(Portland, OR) -- Officials say 126 homeless people in Multnomah County died in 2020, and the leading cause of death was drug and alcohol use. Methamphetamine was responsible for most of the drug related deaths. There were eight homicides with six of those people being shot. This was the county's ninth Domicile Unknown report and it recorded the most deaths ever. County officials say it shows the need to supportive housing to help people with mental health and addiction issues.