More than nine in 10 deaths of homeless people were in cities and towns in 2017 - with only 26 homeless people dying in rural areas, new data has revealed.
Deaths of rough sleepers and those in emergency accommodation rose from 482 in 2013 to 597 in 2017 across England and Wales, according to the first Office for National Statistics (ONS) research of its kind in December.
New data from the ONS, published on Monday, found that 571 of those estimated deaths were in urban local authority regions compared to 26 in rural council areas.
It found the highest number of estimated deaths that year was 21 in Manchester, with 18 recorded in Birmingham and 17 in Bristol and Liverpool.
The new data also found highest estimated rates of deaths of homeless people included some smaller towns such as Blackburn with Darwen, which had the highest rate of estimated homeless deaths per 100,000 population at 10.2.
Other local authorities with high rates of estimated homeless deaths per 100,000 population were Oxford at 8.1, Camden at 7.4 and Barrow-in-Furness at 7.3.
While London had the highest mortality rate at 136, the North West of England saw the largest increase over the period, with homeless deaths more than doubling to 119.
It was estimated that last year more than one in 10 homeless deaths were due to suicide, while more than two-fifths was due to drug poisoning or alcohol-related, the ONS reported in December.
The most recent Government figures, published in December, showed the number of households living in temporary accommodation in England had risen by 5% in a year to 82,310.