Primary* Refugee Arrivals to MN by Region of World 1979-214 8 7 Number of arrivals 6 5 4 3 2 1 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 21 23 25 27 29 211 213 Southeast Asia Sub-Saharan Africa Eastern Europe Former Soviet Union Middle East/North Africa Other *First resettled in Minnesota
Primary Refugee Arrival by Month, Minnesota, 21-214 6 Number of Arrivals 4 2 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month 21 211 212 213 214
Kittson Marshall Roseau Lake of the Woods Koochiching 214 Primary Refugee Arrivals To Minnesota (N=2,55) Beltrami St. Louis Polk Pennington Cook Red Lake Clear Water Itasca Lake Norman Mahnomen Hubbard Cass Clay Becker Aitkin Wilkin Ottertail Grant Douglas Wadena Todd Morrison Crow Wing Mille Lacs Kanabec Carlton Pine Number of Refugee Arrivals By Initial County Of Resettlement Traverse Big Stone Chippewa Lac Qui Parle Yellow Medicine Lincoln Stevens Swift Lyon Pope Renville Redwood Stearns Kandiyohi Brown Meeker Sibley McLeod Nicollet Benton Wright Sherburne Carver Le Sueur Scott Isanti Hennepin 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 Steele Dodge Olmsted Winona Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston
Primary Refugee Arrivals, Minnesota 214 Bhutan 3% Ethiopia 3% Other 7% Iraq 9% Somalia 45% Burma 33% N=2,55 Other includes Afghanistan, Belarus, Cambodia, Cameroon, DR Congo, Cuba, Ecuador, El Salvador, Eritrea, the Gambia, Honduras, Iran, Kenya, Liberia, Moldova, Nepal, Russia, Rwanda, Sierra Leone, Sri Lanka, Sudan, Tanzania, Ukraine, and West Bank
Country of Origin by County of Resettlement, 214 9 4 8 7 3 Burma 6 Somalia Somalia 5 Iraq Bhutan 2 4 Bhutan Iraq 3 Ethiopia Ethiopia 2 Other 1 Other 1 Ramsey N=1,277 Hennepin N=455 3 1 25 8 2 15 1 5 Somalia Iraq Kenya 6 4 2 Iraq Somalia Afghanistan Other Stearns N=275 Anoka N=155
Primary Refugee Arrivals Screened Minnesota, 24-214* 7351 8 79 681 7 Number of Arrivals 6 5 4 3 2 1 5326 518 5355 499 4893 471 97% 98% 98% 2867 274 2321 2697 2242 222 125 1265 1167 12 1152 1169 98% 99% 97% 255 2264 2259 2459 232 225 22 2421 1839 2177 2172 1829 24 25 26 27 28 29 21 211 212 213 214* Arrivals Eligible for Screening Screened 99% 98% 99% 98% 99% *Ineligible if moved out of state or to an unknown destination, unable to locate or died before screening
Primary Refugees Lost to Follow-up Minnesota, 214 Contact Failed, 5% Refused Screening, 4% Moved Out of State*, 23% Screened Elsewhere, No Results, 37% Unable to Locate, Incorrect Address*, 32% N=84 *Ineligible for the refugee health assessment *Counted as ineligible for screening
Primary Refugee Screenings by Region of Origin, Minnesota, 214 World Region Total arrivals Ineligible for Screening Number Screened (%*) Sub-Saharan Africa 1,272 36 1,228 (99%) SE Asia/E Asia 947 2 944 (>99%) North Africa/ Middle East 229 6 194 (87%) Eastern Europe 45 45 (1%) Latin America/ Caribbean 12 2 1 (1%) *Percent screened among the eligible
Refugee Screening Rates by Exam Type Minnesota, 214 Health Screening Rate 98% 2,421/2,459 2,82/2,19 Tuberculosis (TB) Hepatitis B Intestinal Parasites Lead (<17 yrs old) STIs* 98% 98% 91% 97% 98% 2,377/2,421 2,369/2,421 2,215/2,421 1,4/1,36 2,364/2,421 Malaria 9% 26/2,421 % 2% 4% 6% 8% 1% *Screened for at least one type of STI
Health Status of New Refugees, Minnesota, 214* Health status upon arrival No of refugees No(%) with infection screened among screened TB (latent or active)** 2,377 (98%) 522 (22%) Hepatitis B infection*** 2,369 (98%) 124 (5%) Parasitic Infection**** 2,215 (91%) 331 (15%) Sexually Transmitted 2,364 (98%) 19 (1%) Infections (STIs)***** Malaria Infection 26 (9%) (%) Lead****** 1,4 (97%) 71 (7%) Hemoglobin 2,365 (98%) 53 (21%) Total screened: N=2,421 (98% of 2,459 eligible refugees) * For refugees arriving into the US from 1/1/214 through 12/31/214 ** 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=1,36 screened); Lead Level 5 ug/dl
Tuberculosis (Latent or Active) Infection* Among Refugees By Region Of Origin, Minnesota, 214 N=2,377 screened Overall TB Infection 22% 522/2,377 Sub-Saharan Africa 3% 358/1,26 SE/East Asia 14% 126/933 Latin America/Caribbean % /1 North Africa/Middle East 16% 31/189 Europe 18% 7/39 % 1% 2% 3% 4% 5% *Diagnosis of Latent TB infection (N=521) or Suspect/Active TB disease (N=4)
Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 214 N=2,369 screened Overall Hepatitis B Infection Rate Sub-Saharan Africa 5% 4% 5/1,25 124/2,369 SE/East Asia 8% 74/927 Latin America/Caribbean North Africa/Middle East % % /1 /19 Europe % /37 % 5% 1% 15% 2%
Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 214 N=2,215 screened Overall Parasitic Infection Rate Sub-Saharan Africa 15% 16% 331/2,215 17/1,63 SE/East Asia 15% 141/928 Latin America/Caribbean % /9 North Africa/Middle East 11% 19/177 Europe 3% 1/38 *At least one type of pathogenic intestinal parasite % 5% 1% 15% 2% 25% 3% * Refugee At least Health one Program, stool parasite Minnesota found Department (including of Health nonpathogenic)
Health Status of New Refugees, Minnesota Immunization Status, 24 214 % with Evidence of Immunizations 1 9 8 7 6 5 4 3 2 1 24 25 26 27 28 29 21 211 212 213 214 Overseas Domestic Year