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Comment and Response |

Overdose Fatality and Surveillance as a Method for Understanding Mortality Trends in Homeless Populations

Elise D. Riley, PhD1; Jennifer Cohen, MPA1; Martha Shumway, PhD2
[+] Author Affiliations
1Department of Medicine, University of California, San Francisco
2Department of Psychiatry, University of California, San Francisco
JAMA Intern Med. 2013;173(13):1264. doi:10.1001/jamainternmed.2013.6838.
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To the Editor In their recent article, Baggett and colleagues1 present an important update on excess mortality among US homeless persons. Following 28 033 individuals, the investigators showed that drug overdose is an epidemic among homeless adults. Our data from a community-recruited cohort of homeless and unstably housed San Francisco women, which began recruiting human immunodeficiency virus (HIV)-infected individuals2 and recently included uninfected individuals (150 HIV positive and 150 HIV negative), indicate remarkably similar results and suggest generalizability of these findings.

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July 8, 2013
Melissa Gambatese, MPH; Ann Madsen, PhD, MPH; Dova Marder, MD
1New York City Department of Health and Mental Hygiene, New York, New York
2New York City Department of Homeless Services, New York, New York
JAMA Intern Med. 2013;173(13):1264-1265. doi:10.1001/jamainternmed.2013.6849.
July 8, 2013
Travis P. Baggett, MD, MPH
1General Medicine Division, Massachusetts General Hospital, Boston2Department of Medicine, Harvard Medical School, Boston, Massachusetts3Boston Health Care for the Homeless Program, Boston, Massachusetts
JAMA Intern Med. 2013;173(13):1265-1266. doi:10.1001/jamainternmed.2013.7766.
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