The Brief

The death rate for unhoused Angelenos remained relatively flat in 2023, and experts point to increased availability of anti-overdose medication being a potential factor, according to a report released Thursday by the L.A. County Department of Public Health.

The mortality rate rose just 1% in 2023, the most recent year for which data is available. That’s about 2,500 deaths of unhoused people in Los Angeles County that year, 45% of which were caused by drug overdoses.

On average, nearly seven people experiencing homelessness died each day in L.A. County in 2023.

In 2022, there were 2,374 unhoused deaths in L.A. County.

In previous years, there had been steep increases in deaths of unhoused people — a 56% increase between 2019 and 2021 — driven largely by a rapid rise in fentanyl overdoses. Since then, there have been efforts to make naloxone, a drug that can reverse the effects of opioid overdose, more widely available in libraries, jails and other spaces.

This year’s report credits expanded distribution of naloxone, known by the brand name Narcan, as likely helping prevent further dramatic increases. But drug-related deaths are still a major concern.

“Despite the continued plateau in drug-related overdoses among people experiencing homelessness, we are still facing the worst overdose crisis in history,” said Dr. Gary Tsai, director of county Public Health’s Bureau of Substance Abuse Prevention and Control, at a Thursday morning news conference.

Drug overdoses remain the leading cause of death for the region's unhoused population, and the drug overdose mortality rate among homeless Angelenos is nearly three times higher than it was in 2019.
Fentanyl was involved in 70% of drug-related fatalities in 2023, the report states, compared with 68% the previous year.

Coronary heart disease was the second leading cause of death, increasing significantly in 2023. Transportation-related injuries remained the third leading cause, with an unhoused pedestrian or cyclist dying about every other day.

The deadliest locations for unhoused Angelenos included downtown/Skid Row and Westlake/MacArthur Park, according to geographic analysis.

Reaction from county leaders

County government leaders appeared to be encouraged by some the findings in the report. Some said a plateau in the mortality rate is evidence that investments in housing and treatment for unhoused people were working.

Supervisor Hilda Solis said in a statement that she is well aware of the need for safe housing, mental health services and substance-use programs. Her district includes Skid Row and MacArthur Park.

“While it’s encouraging to see the overdose deaths and other major causes of death start to level off, we can’t stop here,” Solis said.

Supervisor Janice Hahn seems to agree.

"Getting people out of encampments and into shelters saves lives, and we should double down on harm reduction and preventing overdoses,” she said.

The Public Health Department offered more than a dozen recommendations for reducing homeless mortality in L.A. County, including expanding housing options for people who use drugs, increasing harm reduction services, improving access to cardiac care and collaborating with cities to curb traffic deaths.

By the numbers

Between 2013 and 2023, L.A. County’s homeless population nearly doubled to more than 75,000 people. In that time, the number of deaths of unhoused people increased every year, as did the overall mortality rate for the unhoused population.

That means as L.A. County’s unhoused population has grown, it also became even deadlier to experience homelessness in the region.

Overall, unhoused residents died at 4.5 times the rate of the general population in 2023. Their rate of drug overdose mortality was 49 times higher, and their rate of transportation-related death was 20 times higher.

Causes of Death

The top five causes of death have consistently been drug overdose, coronary heart disease, transportation-related injury, homicide and suicide, except in 2020 and 2021 at the height of the COVID-19 pandemic.

In 2023, those five causes made up 75% of all deaths among people experiencing homelessness in the region, according to L.A. County’s Department of Public Health.

1. Drug overdose

Drug and alcohol overdoses have been the leading cause of death since 2017, according to county data. The overdose mortality rate spiked dramatically between 2019 and 2022, before leveling off in 2023. Methamphetamine overdoses were the biggest cause of overdose death, followed by fentanyl.

“I think it's so important that we don't allow this data to let us become complacent,” said Trevor Lee, medical director of the harm reduction division at L.A. County’s Department of Health Services. “We are still in the midst of the worst overdose crisis in history, which is disproportionately affecting people experiencing homelessness.”

Health officials say increased distribution of naloxone, as well as other harm reduction, overdose prevention and substance use treatment services helped reduce the number of overdose deaths related to fentanyl and other opioids. In 2020, L.A. County service providers handed out 48,000 doses of naloxone. Last year, it was nearly 480,000 doses.

Still, the risk of fentanyl overdoses remains high among unhoused Angelenos who use drugs. The percentage of overdose deaths involving fentanyl increased to 70% in 2023, from 13% in 2018. That was similar to the previous year.

“It's so important that we interpret these results by identifying what's working and then doubling down on those efforts so that we can actually begin to see a decrease in deaths, because the plateau is not not good enough,” Lee said.

Methamphetamine was involved in 79% of overdose deaths. Most overdose deaths involve more than one drug, and more than half involved both fentanyl and methamphetamine in 2023, according to county officials. Cocaine was involved in 15% of overdose deaths, and heroin in 5%.

