primary* refugee arrivals mn by region of world 1979-2009 primary* refugee arrivals to mn by region...

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Southeast Asia Sub-Saharan Africa North Africa/Middle EastEastern Europe Former Soviet Union Other

Primary* Refugee Arrivals Primary* Refugee Arrivals to MN by Region of World MN by Region of World 1979-20091979-2009

Refugee Health Program, Minnesota Department of HealthRefugee Health Program, Minnesota Department of Health *First resettled in Minnesota

Primary Refugee Arrival, Minnesota, 2005-2009

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2005 2006 2007 2008 2009

Refugee Health Program, Minnesota Department of Health

Lake

Cook

Le Sueur

RiceGoodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwoodMurrayPipestone

Nicollet

Wabasha

DakotaScott

Wash-ing-ton

Chisago

Isanti

Brown

Sibley

Carver

Hennepin

WrightMeeker

Kandiyohi

Renville

Redwood

Sherburne

LyonLincoln

Yellow Medicine

Lac Qui Parle

Swift

Big Stone

PopeStevensTraverse

Chippewa

StearnsBenton

Carlton

Pine

Kanabec

MilleLacs

Aitkin

Crow Wing

Morrison

CassHubbard

Wadena

Todd

DouglasGrant

OttertailWilkin

BeckerClay

ClearWater

MahnomenNorman

Red Lake

PenningtonPolk

Beltrami

Marshall

Itasca

Koochiching

Lakeof theWoods

RoseauKittson

St. Louis

McLeod

71Anoka

Hennepin

Number of Refugees Arrival By Initial County Of Resettlement

2009 Primary Refugee Arrival 2009 Primary Refugee Arrival To Minnesota (N=1,265) To Minnesota (N=1,265)

Ram- sey

0

1- 10

11 - 30

31 - 50

51 - 100

201 - 300

601 - 800

Primary Refugee Arrivals, Minnesota, 2009

Sudan

2%Other

8%

Liberia

2%Eritrea

2%Ethiopia

4%

Bhutan

8%

Iraq

9%

FSU

10%

Somalia

20%

Burma

35%

N = 1,265

“Other” includes Benin, Bolivia, Cameroon, China (incl. Tibet), Congo (DR), Congo (Rep), Cuba, Djibouti, Gambia, Guatemala, Guinea, Indonesia, Iran, Kenya, Laos (Lao and Hmong), Mali, Nepal, Thailand, Togo, Vietnam and Zimbabwe

Refugee Health Program, Minnesota Department of Health “Former Soviet Union (FSU) Republics” include Belarus, Kyrgyzstan, Moldova, Russia and Ukraine


Primary Refugee Arrivals Screened in Minnesota 2000-2009

4011

3689

31582793

25352296

1032963

890

24032242

2118

7351

70096801

53265108

4990

5356

48934710

28672740

2697

12051167

1152

12651200

1169

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2000

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4000

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6000

7000

8000

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2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Arrivals Eligible for Screening Screened

86%

91%

92%

94%

97%

98% 96%

98%

98% 97%

*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, 2009

8%

6%

4%

37%

24%

21%

Unable To Locate due to Address* Moved Out of State*

Screened Elsewhere, No Results Never Arrived*

Contact Failed Refused Screening

Data Not Returned Died*


N=96

*Ineligible for the refugee health assessment

Primary Refugee Screenings by Region of Origin, Minnesota, 2009

World Region Total arrivalsIneligible for

ScreeningNumber

Screened (%*)

E.Asia/SE Asia 583 13 564 (99)

Sub-Saharan Africa 423 41 366 (96)

North Africa/

Middle East119 5 113 (99)

Eastern Europe 126 0 126 (100)

Latin America/

Caribbean14 6 0 (0)

Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible

Refugee Screening Rates by Exam Type Minnesota, 2009

4%

72%

97%

87%

98%

97%

97%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Malaria

STIs

Lead (<6 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health Screening Rate


1,130/1,169

1,140/1,169

1,015/1,169

167/172

432/1,169

41/1,169

1,169/1,200

Health Status of New Refugees, Minnesota, 2009Health status upon arrival No (%) of refugees No (%) with infection

screened among screened

TB infection* 1,130 (97%) 336 (30%)

Hepatitis B infection** 1,140 (98%) 62 (5%)

Parasitic Infection*** 1,015 (87%) 273 (27%)

Sexually Transmitted 432 (37%) 10 (2%)

Infections(STIs)****

Malaria Infection 41 (1%) 0 (0%)

Lead***** 167 (97%) 1 (<1%)


Total screened: N=1,169 (97% of 1,200 eligible refugees) * Persons with Latent TB infection or suspect/active TB disease diagnosis** Positive for Hepatitis B surface antigen (HBsAG)

*** Positive for at least one pathogenic intestinal parasite infection

**** Positive for at least one STI

*****Children <6 year old (N=172 screened)

23%

15%

26%

42%

30%

0% 10% 20% 30% 40% 50%

26/111

144/555

N=1,130 screened

*Diagnosis of Latent TB infection (N=332) or Suspect/Active TB disease (N=4)

Screening results not available for Latin America/Caribbean refugees due to loss to follow-up (N=14)


Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2009

150/355

336/1,130

16/109

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2009

4%

0%

8%

4%

5%

0% 2% 4% 6% 8% 10%

Eastern Europe

North Africa/Middle East

SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate


N=1,140 screened

62/1,140

15/359

42/557

5/113

0/111


Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2009

9%

16%

35%

22%

27%

0% 5% 10% 15% 20% 25% 30% 35% 40%

Eastern Europe

North Africa/Middle East

SE/East Asia

Sub-Saharan Africa

Overall ParasiticInfection Rate

* At least one stool parasite found (including nonpathogenic)Refugee Health Program, Minnesota Department of Health

273/1,015

66/298

184/530

9/97

*At least one type of pathogenic intestinal parasite


N=1,015 screened

14/90

primary* refugee arrivals mn by region of world 1979-2009 primary* refugee arrivals to mn by region...

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