doi.org/10.1186/s12889-016-3893-0
- Doede, M. (2024). Advancing effective street outreach to people experiencing unsheltered homelessness: Concepts for public health nursing. Public Health Nursing, 41(6), 1446-1452. https://doi.org/10.1111/phn.13403
- Donaldson, L. P., & Lee, W. (2019). Homeless street outreach: Spark for the journey to a dignified life. In H. Larkin, A. Aykanian, & C. L. Streeter (Eds.), Homelessness Prevention and Intervention in Social Work: Policies, Programs, and Practices (pp. 279-299). Springer International Publishing. https://doi.org/10.1007/978-3-030-03727-7_14
- Eissmann, I., & Estay, F. (2024). Public policies for the homeless in Chile: A shifting picture. In C. Bevan (Ed.), The Routledge Handbook of Global Perspectives on Homelessness, Law and Policy (1st ed.) (Vol. 1). Routledge. https://doi.org/10.4324/9781003274056
- Fazel, S., Geddes, J. R., & Kushel, M. (2014). The health of homeless people in high-income countries: Descriptive epidemiology, health consequences, and clinical and policy recommendations. Lancet, 384(9953), 1529-1540. https://doi.org/10.1016/s0140-6736(14)61132-6
- Fornaro, M., Dragioti, E., De Prisco, M., Billeci, M., Mondin, A. M., Calati, R., Smith, L., Hatcher, S., Kaluzienski, M., Fiedorowicz, J. G., Solmi, M., de Bartolomeis, A., & Carvalho, A. F. (2022). Homelessness and health-related outcomes: An umbrella review of observational studies and randomized controlled trials. BMC Medicine, 20(1), 224. https://doi.org/10.1186/s12916-022-02423-z
- Fowle, M. Z., & Routhier, G. (2024). Mortal systemic exclusion yielded steep mortality-rate increases in people experiencing homelessness, 2011-20. Health Affairs, 43(2), 226-233. https://doi.org/10.1377/hlthaff.2023.01039
- Freifeld, C. C., Mandl, K. D., Reis, B. Y., & Brownstein, J. S. (2008). HealthMap: Global infectious disease monitoring through automated classification and visualization of Internet media reports. Journal of the American Medical Informatics Association, 15(2), 150-157. https://doi.org/10.1197/jamia.M2544
- Goldshear, J. L., Kitonga, N., Angelo, N., Cowan, A., Henwood, B. F., & Bluthenthal, R. N. (2023). “Notice of major cleaning”: A qualitative study of the negative impact of encampment sweeps on the ontological security of unhoused people who use drugs. Social Science and Medicine, 339, 116408. https://doi.org/10.1016/j.socscimed.2023.116408
- Henwood, B. F., Byrne, T., & Scriber, B. (2015). Examining mortality among formerly homeless adults enrolled in Housing First: An observational study. BMC Public Health, 15(1), 1209. https://doi.org/10.1186/s12889-015-2552-1
- Herring, C., Yarbrough, D., & Marie Alatorre, L. (2020). Pervasive penality: How the criminalization of poverty perpetuates homelessness. Social Problems, 67(1), 131-149. https://doi.org/10.1093/socpro/spz004
- HHRC. (2024). Low-Barrier Shelter: Policies into Practice [Technical Report]. https://hhrctraining.org/es/knowledge-resources/fact-sheet/39058/low-barrier-shelter-policies
- INE. (2025). Resultados personas en situación de calle. https://censo2024.ine.gob.cl/wp-content/uploads/2025/01/Presentacion-Personas-en-situacion-calle-CPV2024.pdf
- Kerman, N., Marshall, C. A., Polillo, A., Voronov, J., de Pass, T., Easton, C., Ward, B., Noble, A., Hwang, S. W., Kozloff, N., Stergiopoulos, V., & Kidd, S. A. (2024). Service restrictions from emergency shelters among people experiencing homelessness: Uncovering pathways into unsheltered homelessness and institutional circuitry. Social Science and Medicine, 348, 116831. https://doi.org/10.1016/j.socscimed.2024.116831
- Kleinman, R. A., & Morris, N. P. (2023). Suicide, homicide, and other violent deaths among people experiencing homelessness in the United States: A cross-sectional study. Public Health Reports, 138(2), 309-314. https://doi.org/10.1177/00333549221087228
- Massey, J., & Roberts, A. (2025). Homelessness as State harm: A critical policy review. Justice, Power and Resistance, 8(2), 210-227. https://doi.org/10.1332/26352338y2025d000000039
- McDaniel, M., Sundaram, S., Manjanatha, D., Odes, R., Lerman, P., Handley, M. A., Coffin, P. O., Myers, J. J., & Goldman, M. L. (2024). “They made me feel like I mattered”: A qualitative study of how mobile crisis teams can support people experiencing homelessness. BMC Public Health, 24(1), 2183. https://doi.org/10.1186/s12889-024-19596-2
