HELEN TOWNSEND MPH RNREFUGEE HEALTH COORDINATOR

REFUGEE HEALTH PROGRAMTUBERCULOSIS/REFUGEE HEALTH DIVISION

INDIANA STATE DEPARTMENT OF HEALTH

Refugees in Indiana

Definition of a Refugee

UNHCR 2007 STATISTICAL YEARBOOK# of Refugees worldwide in 2007

11.4 milliondoes not include 4.6 million Palestinians counted by another UN

agency

# of Refugees resettled worldwide in 200775,300 (0.7% of total # of refugees)

# of Refugees resettled in United States in FY 2007*48,300

International Statistics

*Federal fiscal year (1 Oct 2006-30 Sep 2007)

2004-20061232 arrivals*

20071533 arrivals*

20081552 arrivals*

2009Arrival #s are expected to follow the

trend of the previous two years

*This number does not include secondary migrants: refugees who originally settled in another part of the United States, then moved to Indiana after arrival.

Refugee Resettlement in Indiana

PHOTOS

Burmese Refugees in Thailand

Photos from Refugee Camp in Thailand

Photos from Refugee Camp in Thailand

Photos from Refugee Camp in Thailand

Photos from Refugee Camp in Thailand

PHOTOS AND STORIES

Burmese Refugees in Malaysia

Kuala Lumpur

Malaysian Jungle

Iraqi Refugees

Iraqi Refugees in Syria

Iraqi Refugees in Syria

Iraqi Refugees in Jordan

Zeinab Majid and her husband, a painter, fled Iraq with their two sons, ages 7 and 4, last September after receiving two threats and surviving a bombing.

Iraqi Refugees in Jordan

Hassan Jabr left his elegant home and garden and his job as a Spanish teacher in Baghdad after one of his sons was kidnapped and killed last year.

Medical Screening

Overseas Pre-departure

Domestic 30-90 days after US arrival

TO IDENTIFY APPLICANTS WITH INADMISSIBLE HEALTH-RELATED CONDITIONS

Purpose of the Overseas Refugee Medical

Examination

TO COLLECT INFORMATION ON IMMIGRANTS AND REFUGEES WHO HAVE MIGRATED TO THE U.S.

THEY WERE CLASSIFIED OVERSEAS DURING THE REQUIRED MEDICAL EXAMINATION PROCESS WITH A TB CONDITION.

FOLLOW-UP EVALUATION IN THE U.S. WAS RECOMMENDED.

Purpose of the TB Follow-up Worksheet

2007185 arrivals

2008240 arrivals

130 refugees110 immigrants

TB Class B Arrivals in Indiana

1) TO SCREEN FOR COMMUNICABLE DISEASES OF PUBLIC HEALTH SIGNIFICANCE AND LINK

REFUGEES WITH LOCAL TREATMENT SERVICES

2) TO INTRODUCE REFUGEES TO THE U.S. HEALTH CARE SYSTEM

3) TO IDENTIFY REFUGEE POPULATIONS WHO ARRIVE WITH AN INCREASED RISK OF DISEASE

Purpose of the Domestic Refugee Medical

Screening