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From 1997-2013, the pedestrian death rate in Dallas County was 23 times higher in homeless persons, compared to non-homeless persons. This finding is similar to a recent report from Clark County, Nevada. Between 2004 and 2008, the annualized pedestrian death rate for the homeless was 81.4 deaths per 100,000. From 2009 to 2013, the annualized death rate declined to 39.1 pedestrian deaths per 100,000 population This may be due to Dallas County’s effort to house the chronically homeless.