When Dr. Carolyn Snider arrives for her early morning emergency room shifts, she regularly sees between five and 10 people in the waiting area who don’t need medical attention— just a safe place to stay warm.

“[They’re] truly there to just stay out of the elements,” said Snider, chief of the emergency department at St. Michael’s Hospital in downtown Toronto.

“This has already been occurring this fall. I can’t even imagine what will be occurring over the upcoming [winter] months,” she said.

There’s been a significant increase in the number of homeless people taking refuge in downtown Toronto emergency departments over the last few winters, Snider said. She and colleagues did some research to see if they could quantify what they were seeing.

The resulting study, published on a pre-print website Tuesday, examined data that had been collected from hospitals across Ontario, documenting ER visits from the winter of 2018-19 through to last winter, ending March 31, 2023.

It found that non-urgent emergency department visits among people who are homeless increased by 24 per cent across the province over those five winters.

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CBC News
November 28, 2023