Primary* Refugee Arrivals to MN by Region of World
1979-2008
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
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, 2004-2008
2000
Number of Arrivals
1800
1600
1400
1200
1000
800
600
400
200
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Month
2004
2005
Refugee Health Program, Minnesota Department of Health
2006
2007
2008
Kittson
2008 Primary Refugee Arrival
To Minnesota (N=1,205)
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
301 - 400
Carver
Scott
Yellow Medicine
701 - 800
Dakota
Sibley
Lincoln
Lyon
Redwood
Le
Sueur
Nicollet
Rice
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, 2008
Liberia
Iraq
5%
6%
Ethiopia
FSU
4%
Other
7%
7%
Bhutan
8%
Burma
Somalia
Bhutan
Ethiopia
Iraq
Liberia
FSU
Other
Burma
Somalia
14%
49%
N = 1,205
“Other” includes Burkina Faso, Cambodia, Cameroon, China (incl. Tibet), Colombia, Congo (DR), Cuba,
Djibouti, Eritrea, Gambia, Guinea, Jordan, Kenya, Laos (Hmong), Palestine/West Bank, Sierra Leone, Sudan,
Togo, Vietnam and Zimbabwe
“Former Soviet Union (FSU) Republics” include Belarus, Kazakhstan, Latvia, Moldova, Russia and Ukraine
Refugee Health Program, Minnesota Department of Health
Primary Refugee Arrivals Screened in Minnesota
1999-2008
8000
7351
7009
6801
7000
Number of Arrivals
6000
5326
5355
5108
4990
4893
4710
5000
4000
3917
3666
4011
3689
3158
3000
2793
2535
2296
2710
2867
2740
2697
2403
2242
2118
2000
1205
1167
1152
1032
963
890
1000
0
1999
2000
2001
2002
Arrivals
2003
2004
Eligible for Screening
2005
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
2008
Primary Refugees Lost to Follow-up
Minnesota, 2008
6%
4%
9%
2%
11%
38%
11%
N=53
19%
Moved Out of State*
Never Arrived
Unable To Locate*
Contact Failed
Refused Screening
Screened Elsewhere, No Results
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, 2008
World Region
Total arrivals
Ineligible for
Screening
Number
Screened (%*)
E.Asia/SE Asia
726
6
720 (100)
Sub-Saharan Africa
351
20
318 (96)
North Africa/
Middle East
76
8
67 (99)
Eastern/Western
Europe
45
2
43 (100)
Latin America/
Caribbean
7
1
4 (67)
Refugee Health Program, Minnesota Department of Health
*Percent screened among the eligible
Refugee Screening Rates by Exam Type
Minnesota, 2008
99%
Health Screening Rate
Tuberculosis (TB)
Hepatitis B
Intestinal Parasites
90%
Lead (<6 yrs old)
92%
STIs
Malaria
0%
72%
1%
1,152/1,168
99%
1,142/1,152
99%
1,139/1,152
1,032/1,152
117/127
832/1,152
17/1,152
10%
20%
30%
Refugee Health Program, Minnesota Department of Health
40%
50%
60%
70%
80%
90%
100%
Health Status of New Refugees, Minnesota, 2008
Health status upon arrival
No (%) of refugees
screened
No (%) with infection
among screened
TB infection*
1,142 (99%)
340 (30%)
Hepatitis B infection**
1,139 (99%)
97 (9%)
Parasitic Infection***
1,032 (90%)
166 (16%)
Sexually Transmitted
832 (72%)
8 (1%)
17 (1%)
0 (0%)
117 (92%)
4 (3%)
Infections(STIs)****
Malaria Infection
Lead*****
Total screened: N=1,152 (99% of the 1,168 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=127 screened)
Tuberculosis Infection* Rate Among Refugees
By Region Of Origin, Minnesota, 2008
N=1,142 screened
Overall TB Infection Rate
30%
340/1,142
Sub-Saharan Africa
45%
SE/East Asia
North Africa/Middle East
24%
14%
175/718
9/63
Europe
0%
142/315
32%
10%
13/42
20%
*Diagnosis of Latent TB infection (N=335) or Suspect/Active TB disease (N=5)
Latin America/Caribbean not listed due to small number of screened refugees (4)
Refugee Health Program, Minnesota Department of Health
30%
40%
50%
Hepatitis B infection Rate Among Refugees
by Region of Origin, Minnesota, 2008
N=1,139 screened
Overall Hepatitis B
Infection Rate
9%
Sub-Saharan Africa
6% 19/316
11%
SE/East Asia
North Africa/Middle East
Europe
0%
97/1,139
78/718
0% 0/64
0% 0/37
2%
4%
Latin America/Caribbean not listed due to small number of screened refugees (4)
Refugee Health Program, Minnesota Department of Health
6%
8%
10%
Intestinal Parasitic Infection* Rates Among Refugees
by Region of Origin, Minnesota, 2008
N=1,032 screened
Overall Parasitic
Infection Rate
166/1,032
16%
22%
Sub-Saharan Africa
SE/East Asia
14%
Europe
0%
96/685
15%
North Africa/Middle East
6%
58/267
9/61
1/18
5%
10%
*At least one type of pathogenic intestinal parasite
Latin America/Caribbean not listed due to small number of screened refugees (4)
* At least
one Program,
stool parasite
found
(including
Refugee
Health
Minnesota
Department
of nonpathogenic)
Health
15%
20%
25%