Primary* Refugee Arrivals to MN by Region of World 1979-2014 Refugee Health Program, Minnesota Department of Health *First resettled in Minnesota

Primary* Refugee Arrivals to MN by Region of World

1979-2014

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, 2010-2014

0

200

400

600Ja

n

Feb Mar

Ap

r

May

Jun

Jul

Au

g

Sep Oct

No

v

Dec

Month

Nu

mb

er

of

Arr

iva

ls

2010 2011 2012 2013 2014

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

2014 Primary Refugee Arrivals To Minnesota (N=2,475)

Ram- sey

0

1- 10

11 - 30

31 - 50

51 - 150

151 – 500

501-1,500

Somalia45%

Burma34%

Iraq8%

Bhutan3%

Ethiopia3%

Other7%

Primary Refugee Arrivals, Minnesota2014

N=2,475


“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, 2014

N=455N=1,277

N=275 N=155


0

100

200

300

400

500

600

700

800

900

Ramsey

Burma

Somalia

Bhutan

Iraq

Ethiopia

Other

0

100

200

300

400

Hennepin

Somalia

Iraq

Bhutan

Ethiopia

Other

0

50

100

150

200

250

300

Stearns

Somalia

Iraq

Kenya

0

20

40

60

80

100

Anoka

Iraq

Somalia

Afghanistan

Other


Primary Refugee Arrivals Screened Minnesota, 2004-2014*

*Ineligible if moved out of state or to an unknown destination, unable to locate or died before screening

0

1000

2000

3000

4000

5000

6000

7000

8000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

7351

53265355

2867

1205 1265

2320

2320

2259 22592475

7009

51084893

2740

1167 1200

22411845

22002200

2428

6801

4990

4710

2697

1152 1169

2220

18302172 2172

2421

Nu

mb

er o

f A

rriv

als

Arrivals Eligible for Screening Screened

97%

98%98%

98%

99% 97%

99%99%

99% 99%99%

Primary Refugees Lost to Follow-up Minnesota, 2014


*Ineligible for the refugee health assessment

N=59

Unable to Locate,

Incorrect Address*, 51%

Moved Out of State*, 35%

Refused Screening, 6%

Contact Failed, 6%

Screened Elsewhere, No

Results, 2%

*Counted as ineligible for screening

Primary Refugee Screenings by Region of Origin, Minnesota, 2014

World Region Total arrivalsIneligible for

ScreeningNumber

Screened (%*)

Sub-Saharan Africa 1,271 37 1,228 (99%)

SE Asia/E Asia 947 2 944 (>99%)

North Africa/

Middle East200 6 194 (100%)

Eastern Europe 45 0 45 (100%)

Latin America/

Caribbean12 2 10 (100%)

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

Refugee Screening Rates by Exam Type Minnesota, 2014


2,082/2,109

*Screened for at least one type of STI

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

Malaria

STIs*

Lead (<17 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health ScreeningRate

9%

98%

91%

98%

98%

99% 2,421/2,428

2,371/2,421

2,369/2,421

2,215/2,421

1,004/1,036

2,364/2,421

206/2,421

97%

Health Status of New Refugees, Minnesota, 2014*

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

TB infection** 2,371 (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 206 (9%) 0 (0%)

Lead****** 1,004 (97%) 71 (7%)

Hemoglobin 2,365 (98%) 503 (21%)Total screened: N=2,421 (>99% of 2,428 eligible refugees) * For refugees arriving into the US from 1/1/2014 through 12/31/2014 ** 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=1,036 screened); Lead Level ≥5 ug/dL

18%

16%

0%

14%

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

7/39

125/928

N=2,371 screened

*Diagnosis of Latent TB infection (N=521) or Suspect/Active TB disease (N=4)


Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2014

359/1,205

522/2,371

31/189

0/10

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2014

0%

0%

0%

8%

4%

5%

0% 5% 10% 15% 20%

Europe


LatinAmerica/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate


N=2,369 screened

124/2,369

50/1,205

74/927

0/37

0/190

0/10

Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2014

3%

11%

0%

15%

16%

15%

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

331/2,215

170/1,063

141/928

1/38

*At least one type of pathogenic intestinal parasite

N=2,215 screened

0/9

19/177

Health Status of New Refugees, MinnesotaImmunization Status, 2004 – 2014

010

203040

506070

8090

100

% w

ith

Evi

den

ce o

f Im

mu

niz

atio

ns

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Year

OverseasDomestic

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

Documents

Primary* Refugee Arrivals to MN by Region of World 1979-2014 Refugee Health Program, Minnesota Department of Health *First resettled in Minnesota