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Caleb Lewis
Caleb Lewis

Sheltered 1.4

"Shelter services have been provided to 1,593,808 citizens in the disaster-struck area, and 329,960 citizens in other provinces," the AFAD noted in a statement. Out of 1.6 million people, around 1.4 million are being sheltered in the 360,167 tents that were set up in the earthquake-affected zone, the AFAD added.

Sheltered 1.4


Fracture prevention strategies will be most cost-effective if targeted on groups of frail elderly people who are at particularly high risk of falls and fractures. Elderly people living in care homes are one potential target population, but fracture incidence in this setting remains poorly defined in many countries. We used the All Wales Injury Surveillance System (AWISS) in a population-based study of people aged over 65 years living in the city of Cardiff. We linked a postcode-based register of all sheltered accommodation and all residential and nursing homes in the city with injury data from Cardiff's single Accident and Emergency Department. Cardiff has 47,700 residents aged over 65 years with 1918 (4.0%) living in residential or nursing homes and 1868 (3.9%) in sheltered accommodation. In 1999 we identified a total of 1305 fractures including 366 hip fractures, giving a crude fracture incidence of 27.4/1000 per year and 7.7/1000 per year, respectively. Care home residents suffered 213 fractures, 95 of which were of the hip, giving a crude fracture incidence of 111.1/1000 per year and 49.5/1000 per year, respectively. People living in sheltered accommodation suffered 94 fractures, including 28 at the hip, giving a crude fracture incidence of 51.4/1000 per year and 15.3/1000 per year, respectively. People in care homes and sheltered accommodation tend to be older than those living in the community, and we adjusted for this by calculating age- and gender-standardized relative ratios for each setting. Compared with the community dwelling population, care home residents had an overall fracture risk of 2.9 (95% CI 2.5-3.3) and a hip fracture risk of 3.3 (95% CI 2.6-4.2). People in sheltered accommodation had a total fracture risk of 1.7 (95% CI 1.4-2.1), and a hip fracture risk of 1.6 (95% CI 1.1-2.4). Such figures support the potential cost-effectiveness of strategies that seek to prevent fractures in care homes and sheltered accommodation, and are of special interest to those planning intervention studies in these settings.

Each year in the United States, at least 1.4 million people experience homelessness, with 580,000 experiencing it on an average night. Research consistently shows that people experiencing homelessness (PEH) or housing insecurity are at increased risk of exposure to infectious diseases and violence; often delay seeking treatment for conditions that later become more serious; and experience higher rates of uncontrolled chronic conditions. For those who are experiencing sheltered homelessness, close living environments can create a greater risk infection during communicable disease outbreaks. During the early days of the COVID-19 pandemic in 2020, homeless shelters in large cities documented COVID-19 rates of over 66%.

Across LA County, more people are in shelter than ever before. Shelter is a necessary and vital part of our system because bringing people inside protects them from the destructive effects on their health and safety that comes from experiencing unsheltered homelessness.

LAHSA highlighted its efforts to reduce the unsheltered population by increasing the number of people who enter shelter and are placed on a path to permanent housing. The agency will also help elected officials make data-driven decision-making by releasing new key performance indicators at the end of September. 041b061a72


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