2. Coronary heart disease 

The second leading cause of death among L.A.’s unhoused population continues to be coronary heart disease, which accounted for 14% of deaths in 2023. The rate for this cause of death rose 22% between 2022 and 2023 — the largest increase recorded by L.A. County health officials since 2016.

The rate was nearly six times greater among unhoused L.A. County residents than in L.A. County generally.

Previous reports have pointed out that unhoused people in L.A. die from coronary heart disease at much younger ages than people who are housed. In 2022, the average age at death from coronary heart disease among the unhoused was 64, compared to 78 for all L.A. County residents.

3. Transportation-related deaths

In 2023, an unhoused pedestrian or cyclist was killed by a moving vehicle approximately every other day in L.A. County. But homeless Angelenos were 20 times more likely to die from transportation-related injuries than L.A. County residents overall.

People experiencing homelessness are more vulnerable to traffic deaths because they're more likely to live near roadways, according to the report. Transportation-related injury remained the third leading cause of death among all unhoused L.A. County residents and the second leading cause among unhoused women.

Traffic-related injuries caused 8% of all unhoused deaths in L.A. County in 2023, and the mortality rate associated with these deaths increased 50% compared with 2019.

County health officials recorded 347 traffic-related unhoused fatalities in 2022 and 2023. They found that the deaths were not concentrated in any specific location but spread out across L.A. County.

In 2023, 14% of all fatal traffic accidents reported to police involved unhoused victims, according to LAPD data.

4. Homicide

Homicide was the fourth leading cause of death among unhoused people in L.A. County in 2023. That year, 120 unhoused people were killed at the hands of another, a 25% decrease in the homicide mortality rate from a year earlier.

Unhoused Angelenos were 16 times more likely to die by homicide than the general population.

5. Suicide

The suicide rate among L.A.’s homeless population has remained relatively stable over time. Unhoused residents are eight times more likely to die by suicide than Angelenos in general.

Suicide rates have been consistently higher among younger people experiencing homelessness and among white and Latino people experiencing homelessness.

Recommendations

The L.A. County Department of Public Health had several recommendations to slow the mortality rate among unhoused people in the region.

They include:

• Ensure rapid access to housing and shelter.
• Expand harm reduction and overdose prevention outreach for residents at highest risk for overdose.
• Ensure that physical health, mental health and substance use treatment services are available and responsive to the needs of unhoused Angelenos.
• Work with municipalities and unincorporated communities to reduce traffic deaths among L.A. County residents experiencing homelessness.

Read the full report here.

Topline:

Why it matters: King Taco helped establish the template for the modern L.A. taqueria — shifting the city's understanding of tacos from the hard-shell, Americanized version to soft tortillas filled with carne asada, carnitas and tacos al pastor. As the late food critic Jonathan Gold noted, King Taco "solidified what we all think of as the modern Los Angeles taco sensibility."

Why now: The nomination comes as part of the city's ongoing effort to recognize Latino cultural landmarks.

The backstory: Founder Raul Martinez launched King Taco from a converted ice cream truck in 1974, eventually opening the Cypress Park brick-and-mortar location that became the chain's flagship. The business grew to 24 locations across Southern California, becoming a model for immigrant entrepreneurship and establishing key Mexican dishes like tacos al pastor and carnitas as L.A. staples.

What's next: The Cultural Heritage Commission will determine whether King Taco's original location retains sufficient historic integrity and continues to convey its cultural significance. If approved, King Taco would become one of the few designated restaurant landmarks recognizing Latino culinary contributions.

President Donald Trump's harsh immigration tactics are taking a political hit as new polls show a majority of Americans feel federal agents have "gone too far" in enforcing immigration laws.

It's not just Democrats who are concerned, but also independent voters who are expected to play a major role in the upcoming midterm elections.

"The base loves it, but it's an issue for the independent voters who decide elections in this country," said Alex Conant, a veteran Republican strategist. "Independents want a strong border and they want to deport criminals, but they're really uneasy with having masked federal agents going around in neighborhoods, deporting anyone that they see — as the Democrats are portraying it."

After months of aggressive enforcement, Trump's signature issue that twice got him elected is now turning into a liability ahead of this year's midterm elections.

The outcry over what many saw as militant tactics hit a fever pitch after the second fatal shooting of a U.S. citizen by immigration officers in Minnesota.

A new NPR/Marist poll shows that six in 10 Americans disapprove of the job federal immigration agents are doing.

Even typically loyal Republican supporters have called on the Trump administration to make changes and rebuild trust with law enforcement.

"They, being the White House, need to recalibrate on what needs to be done to make sure that that respect is going to be re-instilled," Texas Gov. Greg Abbott told conservative radio host Mark Davis.

Trump shook up the leadership of the Minneapolis operation, and directed his team to withdraw 700 federal officers.

"I learned that, maybe we can use a little bit of a softer touch," Trump said in an interview with NBC's Tom Llamas. "But you still have to be tough. We're dealing with really hard criminals."

