Primary* Refugee Arrivals to MN by Region of World
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1 8 Primary* Refugee Arrivals to MN by Region of World Number of arrivals Southeast Asia Sub-Saharan Africa Eastern Europe FSU Middle East/North Africa Other *First resettled in Minnesota
2 45 Primary Refugee Arrivals by Month, Minnesota, January February March April May June July August September October November December
3 Kittson Marshall Roseau Lake of the Woods Koochiching 216 Primary Refugee Arrival To Minnesota (N=3,186) Beltrami St. Louis Polk Pennington Cook Red Lake Clear Water Itasca Lake Norman Mahnomen Hubbard Cass Clay Becker Aitkin Wilkin Otter Tail Grant Douglas Wadena Todd Morrison Crow Wing Mille Lacs Kanabec Carlton Pine Number of Refugee Arrival By Initial County Of Resettlement Traverse Big Stone Lac Qui Parle Yellow Medicine Lincoln Stevens Swift Lyon Pope Chippewa Renville Redwood Stearns Kandiyohi Brown Meeker Sibley McLeod Nicollet Benton Wright Sherburne Carver Le Sueur 71 Anoka Washing- Hennepin Ram-tosey Scott Isanti Rice Dakota Chisago Goodhue Wabasha >5 Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Olmsted Winona Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston Steele Dodge 3
4 Primary Refugee Arrivals, Minnesota, 216 DR Congo, 14 (3%) Other*, 386 (12%) Iraq, 193 (6%) Bhutan, 128 (4%) Somalia, 1425 (45%) Ethiopia, 291 (9%) N=3,186 Burma, 658 (21%) * Other Afghanistan, Belarus, Burundi, Cameroon, China, Rep. of Congo, Dominican Republic, Egypt, El Salvador, Eritrea, Guinea, Honduras, Iran, Kazakhstan, Kenya, Liberia, Mexico, Moldova, Russia, Sri Lanka, Sudan, Syria, Tanzania, Tibet, Togo, and Ukraine 4
5 Country of Origin by County of Resettlement, Burma Somalia Ethiopia Bhutan DR Congo Other Somalia Ethiopia Afghanistan Bhutan Other 1 Ramsey N=1,467 Hennepin N= Somalia Other 4 2 Iraq Somalia Moldova Ukraine Other 5 Stearns N=281 Anoka N=192 *215 data are preliminary 5
6 Primary Refugee Arrivals Screened in Minnesota, % % % % Arrivals Eligble for Screening Screened Ineligible if moved out of state or to an unknown destination, no insurance, unable to locate or died before screening 6
7 Primary Refugees Reasons for No Screening, Minnesota, 216 No Insurance*, 8% Screened Elsewhere, No Results, 5% Died Before Screening*, 1% Missed Appointments, 1% Refused Screening, 8% Contact Failed, 13% Unable to Locate*, 45% Moved out of MN*, 16% N= 85 *Ineligible for the refugee health assessment 7
8 Primary Refugee Screenings by Region of Origin, Minnesota, 216 World Region Total arrivals Ineligible for Screening No. Screened (%*) Sub-Saharan Africa 1, ,838 () SE Asia/E Asia (>) North Africa/ Middle East (98%) Eastern Europe (98%) Latin America/ Caribbean (91%) *Percent screened among the eligible 8
9 Refugee Screening Rates by Exam Type Minnesota, 216 Health Screening Rate 3,11 / 3,125 Tuberculosis (TB) 3,32 / 3,11 98% Hepatitis B 2,768 / 3,11 89% Intestinal Parasites 2,463 / 3,11 79% Lead (<17 yrs old) STIs** 1,337 / 1,382 3,2 / 3,11 97% 97% Malaria 8% 245 / 3,11 % 1% 2% 3% 4% 5% 6% 7% 8% 9% 1% **Screened for at least one type of STI 9
10 Health Status of New Refugees, Minnesota, 216* Health status upon arrival No. of refugees No. (%) with infection TB (latent or active)** 3,32 (98%) 649 (21%) Hepatitis B infection*** 2,768 (89%) 135 (5%) Parasitic Infection**** 2,463 (79%) 468 (19%) Sexually Transmitted Infections (STIs)***** 3,2 (97%) 47 (2%) Malaria Infection 245 (8%) 1 (<1%) Lead****** 1,337(97%) 16 (8%) Hemoglobin 3,62 () 68 (2%) *Total screened: N=3,11 ( of 3,125 eligible refugees) ** Persons with LTBI (>= 1mm induration or IGRA+, normal CXR) or suspect/active TB disease *** Positive for Hepatitis B surface antigen (HBsAg) **** Positive for at least one intestinal parasite infection ***** Positive for at least one STI (tested for syphilis, HIV, chlamydia or gonorrhea) ****** Children <17 years old (N=1,382 screened); lead level 5 µg/dl 1
11 Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 216 N=3,32 screened Overall TB Infection 649 / 3,32 21% Sub-Saharan Africa 527 / 1,786 3% SE/East Asia 98 / % Latin America/Caribbean 5 / 42 12% North Africa/Middle East 5% 11 / 224 Europe 5% 8 / 166 % 5% 1% 15% 2% 25% 3% 35% 4% 45% 5% *Diagnosis of Latent TB infection (N=644) or Suspect/Active TB disease (N=5) 11
12 Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 216 N=2,463 screened Overall Parasitic Infection 468 / 2,463 19% Sub-Saharan Africa 272 / 1,344 2% SE/East Asia 173 / % Latin America/Caribbean 3 / 41 7% North Africa/Middle East 13 / 186 7% Europe 132 / 139 5% % 5% 1% 15% 2% 25% 3% *At least 1 parasitic infection found via stool or serology (excluding nonpathogenic) 12
13 Hepatitis B* infection Among Refugees by Region of Origin, Minnesota, 216 N=2,768 screened Overall Hep B Infection 135 / 2,768 5% Sub-Saharan Africa 82 / 1,56 5% SE/East Asia 48 / 81 6% Latin America/Caribbean % / 42 North Africa/Middle East 1% 1 / 225 Europe 4 / 14 3% % 1% 2% 3% 4% 5% 6% 7% 8% 9% 1% *+HBsAg 13
14 Health Status of New Refugees, Minnesota Immunization Status, Overseas % with Evidence of Immunizations Year Domestic
Primary* Refugee Arrivals to Minnesota by Region of World,
Primary* Refugee Arrivals to Minnesota by Region of World, 1979-217 8 7 Number of arrivals 6 5 4 3 2 1 1979 198 1981 1982 1983 1984 1985 1986 1987 1988 1989 199 1991 1992 1993 1994 1995 1996 1997 1998
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