Primary* Refugee Arrivals to MN by Region of World 1979-2007 8000 Number of arrivals 7000 6000 5000 4000 3000 2000 Southeast Asia Sub-Saharan Africa Refugee Health Program, Minnesota Department of Healthof Refugee Health Program, Minnesota Department Health Eastern Europe FSU 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 Other *First resettled in Minnesota Primary Refugee Arrival, Minnesota, 2003-2007 2000 Number of Arrivals 1800 1600 1400 1200 1000 800 600 400 200 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Month 2003 2004 Refugee Health Program, Minnesota Department of Health 2005 2006 2007 Nov Dec Kittson 2007 Primary Refugee Arrival To Minnesota (N=2,867) 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 1- 10 2-25 Benton Traverse Stearns Isanti Big Stone Sherburne Swift Kandiyohi Chisago 21 - 40 Washing- 41 - 100 Anoka Meeker 71 Wright Chippewa Hennepin Hennepin Lac Qui Parle McLeod Renville Ram ton sey 101 - 200 Carver Scott Yellow Medicine 901 - 1000 Dakota Sibley Lincoln Lyon Redwood Le Sueur Nicollet Rice 1001 - 1500 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, 2007 FSU Ethiopia 6% Laos/Hmong 2% 13% Cameroon 1% Somalia Burma Liberia Other Ethiopia 4% FSU Laos/Hmong Cameroon Other Liberia 13% Somalia 40% Burma 21% N=2,867 “Other” includes Afghanistan, Chad, China (incl. Tibet), DR Congo, Cuba, Eritrea, France, Indonesia, Ivory Coast, Kenya, Nigeria, Sierra Leone, Sudan, Togo, Uganda and Vietnam. Refugee Health Program, Minnesota Department of Health Primary Refugee Arrivals Screened in Minnesota 1997-2007 8000 7351 7009 6801 7000 Number of Arrivals 6000 5324 5356 5105 4990 4893 4710 5000 3917 3666 4000 4011 3689 2867 2740 2691 3158 3000 2000 2793 2535 2296 2710 1863 1721 1448 2403 2242 2118 1032 963 890 1000 0 1998 1999 2000 2001 Arrivals 2002 2003 Eligible for Screening 2004 2005 Screened *Ineligible if moved out of state/unknown destination, unable to locate or died before screening Refugee Health Program, Minnesota Department of Health 2006 2007 Primary Refugees Lost to Follow-up Minnesota, 2007 5% 5% 2% 8% 1% 10% 51% N=176 18% Moved Out of State* Contact Failed Missed Appointment Moved to Unknown Destination* Unable To Locate* Screened Elsewhere, No Results Refused Screening Data Not Returned *Ineligible for the refugee health assessment Refugee Health Program, Minnesota Department of Health Primary Refugee Screenings by Region of Origin, Minnesota, 2007 World Region Total arrivals Ineligible for Screening Number Screened (%*) Sub-Saharan Africa 1,981 97 1,850 (98) E.Asia/SE Asia 705 26 673 (99) Eastern/Western Europe 168 1 159 (95) Latin America/ Caribbean 13 4 9 (90) Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible Refugee Screening Rates by Exam Type Minnesota, 2007 98% Health Screening Rate Tuberculosis (TB) 98% Hepatitis B 99% Intestinal Parasites 93% Lead (<6 yrs old) 92% STIs Malaria 0% 77% 1% 2,691/2,740 2,643/2,691 2,652/2,691 2,516/2,691 205/223 2,066/2,691 33/2,691 10% 20% 30% Refugee Health Program, Minnesota Department of Health 40% 50% 60% 70% 80% 90% 100% Health Status of New Refugees, Minnesota, 2007 Health status upon arrival No (%) of refugees screened No (%) with infection among screened TB infection* 2,643 (98%) 1,176 (45%) Hepatitis B infection** 2,652 (99%) 206 (8%) Parasitic Infection*** 2,516 (93%) 382 (15%) Sexually Transmitted 2,066 (77%) 29 (1%) Infections(STIs)**** Malaria Infection Lead***** 34 (1%) 1 (3%) 205 (92%) 8 (4%) Total screened: N=2,691 (98% of the 2,740 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=223 screened) Tuberculosis Infection* Rate Among Refugees By Region Of Origin, Minnesota, 2007 N=2,643 screened Overall TB Infection Rate 45% Sub-Saharan Africa 50% SE/East Asia 34% 29% Europe 0% 1,176/2,643 10% *Diagnosis of Latent TB infection or Suspect/Active TB disease Refugee Health Program, Minnesota Department of Health 902/1,815 230/670 44/150 20% 30% 40% 50% 60% Hepatitis B infection Rate Among Refugees by Region of Origin, Minnesota, 2007 N=2,652 screened Overall Hepatitis B Infection Rate 8% 206/2,652 Sub-Saharan Africa 8% 150/1,820 SE/East Asia 8% 55/673 Europe 0% 1% 1/154 2% Refugee Health Program, Minnesota Department of Health 4% 6% 8% 10% Intestinal Parasitic Infection* Rates Among Refugees by Region of Origin, Minnesota, 2007 N=2,516 screened Overall Parasitic Infection Rate 15% 16% Sub-Saharan Africa 15% SE/East Asia Europe 0% 382/2,516 2% 284/1,731 96/652 2/130 5% * At least one type of pathogenic intestinal parasite * At least one Program, stool parasite found (including Refugee Health Minnesota Department of nonpathogenic) Health 10% 15% 20%