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Frostbite and hypothermia among individuals experiencing homelessness in the south interior region of BC

A chart review of emergency department presentations

Bibliographic Data

ID20408718
AuthorsLeanne Perrich (Interior Health Authority, Population and Public Health, British Columbia, Canada, corresponding author), Silvina C Mema (0000-0001-5895-9159, Interior Health Authority, Population and Public Health, British Columbia, Canada), Stephanie Laing (0000-0002-1407-5690, University of British Columbia, Okanagan Campus), John R Graham (0000-0002-5944-1498, University of British Columbia, Okanagan Campus), Matthew Gaudet (0000-0001-7445-2550, Data Analyst, Interior Health Authority, British Columbia, Canada), Leanne Cusack (Interior Health)
Year2026
Volume35
Issue1
Pages27-34
Publication date2026-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Social Distress and the Homeless (JOURNAL)
Journal identifiersISSN: 1053-0789 • E-ISSN: 1573-658X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10530789.2025.2463149
OpenAlexW4407698888
LanguageEN
References cited15

Experiencing homelessness is a risk factor for prolonged exposure to cold weather potentially resulting in cold-related conditions (frostbite and hypothermia). The British Columbia (BC) Interior Health (IH) region experienced unseasonably cold weather in the month of December 2022 leading to patchwork community efforts to mitigate harms to the increasing number of vulnerable individuals. The goal of this study is to quantify and review circumstances around emergency department (ED) presentations for cold-related conditions in the IH region during the unseasonably cold month of December 2022 with a specific focus on those experiencing homelessness. We conducted a chart review of patients with cold-related conditions that presented to IH EDs, 1–31 December 2022. There were 77 ED presentations for cold-related conditions to 21 IH EDs, 12 rural and 9 urban, in the study period, with 62 visits presenting as frostbite/cold injury and 15 as hypothermia. Individuals experiencing homelessness accounted for 39% (30/77) of the total presentations, but up to 56.3% (27/48) of urban ED presentations and 10.3% (3/29) of rural ED presentations. Our chart review confirms that individuals experiencing homelessness are at high risk of cold-related conditions particularly in urban communities in the IH region

Anesthesia · Chart · Emergency department · Frostbite · Hypothermia · Medical emergency · Psychiatry · Statistics · Burn Injury Management and Outcomes · Climate Change and Health Impacts · Disaster Response and Management · Medicine · Emergency Medicine · Surgery

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Citation velocityhistorical
Highly citedNo

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