Primary* Refugee Arrivals to MN by Region of World 1979-2009 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 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, 2005-2009 1400 Number of Arrivals 1200 1000 800 600 400 200 Month 2005 2006 Refugee Health Program, Minnesota Department of Health 2007 2008 2009 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 2009 Primary Refugee Arrival To Minnesota (N=1,265) 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 Kandiyohi Chisago 11 - 30 Washing- 31 - 50 Anoka Meeker 71 Wright Chippewa Hennepin Hennepin Lac Qui Parle McLeod Renville Ram-ton sey 51 - 100 Carver Scott Yellow Medicine 201 - 300 Dakota Sibley Lincoln Lyon Redwood Le Sueur Nicollet Rice 601 - 800 Goodhue Wabasha Brown Pipestone Murray Cottonwood Rock Nobles Jackson Watonwan Martin Blue Earth Faribault Waseca Steele Freeborn Dodge Mower Olmsted Winona Fillmore Houston Primary Refugee Arrivals, Minnesota, 2009 Ethiopia 4% Eritrea 2% Bhutan Liberia 2% Sudan 2% Other 8% 8% Iraq 9% Burma FSU 35% 10% Somalia 20% N = 1,265 “Other” includes Benin, Bolivia, Cameroon, China (incl. Tibet), Congo (DR), Congo (Rep), Cuba, Djibouti, Gambia, Guatemala, Guinea, Indonesia, Iran, Kenya, Laos (Lao and Hmong), Mali, Nepal, Thailand, Togo, Vietnam and Zimbabwe “Former Soviet Union (FSU) Republics” include Belarus, Kyrgyzstan, Moldova, Russia and Ukraine Refugee Health Program, Minnesota Department of Health Primary Refugee Arrivals Screened in Minnesota 2000-2009 8000 7351 7009 6801 7000 Number of Arrivals 6000 5000 4000 97% 5326 5356 5108 4893 4990 4710 4011 3689 3158 3000 2793 2535 2296 98% 96% 2403 2242 2118 86% 2867 2740 2697 2000 91% 1000 1032 963 890 98% 94% 1265 1205 1167 1200 1169 1152 92% 98% 97% 2008 2009 0 2000 2001 2002 2003 Arrivals 2004 2005 Eligible for Screening 2006 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 Primary Refugees Lost to Follow-up Minnesota, 2009 6% 4% 8% 37% 21% N=96 24% Unable To Locate due to Address* Moved Out of State* Screened Elsewhere, No Results Never Arrived* Contact Failed Refused Screening Data Not Returned *Ineligible for the refugee health assessment Refugee Health Program, Minnesota Department of Health Died* Primary Refugee Screenings by Region of Origin, Minnesota, 2009 World Region Total arrivals Ineligible for Screening Number Screened (%*) E.Asia/SE Asia 583 13 564 (99) Sub-Saharan Africa 423 41 366 (96) North Africa/ Middle East 119 5 113 (99) Eastern Europe 126 0 126 (100) Latin America/ Caribbean 14 6 0 (0) Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible Refugee Screening Rates by Exam Type Minnesota, 2009 97% Health Screening Rate Tuberculosis (TB) 97% Hepatitis B 98% Intestinal Parasites 87% Lead (<6 yrs old) 0% 1,130/1,169 1,140/1,169 1,015/1,169 97% 167/172 STIs Malaria 1,169/1,200 72% 4% 10% 432/1,169 41/1,169 20% 30% Refugee Health Program, Minnesota Department of Health 40% 50% 60% 70% 80% 90% 100% Health Status of New Refugees, Minnesota, 2009 Health status upon arrival No (%) of refugees screened No (%) with infection among screened TB infection* 1,130 (97%) 336 (30%) Hepatitis B infection** 1,140 (98%) 62 (5%) Parasitic Infection*** 1,015 (87%) 273 (27%) Sexually Transmitted 432 (37%) 10 (2%) Infections(STIs)**** Malaria Infection Lead***** 41 (1%) 0 (0%) 167 (97%) 1 (<1%) Total screened: N=1,169 (97% of 1,200 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 <6 year old (N=172 screened) Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2009 N=1,130 screened Overall TB Infection 30% Sub-Saharan Africa 42% SE/East Asia 26% North Africa /Middle East 15% Eastern Europe 23% 0% 336/1,130 150/355 144/555 16/109 26/111 10% 20% *Diagnosis of Latent TB infection (N=332) or Suspect/Active TB disease (N=4) 30% Screening results not available for Latin America/Caribbean refugees due to loss to follow-up (N=14) Refugee Health Program, Minnesota Department of Health 40% 50% Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2009 N=1,140 screened Overall Hepatitis B Infection Rate Sub-Saharan Africa 62/1,140 5% 4% 15/359 8% SE/East Asia North Africa/Middle East Eastern Europe 0% 42/557 0% 0/111 5/113 4% 2% 4% 6% Screening results not available for Latin America/Caribbean refugees due to loss to follow-up (N=14) Refugee Health Program, Minnesota Department of Health 8% 10% Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2009 N=1,015 screened Overall Parasitic Infection Rate 27% 22% Sub-Saharan Africa 273/1,015 66/298 SE/East Asia North Africa/Middle East Eastern Europe 0% 35% 16% 9% 184/530 14/90 9/97 5% 10% 15% 20% 25% *At least one type of pathogenic intestinal parasite Screening results not available for Latin America/Caribbean refugees due to loss to follow-up (N=14) * At least one Program, stool parasite found (including Refugee Health Minnesota Department of nonpathogenic) Health 30% 35% 40%