Primary* Refugee Arrivals to MN by Region of World 1979-2010 8000 Number of arrivals 7000 6000 5000 4000 3000 2000 Southeast Asia Eastern Europe Sub-Saharan Africa Former Soviet Union Refugee Health Program, Minnesota Department of Healthof Refugee Health Program, Minnesota Department Health North Africa/Middle East Other *First resettled in Minnesota 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, Minnesota, 2006-2010 Number of Arrivals 1000 800 600 400 200 Month 2006 2007 Refugee Health Program, Minnesota Department of Health 2008 2009 2010 ec D ov N O ct p Se ug A Ju l Ju n ay M pr A ar M Fe b Ja n 0 Kittson 2010 Primary Refugee Arrival To Minnesota (N=2,320) 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- 20 Isanti Big Stone Sherburne Swift 21 - 50 Chisago Kandiyohi Anoka Meeker 71 Wright Chippewa Hennepin Hennepin Lac Qui Parle McLeod Renville 51 - 100 WashingRam- ton sey 101 - 300 Carver Scott Yellow Medicine 301 – 1,000 Dakota Sibley Lincoln Lyon Redwood Le Sueur Nicollet Rice 1,001 – 2,000 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, 2010 Laos/Hmong FSU Eritrea 2% 2% 2% Congo, DR 1% Other 6% Ethiopia 4% Burma Bhutan 36% 8% Iraq 10% Somalia N = 2,320 29% “Other” includes Afghanistan, Cambodia, Cameroon, China (incl. Tibet), Colombia, Cuba, Guinea, Haiti, Kenya, Mali, Mexico, Nigeria, Rwanda, Saudi Arabia, Sierra Leone, Sudan and Togo. “Former Soviet Union (FSU) Republics” include Armenia, Belarus, Kyrgyzstan, Moldova, Ukraine and Uzbekistan Refugee Health Program, Minnesota Department of Health Refugee Health Program, Minnesota Department of Health Primary Refugee Arrivals Screened Minnesota, 2001-2010 8000 7351 7009 6801 7000 Number of Arrivals 6000 5326 5355 4893 5108 4990 4710 5000 4000 3000 97% 2793 2535 2296 98% 98% 2403 2242 2118 2867 2740 2697 2000 1000 91% 1032 963 890 94% 98% 92% 2320 2241 2220 2867 1167 1152 1265 1200 1169 99% 97% 2008 2009 99% 0 2001 2002 2003 2004 Arrivals 2005 2006 Eligible for Screening 2007 Screened *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 2010 Primary Refugees Lost to Follow-up Minnesota, 2010 5% 1% 10% 2% 39% 7% 36% N=100 Unable To Locate due to Address* Moved Out of State* Screened Elsewhere, No Results Never Arrived* Contact Failed Refused Screening Missed Appointment *Ineligible for the refugee health assessment Refugee Health Program, Minnesota Department of Health Died* 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 99% Health Screening Rate Tuberculosis (TB) 97% 2,161/2,220 98% 2,185/2,220 96% 2,129/2,220 91% 890/974 81% 1,794/2,220 Hepatitis B Intestinal Parasites Lead (<17 yrs old) STIs* Malaria 0% 11% 10% 2,220/2,241 237/2,220 20% 30% *Screened for at least one type of STI Refugee Health Program, Minnesota Department of Health 40% 50% 60% 70% 80% 90% 100% Health Status of New Refugees, Minnesota, 2010 Health status upon arrival No (%) of refugees screened No (%) with infection 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%) Malaria Infection 237 (11%) 0 (0%) Lead***** 890 (91%) 16 (2%) Infections(STIs)**** 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 Refugee Health Program, Minnesota Department of Health *****Children <17 year old (N=974 screened) Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2010 N=2,161 screened Overall TB Infection 28% 607/2,161 Sub-Saharan Africa 40% 335/833 SE/East Asia 21% 221/1,046 Latin Ame rica/Caribbean 16% 4/25 North Africa /Middle East 15% 34/224 Europe 0% 39% 10% 13/33 20% *Diagnosis of Latent TB infection (N=605) or Suspect/Active TB disease (N=2) Refugee Health Program, Minnesota Department of Health 30% 40% 50% Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2010 N=2,185 screened Overall Hepatitis B Infection Rate 5% Sub-Saharan Africa 4% SE/East Asia 7% Latin America/Caribbean 37/853 76/1,045 1/28 4% North Africa/Middle East 0% 0/227 Europe 0% 0/32 0% 114/2,185 2% Refugee Health Program, Minnesota Department of Health 4% 6% 8% 10% Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2010 N=2,129 screened Overall Parasitic Infection Rate 22% 471/2,129 Sub-Saharan Africa 18% 150/827 SE/East Asia 26% Latin America/Caribbean North Africa/Middle East Europe 0% 47% 15/32 33/204 16% 9% 270/1,033 3/33 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% *At least one type of pathogenic intestinal parasite * At least oneProgram, stool parasite found (including nonpathogenic) Refugee Health Minnesota Department of Health