
Preventable cold-related deaths take toll on Ontario’s homeless population, hospital staff
Global News
Hypothermia contributed to the deaths of 62 people in 2023, with nine of them considered homeless, and 57 deaths in 2024 with 11 people listed as homeless.
Seven times over the past two winters, doctors, nurses and staff in the emergency department of a downtown Toronto hospital took a moment of silence after a patient, often a Jane or John Doe, died from the cold.
Clinically, it is known as severe accidental hypothermia, and it usually affects the city’s homeless population. The staff at St. Michael’s Hospital are on the front lines of caring for many who live on the street.
It is sad and difficult work, they say.
“We take a pause at the end of the case and just acknowledge that there’s a human here, a person, someone who has community, someone who is loved,” said Dr. Evelyn Dell, an emergency department physician and trauma doctor.
“It’s not much, but I think that it goes a long way.”
Dell has lamentably developed an expertise in resuscitating patients with severe hypothermia. But the hospital is turning that into an advantage by studying hypothermia more closely.
It says it has saved four people who were on the brink of death from hypothermia over the past two winters.
Dell has taken the lead on a project at the hospital to better understand how to treat those with the most serious cases of hypothermia. She is part of a team that includes other ER doctors and nurses.













