8 Primary* Refugee Arrivals to MN by Region of World 1979-216 7 6 5 4 3 2 1 1979 1981 1983 1985 Number of arrivals 1987 1989 1991 1993 1995 1997 1999 21 23 25 27 29 211 213 215 Southeast Asia Sub-Saharan Africa Eastern Europe FSU Middle East/North Africa Other *First resettled in Minnesota
45 Primary Refugee Arrivals by Month, Minnesota, 212-216 4 35 3 25 2 15 1 5 January February March April May June July August September October November December 212 213 214 215 216 2
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 1-1 11-3 31-1 11-25 251 5 >5 Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Olmsted Winona Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston Steele Dodge 3
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
Country of Origin by County of Resettlement, 216 8 4 7 6 5 4 3 2 Burma Somalia Ethiopia Bhutan DR Congo Other 3 2 1 Somalia Ethiopia Afghanistan Bhutan Other 1 Ramsey N=1,467 Hennepin N=631 25 2 15 1 Somalia Other 4 2 Iraq Somalia Moldova Ukraine Other 5 Stearns N=281 Anoka N=192 *215 data are preliminary 5
6 5 5355 4893 471 Primary Refugee Arrivals Screened in Minnesota, 26 216 4 3 2 1 98% 2867 274 2697 98% 1265 125 1167 12 1152 1169 97% 255 232 2264 216 2459 2244 2241 1893 225 2128 2421 229 222 1845 2177 287 2168 183 3186 3125 311 98% 26 27 28 29 21 211 212 213 214 215 216 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, 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
Primary Refugee Screenings by Region of Origin, Minnesota, 216 World Region Total arrivals Ineligible for Screening No. Screened (%*) Sub-Saharan Africa 1,892 43 1,838 () SE Asia/E Asia 835 9 825 (>) North Africa/ Middle East 23 1 225 (98%) Eastern Europe 177 2 171 (98%) Latin America/ Caribbean 52 6 42 (91%) *Percent screened among the eligible 8
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
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
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 / 814 12% 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
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 / 753 23% 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
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
Health Status of New Refugees, Minnesota Immunization Status, 22 216 Overseas % with Evidence of Immunizations 1 9 8 7 6 5 4 3 2 1 22 23 24 25 26 27 28 Year 29 21 211 212 213 214 Domestic 215 216 14