- Meehan, A. A., King, B. T., Biggs, R., Boyer, A. P., Berner-Davis, L., & DiPietro, B. (2025). Review of local homeless mortality efforts: A call for standardized data and reporting. Journal of Public Health Management and Practice, 31(3), 343-350. https://doi.org/10.1097/phh.0000000000002070
- Meyer, B. D., Wyse, A., & Logani, I. (2025). Life and death at the margins of society: The mortality of the U.S. homeless population. The Review of Economics and Statistics, 1-46. https://doi.org/10.1162/rest.a.265
- Morrison, D. S. (2009). Homelessness as an independent risk factor for mortality: Results from a retrospective cohort study. International Journal of Epidemiology, 38(3), 877-883. https://doi.org/10.1093/ije/dyp160
- NHCHC. (2020). Homeless mortality data toolkit [Technical Report]. https://nhchc.org/wp-content/uploads/2020/12/Section-1-Toolkit.pdf
- NHCHC. (2024). Mortality and homelessness: policy brief [Technical Report]. https://nhchc.org/wp-content/uploads/2024/11/mortality-and-homelessness.pdf
- O’Connell, J. J. (2005). Premature mortality in homeless populations: A review of the literature (Nashville, TN: National Health Care for the Homeless Council, Issue. https://santabarbarastreetmedicine.org/wp-content/uploads/2011/04/PrematureMortalityFinal.pdf
- O'Connell, J. J., Mattison, S., Judge, C. M., Allen, H. J. S., & Koh, H. K. (2005). A public health approach to reducing morbidity and mortality among homeless people in Boston. Journal of Public Health Management and Practice, 11(4), 311-316. https://doi.org/10.1097/00124784-200507000-00009
- O’Sullivan, E. (2023). Crime, punishment and homelessness. In J. Bretherton & N. Pleace (Eds.), The Routledge Handbook of Homelessness (pp. 85-95). https://doi.org/10.4324/9781351113113
- Olson, N., & Pauly, B. (2021). Homeless encampments: Connecting public health and human rights. Canadian Journal of Public Health, 112(6), 988-991. https://doi.org/10.17269/s41997-021-00581-w
- Scott, R., Marchand, M., Stover, B., Causey, K., Harruff, R., & Hagopian, A. (2023). Without shelter, people die: Disproportionate mortality among King County’s homeless population, 2009–2019. Journal of Social Distress and Homelessness, 32(2), 223-233. https://doi.org/10.1080/10530789.2021.2021360
- Shakeri, Z., Kline, A., Sultana, M., Noaeen, M., Nurmambetova, E., Lucini, F., Al-Jefri, M., & Lee, J. (2021). Digital public health surveillance: A systematic scoping review. npj Digital Medicine, 4(1), 41. https://doi.org/10.1038/s41746-021-00407-6
- Slockers, M. T., Nusselder, W. J., Rietjens, J., & van Beeck, E. F. (2018). Unnatural death: A major but largely preventable cause-of-death among homeless people? European Journal of Public Health, 28(2), 248-252. https://doi.org/10.1093/eurpub/cky002
- Tetzlaff, E. J., Mourad, F., Goulet, N., Gorman, M., Siblock, R., Kidd, S. A., Bezgrebelna, M., & Kenny, G. P. (2024). “Death is a possibility for those without shelter”: A thematic analysis of news coverage on homelessness and the 2021 heat dome in Canada. International Journal of Environmental Research and Public Health, 21(4), 405. https://doi.org/10.3390/ijerph21040405
- White, J., Moriarty, Y., Lau, M., Cannings-John, R., Palmer, A., Weightman, A. L., Kiseleva, M., & Batty, G. D. (2025). Homelessness, type of homelessness, and risk of cause-specific mortality: A systematic review and meta-analysis of 116 studies comprising 2,563,633 homeless people and 129,292,553 population controls. medRxiv, 2025.2004.2022.25326193. https://doi.org/10.1101/2025.04.22.25326193
- WHO. (2025). Chile: Country profile (World Health Organization, Issue. https://data.who.int/countries/152
- Wilson, A. E., Lehmann, C. U., Saleh, S. N., Hanna, J., & Medford, R. J. (2021). Social media: A new tool for outbreak surveillance. Antimicrobial Stewardship & Healthcare Epidemiology, 1(1), e50, Article e50. https://doi.org/10.1017/ash.2021.225
- Yu, V. L., & Madoff, L. C. (2004). ProMED-mail: An early warning system for emerging diseases. Clinical Infectious Diseases, 39(2), 227-232. https://doi.org/10.1086/422003