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 1999 2 21 22 23 24 25 26 27 28 29 21 211 212 213 214 215 216 217 Southeast Asia Sub-Saharan Africa Eastern Europe FSU Middle East/North Africa Other *First resettled in Minnesota
Primary Refugee Arrivals by Month, Minnesota, 213-217 45 4 35 3 25 2 15 1 5 January February March April May June July August September October November December 213 214 215 216 217 2
Kittson Marshall Roseau Lake of the Woods Koochiching 217 Primary Refugee Arrivals to Minnesota (N=1,13) 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 Arrivals By Initial County Of Resettlement Traverse Stevens Pope Stearns Big Stone Swift Kandiyohi Chippewa Lac Qui Parle Renville Yellow Medicine Lincoln Lyon Redwood Brown Meeker Sibley McLeod Nicollet Benton Wright Sherburne Carver Le Sueur Hennepin Scott Isanti 71 Anoka Rice Washington Ramsey Dakota Chisago Goodhue Wabasha 1-1 11-3 31-1 11-25 251-5 >5 Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Olmsted Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston Steele Dodge Winona 3
Primary Refugee Arrivals, Minnesota, 217 DR Congo, 65 (6%) Iraq, 66 (6%) Other, 145 (13%) Somalia, 446 (41%) Afghanistan, 9 (8%) Ethiopia, 124 (11%) Burma, 167 (15%) N = 1,13 * Other includes Belarus, Bhutan, Cameroon, China, Djibouti, Dominican Republic, El Salvador, Eritrea, Guatemala, Honduras, Indonesia, Kenya, Liberia, Mexico, Moldova, Nepal, Philippines, Russia, South Sudan, Sudan, Syria, Ukraine, and Vietnam. 4
Country of Origin by County of Resettlement, Minnesota, 217 2 15 1 5 Burma Somalia DR Congo Ethiopia Afghanistan 15 1 5 Somalia Ethiopia Afghanistan Other 1 Ramsey Other N=455 4 Hennepin N=239 8 3 Afghanistan 6 4 Somalia Other 2 Iraq Other 2 1 Stearns N=84 N=77 Anoka 5
Primary Refugee Arrivals Screened in Minnesota, 27-217 35 3 25 2 2867 274 2697 3186 3125 311 255 2459 232 2264 2244 2241 216 2421 225 229 2221893 2177 2128 2168 287 1845 183 15 1 1265 125 1167 12 1152 1169 113 189 168 5 98% 97% 98% 98% 27 28 29 21 211 212 213 214 215 216 217 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
Primary Refugees Reasons for No Screening, Minnesota, 217 Refused Screening 9% Missed Appointments 6% Screened Elsewhere, No Results 11% Unable to Locate* 4% Contact Failed 34% N= 35 *Ineligible for the refugee health assessment 7
Refugee Screening Rates by Exam Type, Minnesota, 217 Health Screening Rate 1,68 / 1,89 98% Tuberculosis (TB) 1,45 / 1,68 98% Hepatitis B 1,58 / 1,68 Intestinal Parasites 669 / 1,68 63% Lead (<17 yrs old) Sexually Transmitted Infections (STIs)** 473 / 483 1,29 / 1,68 96% 98% % 1% 2% 3% 4% 5% 6% 7% 8% 9% 1% **Screened for at least one type of STI 8
Health Status of New Refugees, Minnesota, 217* Health status upon arrival No. of refugees No. (%) with infection TB (latent or active)** 1,45 (98%) 223 (21%) Hepatitis B infection*** 1,58 () 38 (4%) Parasitic Infection**** 669 (63%) 141 (21%) Sexually Transmitted Infections (STIs)***** 1,29 (96%) 12 (1%) Lead****** 473 (98%) 6 (13%) Hemoglobin 1,56 () 186 (18%) *Total screened: N=1,68 (98% of 1,89 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, and/or gonorrhea) ****** Children <17 years old (N=483 screened); lead level 5 µg/dl 9
Latent or Active Tuberculosis (TB)* Among Refugees By Region Of Origin, Minnesota, 217 N=1,45 screened Overall TB Infection 223 / 1,45 21% Sub-Saharan Africa 167 / 635 27% SE/East Asia 47 / 297 16% Latin America/Caribbean % / 8 North Africa/Middle East 7 / 76 9% Europe 2 / 29 7% % 5% 1% 15% 2% 25% 3% 35% 4% 45% 5% *Diagnosis of Latent TB infection (N=22) or Suspect/Active TB disease (N=3) 1
Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 217 N=669 screened Overall Parasitic Infection 141 / 669 21% Sub-Saharan Africa 97 / 397 24% SE/East Asia 39 / 193 2% Latin America/Caribbean 1 / 5 2% North Africa/Middle East 4 / 57 7% Europe % / 57 % 5% 1% 15% 2% 25% 3% *At least 1 parasitic infection found via stool or serology (excluding nonpathogenic) 11
Hepatitis B* Infection Among Refugees by Region of Origin, Minnesota, 217 N=1,58 screened Overall Hep B Infection 38 / 1,58 4% Sub-Saharan Africa 24 / 649 4% SE/East Asia 14 / 297 5% Latin America/Caribbean % / 9 North Africa/Middle East % / 75 Europe % / 28 % 1% 2% 3% 4% 5% 6% 7% 8% 9% 1% *Positive hepatitis B surface antigen (HBsAg) 12
Immunization Status Among Refugees, Minnesota, 22-217 Overseas % with Evidence of Immunizations 1 9 8 7 6 5 4 3 2 1 22 23 24 25 26 27 28 29 Year 21 211 212 213 214 215 Domestic 216 217 13