Primary* Refugee Arrivals to MN by Region of World
1979-2011
8000
Number of arrivals
7000
6000
5000
4000
3000
2000
Southeast Asia
Former Soviet Union
Sub-Saharan Africa
Middle East/North Africa
Refugee Health Program, Minnesota Department of Health
Eastern Europe
Other
*First resettled in Minnesota
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
0
1979
1000
Primary Refugee Arrival by Month, Minnesota, 2007-2011
Number of Arrivals
800
600
400
200
Month
2007
2008
Refugee Health Program, Minnesota Department of Health
2009
2010
2011
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
0
Kittson
2011 Primary Refugee Arrival To
Minnesota (N=1,891)
Lake
of the
Woods
Roseau
Koochiching
Marshall
St. Louis
Beltrami
Pennington
Polk
Cook
Clear
Water
Red Lake
Lake
Itasca
Mahnomen
Norman
Hubbard
Cass
Becker
Clay
Aitkin
Wadena
Crow Wing
Number of Refugees Arrival By
Initial County Of Resettlement
Carlton
Ottertail
Wilkin
Pine
Todd
Mille
Lacs
Grant
Douglas
Stevens
Pope
Kanabec
0
Morrison
Benton
Traverse
Stearns
1- 10
Isanti
Big Stone
Sherburne
Swift
11 - 30
Chisago
Kandiyohi
Anoka
Meeker
71
Wright
Chippewa
Hennepin
Hennepin
Lac Qui Parle
McLeod
Renville
31 - 50
WashingRam- ton
sey
51 - 100
Carver
Scott
Yellow Medicine
101 – 500
Dakota
Sibley
Lincoln
Lyon
Redwood
Le
Sueur
Nicollet
Rice
501 – 1,500
Goodhue
Wabasha
Brown
Pipestone
Murray
Watonwan
Blue Earth
Waseca
Steele
Dodge
Olmsted
Winona
Cottonwood
Rock
Nobles
Jackson
Martin
Faribault
Freeborn
Mower
Fillmore
Houston
Primary Refugee Arrivals, Minnesota
2011
N=1,891
“Other” includes Afghanistan, Belarus, Burundi, Cameroon, China, Cuba, DR Congo, the Gambia, Guinea, Haiti,
Iran, Kenya, Kyrgyzstan, Mexico, Moldova, Philippines, Russia, Sudan, Tanzania, Uganda, Ukraine, and
Zimbabwe
Refugee Health Program, Minnesota Department of Health
Country of Origin by County of Resettlement, 2011
140
1200
1100
1000
900
800
700
600
500
400
300
200
100
0
120
Somalia
Ethiopia
Bhutan
Liberia
FSU
Laos/Hmong
Kenya
Other
100
Burma
Bhutan
Somalia
Laos/Hmong
Ethiopia
Other
80
60
40
20
0
Ramsey
Hennepin
N=1,274
N=308
30
100
25
80
20
60
Somalia
Iraq
Ethiopia
40
20
Iraq
Bhutan
Somalia
Burma
Sudan
15
10
5
0
Stearns
N=79
Refugee Health Program, Minnesota Department of Health
0
Olmsted
N=66
Primary Refugee Arrivals Screened
Minnesota, 2002-2011*
*Ineligible if moved out of state or to an unknown destination, unable to locate or died before screening
Refugee Health Program, Minnesota Department of Health
Primary Refugees Lost to Follow-up
Minnesota, 2011
6%
5%
5%
55%
29%
N=62
Unable to Locate, Incorrect Address*
Moved Out of State*
Contact Failed
Missed Appointment
Screened Elsewhere, No Results
*Ineligible for the refugee health assessment
Refugee Health Program, Minnesota Department of Health
Primary Refugee Screenings by
Region of Origin, Minnesota, 2011
World Region
Total arrivals
Ineligible for
Screening
Number
Screened (%*)
SE Asia/E Asia
1,250
14
1,235 (99)
Sub-Saharan Africa
533
36
493 (99)
North Africa/
Middle East
48
0
48 (100)
Eastern Europe
41
0
41 (100)
Latin America/
Caribbean
19
2
12 (71)
Refugee Health Program, Minnesota Department of Health
*Percent screened among the eligible
Refugee Screening Rates by Exam Type
Minnesota, 2011
99%
Health Screening
Rate
Tuberculosis (TB)
Hepatitis B
Intestinal Parasites
Lead (<17 yrs old)
STIs*
Malaria
7%
1,829/1,839
98%
1,799/1,829
99%
1,813/1,829
99%
1,806/1,829
97%
745/769
96%
1,765/1,829
132/1,829
0%
20%
*Screened for at least one type of STI
Refugee Health Program, Minnesota Department of Health
40%
60%
80%
100%
Health Status of New Refugees, Minnesota, 2011
Health status upon arrival
infection
No of refugees
screened
No(%) with
among screened
TB infection**
1,799 (98%)
391 (22%)
Hepatitis B infection***
1,813 (99%)
137 (8%)
Parasitic Infection****
1,806 (99%)
383 (21%)
Sexually Transmitted
Infections (STIs)*****
1,765 (96%)
16 (1%)
Malaria Infection
132 (7%)
3 (2%)
Lead******
745 (97%)
17 (2%)
Hemoglobin
1,804 (99%)
350 (19%)
Total screened: N=1,829 (99.5% of 1,839 eligible refugees)
* For refugees arriving into the US from 1/1/2011 through 12/31/2011
** 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)
Refugee Health Program, Minnesota Department of Health
****** Children <17 years old (N=769 screened)
Tuberculosis Infection* Among Refugees
By Region Of Origin, Minnesota, 2011
N=1,799 screened
22%
Overall TB Infection
36%
Sub-Saharan Africa
SE/East Asia
391/1,799
17%
206/1,220
17%
Latin America /Caribbean
10%
North Africa/Middle East
Europe
0%
15%
172/480
2/12
5/48
6/39
10%
20%
*Diagnosis of Latent TB infection (N=383) or Suspect/Active TB disease (N=8)
Refugee Health Program, Minnesota Department of Health
30%
40%
50%
Hepatitis B infection Among Refugees
by Region of Origin, Minnesota, 2011
N=1,813 screened
Overall Hepatitis B
Infection Rate
8%
Sub-Saharan Africa
7%
SE/East Asia
8%
0%
Latin America/Caribbean
34/484
103/1,230
0/12
North Africa/Middle East
0%
0/48
Europe
0%
0/39
0%
137/1,813
5%
Refugee Health Program, Minnesota Department of Health
10%
15%
20%
Intestinal Parasitic Infection* Among Refugees
by Region of Origin, Minnesota, 2011
N=1,806 screened
Overall Parasitic
Infection Rate
21%
Sub-Saharan Africa
14%
SE/East Asia
25%
Latin
America/Caribbean
383/1,807
68/482
302/1,231
8% 1/12
North Africa/Middle East
16%
7/45
Europe
14%
5/36
0%
5%
10%
*At least one type of pathogenic intestinal parasite
* At least
oneProgram,
stool parasite
found
(including
nonpathogenic)
Refugee
Health
Minnesota
Department
of Health
15%
20%
25%
30%