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Preventable Cold-Related Deaths Impact Toronto's Homeless Population

3/17/2026, 3:02:12 AM

Overview of the Crisis

In Toronto, the homeless population faces a significant risk of severe accidental hypothermia, particularly during the harsh winter months. Emergency department staff at St. Michael’s Hospital have reported taking moments of silence for patients who succumbed to cold-related conditions, highlighting the emotional toll on healthcare workers. Dr. Evelyn Dell, an emergency physician at the hospital, has spearheaded efforts to better understand and treat hypothermia, noting that the hospital has saved four patients on the brink of death from this condition over the past two winters.

Partnership for Safety

To address the urgent needs of the homeless during winter, St. Michael’s Hospital has partnered with Haven, a nearby shelter. This collaboration has allowed the hospital to send 51 patients to Haven over a three-week period in January, helping them stay warm and safe. Over two months, this partnership assisted 76 individuals. Despite these efforts, hypothermia-related deaths remain a pressing issue across Ontario, with the Office of the Chief Coroner reporting 90 deaths in 2022, the highest in four years, including 16 individuals classified as homeless.

Rising Cold-Related Injuries

Dr. Stephen Hwang, director of the MAP Centre for Urban Health Solutions at St. Michael’s Hospital, has observed a 46% increase in cold-related injury visits to emergency departments among homeless individuals last winter compared to the previous year. This increase is alarming, especially since 72% of hypothermic events occurred at temperatures above -15°C. Hwang emphasized that the lack of available shelter space exacerbates the situation, as many warming centers are often at capacity.

Emotional Toll on Outreach Workers

Greg Cook, an outreach worker at Sanctuary Ministries of Toronto, expressed concern over the emotional strain of assisting those living on the streets. He noted that on extremely cold nights, individuals are advised to stay awake, keep moving, or seek refuge in hospitals. Cook highlighted the need for preparation among the homeless, including having thermal socks and sleeping bags. He also pointed out the dangers of makeshift heating methods, which can lead to burns and other accidents.

Criticism of Current Solutions

Despite the collaborative efforts between hospitals and shelters, Cook criticized the systemic issues contributing to homelessness, stating, “The sad thing is the solution is simple: shelter and more affordable housing.” He advocates for the fundamental right to safe living conditions, emphasizing that preventing cold-related deaths should be a priority.

Conclusion

The ongoing crisis of cold-related deaths among Toronto's homeless population underscores the urgent need for comprehensive solutions, including increased shelter availability and affordable housing. As healthcare providers and outreach workers continue to navigate this complex issue, the emphasis remains on preventing preventable deaths and ensuring the safety of vulnerable individuals during the winter months.