primary* refugee arrivals to mn by region of world 1979-2013

Primary* Refugee Arrivals to MN by Region of World

1979-2013

0

1000

2000

3000

4000

5000

6000

7000

80001979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

2009

2011

2013

Nu

mb

er

of

arr

iva

ls

Southeast Asia Sub-Saharan Africa Eastern Europe

Former Soviet Union Middle East/North Africa Other

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

Primary Refugee Arrival by Month, Minnesota, 2009-2013

0

200

400

600

800Ja

n

Feb Mar

Ap

r

May

Jun

Jul

Au

g

Sep Oct

No

v

Dec

Month

Nu

mb

er

of

Arr

iva

ls

2009 2010 2011 2012 2013

Refugee Health Program, Minnesota Department of Health

Lake

Cook

Le Sueur

RiceGoodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwood

MurrayPipestone

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 Refugee Arrivals By Initial County Of Resettlement

2013 Primary Refugee Arrivals To Minnesota (N=2,141)

Ram- sey

0

1- 10

11 - 30

31 - 50

51 - 100

101 – 500

501-1,500

Somalia, 39%

Burma, 39%

Iraq, 7%

Bhutan, 7%

Ethiopia, 3%

Other, 5%

Primary Refugee Arrivals, Minnesota2013

N=2,141


“Other” includes Afghanistan, Belarus, Cambodia, Cameroon, China, DR Congo, Cuba, Eritrea, Iran, Kenya, Liberia, Mexico, Moldova, Sudan, Togo, Ukraine, Vietnam, and West Bank

Country of Origin by County of Resettlement, 2013

0

100

200

300

400

Hennepin

Somalia

Bhutan

Iraq

Ethiopia

Other

0

100

200

300

400

500

600

700

800

900

Ramsey

Burma

Somalia

Bhutan

DR Congo

Other

0

50

100

150

200

Stearns

Somalia

Other

0

10

20

30

40

50

60

Olmsted

Somalia

Iraq

Ethiopia

Other

N=441N=1,113

N=181 N=141



Primary Refugee Arrivals Screened Minnesota, 2003-2013*

0

1000

2000

3000

4000

5000

6000

7000

8000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

2403

7351

53265355

2867

1205 1265

23211893

2264 21412242

7009

51084893

2740

1167 1200

22421845

1839 21092118

6801

49904710

2697

1152 1169

22201757

1829 2082

Nu

mb

er o

f A

rriv

als

Arrivals Eligible for Screening Screened

94%

97%

98% 98%

98%

99% 97%

99%99%

99%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, 2013


*Ineligible for the refugee health assessment

29%

25%

14%

14%

10%

8%

Moved Out of State* Unable to Locate, Incorrect Address*

Contact Failed Screened Elsewhere, No Results

Missed Appointment Refused Screening

N=59

Primary Refugee Screenings by Region of Origin, Minnesota, 2013

World Region Total arrivalsIneligible for

ScreeningNumber

Screened (%*)

SE Asia/E Asia 1,012 3 1,003 (99%)

Sub-Saharan Africa 953 23 911 (98%)

North Africa/

Middle East162 6 156 (100%)

Eastern Europe 8 0 8 (100%)

Latin America/

Caribbean6 0 4 (67%)

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

0% 20% 40% 60% 80% 100%

Malaria

STIs*

Lead (<17 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health ScreeningRate

9%

99%

96%

98%

98%

99%

Refugee Screening Rates by Exam Type Minnesota, 2013


X/2,082

2,150/2,082

2,004/2,082

807/845

185/2,082

2,082/2,109

*Screened for at least one type of STI

2,059/2,082

96%

Health Status of New Refugees, Minnesota, 2013

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

TB infection** 2,033 (98%) 455 (22%)

Hepatitis B infection*** 2,050 (98%) 122 (6%)

Parasitic Infection**** 2,004 (96%) 276 (14%)

Sexually Transmitted 2,059 (99%) 25 (1%)

Infections (STIs)*****

Malaria Infection 185 (9%) 1 (1%)

Lead****** 807 (96%) 88 (11%)

Hemoglobin 2,052 (99%) 397 (19%)Total screened: N=2,082 (99% of 2,109 eligible refugees) * For refugees arriving into the US from 1/1/20123through 12/31/2013 ** Persons with LTBI (>= 10mm 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=845 screened); Lead Level ≥5 ug/dL

25%

9%

0%

18%

30%

22%

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

Europe

North Africa/Middle East

Latin America/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall TB Infection

2/8

173/986

N=2,033 screened

*Diagnosis of Latent TB infection (N=446) or Suspect/Active TB disease (N=9)


Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2013

266/886

455/2,033

14/150

0/3

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2013

0%

1%

0%

8%

5%

6%

0% 5% 10% 15% 20%

Europe


LatinAmerica/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate


N=2,050 screened

122/2,050

43/897

77/990

0/8

2/152

0/3

Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2013

0%

10%

0%

14%

15%

14%

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

Europe


Latin America/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

276/2,004

130/894

132/957

0/8

*At least one type of pathogenic intestinal parasite

N=2,004 screened

0/3

14/142

Health Status of New Refugees, MinnesotaImmunization Status, 2003 - 2013

0

10203040

50607080

90100

% w

ith

Evi

den

ce o

f Im

mu

niz

atio

ns

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

Year

OverseasDomestic

Refugee Health Program, Minnesota Department of HealthRefugee Health Program, Minnesota Department of Health

primary* refugee arrivals to mn by region of world 1979-2013

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