primary* refugee arrivals to mn by region of world 1979-2010

0

1000

2000

3000

4000

5000

6000

7000

800019

79

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Num

ber o

f arr

ival

s

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 MN by Region of World World

1979-20101979-2010

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

Primary Refugee Arrival, Minnesota, 2006-2010

0

200

400

600

800

1000Ja

n

Feb

Mar AprMay Ju

n Jul

Aug

Sep OctNov

Dec

Month

Num

ber o

f Arr

ival

s

2006 2007 2008 2009 2010Refugee Health Program, Minnesota Department of Health

Lake

Cook

Le Sueur

Rice Goodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwood

MurrayPipestone

NicolletWabasha

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

KanabecMilleLacs

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

2010 Primary Refugee Arrival To Minnesota

(N=2,320)

Ram- sey

0

1- 2021 - 5051 - 100101 - 300301 – 1,0001,001 – 2,000

Primary Refugee Arrivals, Minnesota, 2010

Congo, DR1%

Other6%

Eritrea2%

FSU2%

Laos/Hmong2%

Ethiopia4%

Bhutan8%

Iraq10%

Somalia29%

Burma36%

N = 2,320

“Other” includes Afghanistan, Cambodia, Cameroon, China (incl. Tibet), Colombia, Cuba, Guinea, Haiti, Kenya, Mali, Mexico, Nigeria, Rwanda, Saudi Arabia, Sierra Leone, Sudan and Togo.

Refugee Health Program, Minnesota Department of Health

“Former Soviet Union (FSU) Republics” include Armenia, Belarus, Kyrgyzstan, Moldova, Ukraine and Uzbekistan



Primary Refugee Arrivals Screened Minnesota, 2001-2010

27932535

2296

1032963

890

24032242

2118

73517009

6801

53265108

4990

53554893

4710

28672740

2697

28671167

1152

12651200

1169

23202241

2220

0

1000

2000

3000

4000

5000

6000

7000

8000

Num

ber o

f Arr

ival

s

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Arrivals Eligible for Screening Screened

91%

92%

94%

97% 98% 98%

98%

99% 97%

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, 2010

5%1% 10% 2%

39%

36%

7%

Unable To Locate due to Address* Moved Out of State*Screened Elsewhere, No Results Never Arrived*Contact Failed Refused ScreeningMissed Appointment Died*


N=100

*Ineligible for the refugee health assessment

Primary Refugee Screenings by Region of Origin, Minnesota, 2010

World Region Total arrivals Ineligible for Screening

Number Screened (%*)

E.Asia/SE Asia 1,082 23 1,059 (100)

Sub-Saharan Africa 921 42 866 (99)

North Africa/ Middle East

235 4 230 (100)

Eastern Europe 39 0 33 (85)

Latin America/Caribbean

43 10 32 (97)

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

Refugee Screening Rates by Exam Type Minnesota, 2010

11%

81%

91%

96%

98%

97%

99%

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

Malaria

STIs*

Lead (<17 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health Screening Rate


2,161/2,220

2,185/2,220

2,129/2,220

890/974

1,794/2,220

237/2,220

2,220/2,241

*Screened for at least one type of STI

Health Status of New Refugees, Minnesota, 2010

Health status upon arrival No (%) of refugees No (%) with infection screened among screened

TB infection* 2,161 (97%) 607 (28%)

Hepatitis B infection** 2,185 (98%) 114 (5%)

Parasitic Infection*** 2,129 (96%) 471 (22%)

Sexually Transmitted 1,794 (81%) 28 (2%)

Infections(STIs)****

Malaria Infection 237 (11%) 0 (0%)

Lead***** 890 (91%) 16 (2%)

Hemoglobin Deficiency 2,175 (98%) 443 (20%)


Total screened: N=2,220 (99% of 2,241 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 <17 year old (N=974 screened)

39%

15%

16%

21%

40%

28%

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

Europe

North Africa/Middle East


SE/East Asia

Sub-Saharan Africa

Overall TB Infection

13/33

221/1,046

N=2,161 screened

*Diagnosis of Latent TB infection (N=605) or Suspect/Active TB disease (N=2) Refugee Health Program, Minnesota Department of Health

Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2010

335/833

607/2,161

34/224

4/25

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2010

0%

0%

4%

7%

4%

5%

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

Europe



SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate


N=2,185 screened

114/2,185

37/853

76/1,045

0/32

0/227

1/28

Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2010

9%

16%

47%

26%

18%

22%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Europe


LatinAmerica/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall ParasiticInfection Rate

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

471/2,129

150/827

270/1,033

3/33

*At least one type of pathogenic intestinal parasite

N=2,129 screened

15/32

33/204

primary* refugee arrivals to mn by region of world 1979-2010

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