It's a bit unclear what a "softer touch" actually means.

Press Secretary Karoline Leavitt largely defended the administration's enforcement efforts Thursday and pointed to different polling — from a Harvard/Harris survey — that she said showed support for their "deportation agenda."

"Nearly eight in 10 Americans say criminal illegal aliens should be deported," she said. "A solid majority also support deporting all illegal aliens, regardless of additional crimes."

She also said the administration is now prioritizing criminals who are in the country illegally.

Theresa Cardinal Brown, who worked on immigration policy under two presidents George W. Bush and Barack Obama, said there may be an "operational pause" as the administration retools its efforts, both from a policy standpoint and a public relations standpoint.

"Operationally, you're not really thinking about politics as you're putting together an operation, said Brown, now a member of the Council on National Security and Immigration. "But politics comes into everything, right?"

She points to the announcement that body cameras would be deployed to federal immigration officers in Minneapolis, noting that while video can uncover when officers are doing something wrong, body cameras can also vindicate officers when they have done the right thing.

"I do think that probably the administration is thinking, 'Well, if we had body cam footage of our own, we could put our own perspective on it,' " she said.

Trump has a big incentive to get a handle on this crisis — and to do so quickly.

Conant, who previously worked on Marco Rubio's 2016 presidential campaign, said Trump has left an opening for Democrats to sound more reasonable on immigration ahead of the midterms.

"If he loses the immigration issue as a political winner, it's a real political problem," Conant said, "not just for Trump, but Republicans more broadly."

Copyright 2026 NPR

As the Seattle Seahawks and New England Patriots get ready to push, tackle and elbow their way to victory in Super Bowl LX, the NFL has been showcasing the contactless version of the sport leading up to the big game Sunday in Santa Clara.

With 20 million players, flag football is one of the world’s fastest-growing sports and a growth area for the NFL and its international counterpart, the International Federation of American Football. It’s set to make its Olympic debut at the 2028 Summer Games in Los Angeles, and NFL players will be allowed to take part.

The NFL, which has invested heavily to expand flag football in the U.S. and abroad, planned no less than seven unique flag football-related events this week in the Bay Area, from the Pro Bowl Games to an under-13 international championship.

Beth Spicer, a middle-school student from Ireland, traveled to San Francisco to represent Ireland in that match Wednesday — the first time the co-ed tournament was held during a Super Bowl week, according to the NFL.

“I only learned how to throw a ball four months ago, and I just fell in love with it,” she said. “It’s not really like any other games. You’re getting tagged at the hips, so you have to move them. It’s unique, but it’s really good.”

Back home, the most popular sports include Gaelic football, hurling and soccer, according to the Ireland team’s head coach, Rob Cooper. He said the flag football program at his school got underway after the NFL reached out, offering free training and equipment.

“ We took it up, and the kids have loved every moment of it since then,” Cooper said. “I have no doubt that flag football, especially in Ireland, will continue to grow massively over the next couple of years.”

Flag football is a less gear-intensive version of traditional tackle football. Instead of physical confrontations, players must strip a length of fabric dangling from either side of a ball carrier’s waist to stop their forward progress.

The lack of contact means players aren’t required to wear helmets or pads, and in the version set to be played at the Olympics, the games are shorter, faster and have only five players per side, instead of 11.

The NFL started its first international flag football program in Mexico in 2000, according to Afia Law, who heads international flag football development for the league.

“ It’s all about creating access to the game for young adults and girls, regardless of the country you are in, regardless of your background, creating an opportunity for you to access the game,” Law said.

The NFL has ramped up efforts to support flag football in 15 countries, including Australia, Spain and Brazil, where the league is growing its reach with on-the-road NFL games next season.

Law said flag football’s Olympic debut will be “absolutely huge.”

“We’ve had people that are passionate about this game playing around the world for so long, and now we finally get to see them on the world stage playing in the game that they’re fantastic at,” Law said.

Kodie Fuller, an NFL and IFAF flag football ambassador from Australia, is excited that her sport is getting international recognition at the Olympics. She grew up playing traditional tackle football but transitioned to playing flag football three years ago.

“ As I got a little bit older, not taking hits every weekend definitely felt a lot nicer on my body,” Fuller said.

Now an Olympic hopeful herself, the 29-year-old said the Olympic debut will encourage more young athletes, especially young women, to get into the sport.

“We can sell the Olympic dream to all of them, because it is a very real possibility now,” she said.

Flag football is also making inroads in the U.S. In December, all 32 NFL clubs voted to invest a collective $32 million to develop and launch a professional flag football league.

Last spring, the Atlantic East Conference launched the first-ever NCAA women’s flag football season. Since the 2023-2024 school year, flag football has been a statewide-sanctioned sport for high school girls in California, although not for boys.

Watching the under-13 international flag football tournament at Moscone Center on Wednesday, Fuller said her “jaw was on the floor.”

“The talent that is coming through is out of this world,” she said.