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PORTLAND, Ore. – At least 372 people experiencing homelessness died in Multnomah County in 2024.
According to the County’s Domicile Unknown report released Friday, that’s an 18% decrease from the record-high number of deaths reported the year before.
The decline marks the first year-over-year decrease in homeless deaths since 2013 and the largest reduction recorded since the county began tracking the data in 2011. County officials said the drop mirrors national trends following a peak in fentanyl-related deaths in 2023.
The report also found 84 fewer deaths in 2024 compared with 456 deaths the previous year, when fentanyl-related overdoses reached their highest level locally and across much of the United States.
Despite the decrease, fentanyl remained a leading factor. Of the 372 deaths recorded in 2024, 183 were linked to fentanyl, down from 251 in 2023 but still more than double the 91 fentanyl-related deaths reported in 2022.
Overall overdose deaths totaled 214 in 2024, down from 282 the year before. County health officials reported 634 confirmed overdose deaths countywide in 2024, compared with 779 in 2023.
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Grant McHill
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