primary* refugee arrivals mn by region of world 1979-2010 primary* refugee arrivals to mn by region...

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0 1000 2000 3000 4000 5000 6000 7000 8000 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 N um berofarrivals SoutheastAsia Sub-Saharan Africa N orth Africa/M iddle East Eastern Europe Form er SovietU nion O ther Primary* Refugee Arrivals Primary* Refugee Arrivals to MN by Region of MN by Region of World World 1979-2010 1979-2010 Refugee Health Program, Minnesota Department of Health Refugee Health Program, Minnesota Department of Health *First resettled in Minnesota

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Page 1: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

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Southeast Asia Sub-Saharan Africa North Africa/Middle EastEastern Europe Former Soviet Union Other

Primary* Refugee Arrivals Primary* Refugee Arrivals to MN by Region of MN by Region of World World

1979-20101979-2010

Refugee Health Program, Minnesota Department of HealthRefugee Health Program, Minnesota Department of Health *First resettled in Minnesota

Page 2: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Primary Refugee Arrival, Minnesota, 2006-2010

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Refugee Health Program, Minnesota Department of Health

Page 3: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Lake

Cook

Le Sueur

RiceGoodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwood

MurrayPipestone

Nicollet

Wabasha

DakotaScott

Wash-ing-ton

Chisago

Isanti

Brown

Sibley

Carver

Hennepin

WrightMeeker

Kandiyohi

Renville

Redwood

Sherburne

LyonLincoln

Yellow Medicine

Lac Qui Parle

Swift

Big Stone

PopeStevensTraverse

Chippewa

StearnsBenton

Carlton

Pine

Kanabec

MilleLacs

Aitkin

Crow Wing

Morrison

CassHubbard

Wadena

Todd

DouglasGrant

OttertailWilkin

BeckerClay

ClearWater

MahnomenNorman

Red Lake

PenningtonPolk

Beltrami

Marshall

Itasca

Koochiching

Lakeof theWoods

RoseauKittson

St. Louis

McLeod

71Anoka

Hennepin

Number of Refugees Arrival By Initial County Of Resettlement

2010 Primary Refugee Arrival To Minnesota

(N=2,320)

Ram- sey

0

1- 20

21 - 50

51 - 100

101 - 300

301 – 1,000

1,001 – 2,000

Page 4: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Primary Refugee Arrivals, Minnesota, 2010

Congo, DR

1%Other

6%

Eritrea

2%

FSU

2%Laos/Hmong

2%

Ethiopia

4%

Bhutan

8%

Iraq

10%

Somalia

29%

Burma

36%

N = 2,320

“Other” includes Afghanistan, Cambodia, Cameroon, China (incl. Tibet), Colombia, Cuba, Guinea, Haiti, Kenya, Mali, Mexico, Nigeria, Rwanda, Saudi Arabia, Sierra Leone, Sudan and Togo.

Refugee Health Program, Minnesota Department of Health

“Former Soviet Union (FSU) Republics” include Armenia, Belarus, Kyrgyzstan, Moldova, Ukraine and Uzbekistan

Refugee Health Program, Minnesota Department of Health

Page 5: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Refugee Health Program, Minnesota Department of Health

Primary Refugee Arrivals Screened Minnesota, 2001-2010

27932535

2296

1032963

890

24032242

2118

73517009

6801

53265108

4990

53554893

4710

28672740

2697

28671167

1152

12651200

1169

23202241

2220

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2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Arrivals Eligible for Screening Screened

91%

92%

94%

97% 98% 98%

98%

99% 97%

99%

*Ineligible if moved out of state or to an unknown destination, unable to locate or died before screening

Page 6: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Primary Refugees Lost to Follow-up Minnesota, 2010

5%1% 10% 2%

39%

36%

7%

Unable To Locate due to Address* Moved Out of State*

Screened Elsewhere, No Results Never Arrived*

Contact Failed Refused Screening

Missed Appointment Died*

Refugee Health Program, Minnesota Department of Health

N=100

*Ineligible for the refugee health assessment

Page 7: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Primary Refugee Screenings by Region of Origin, Minnesota, 2010

World Region Total arrivalsIneligible for

ScreeningNumber

Screened (%*)

E.Asia/SE Asia 1,082 23 1,059 (100)

Sub-Saharan Africa 921 42 866 (99)

North Africa/

Middle East235 4 230 (100)

Eastern Europe 39 0 33 (85)

Latin America/

Caribbean43 10 32 (97)

Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible

Page 8: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Refugee Screening Rates by Exam Type Minnesota, 2010

11%

81%

91%

96%

98%

97%

99%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Malaria

STIs*

Lead (<17 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health Screening Rate

Refugee Health Program, Minnesota Department of Health

2,161/2,220

2,185/2,220

2,129/2,220

890/974

1,794/2,220

237/2,220

2,220/2,241

*Screened for at least one type of STI

Page 9: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Health Status of New Refugees, Minnesota, 2010

Health status upon arrival No (%) of refugees No (%) with infection

screened 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%)

Infections(STIs)****

Malaria Infection 237 (11%) 0 (0%)

Lead***** 890 (91%) 16 (2%)

Hemoglobin Deficiency 2,175 (98%) 443 (20%)

Refugee Health Program, Minnesota Department of Health

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

*****Children <17 year old (N=974 screened)

Page 10: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

39%

15%

16%

21%

40%

28%

0% 10% 20% 30% 40% 50%

Europe

North Africa/Middle East

Latin America/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall TB Infection

13/33

221/1,046

N=2,161 screened

*Diagnosis of Latent TB infection (N=605) or Suspect/Active TB disease (N=2)

Refugee Health Program, Minnesota Department of Health

Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2010

335/833

607/2,161

34/224

4/25

Page 11: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2010

0%

0%

4%

7%

4%

5%

0% 2% 4% 6% 8% 10%

Europe

North Africa/Middle East

Latin America/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate

Refugee Health Program, Minnesota Department of Health

N=2,185 screened

114/2,185

37/853

76/1,045

0/32

0/227

1/28

Page 12: Primary* Refugee Arrivals MN by Region of World 1979-2010 Primary* Refugee Arrivals to MN by Region of World 1979-2010 Refugee Health Program, Minnesota

Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2010

9%

16%

47%

26%

18%

22%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Europe

North Africa/Middle East

LatinAmerica/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall ParasiticInfection Rate

* At least one stool parasite found (including nonpathogenic)Refugee Health Program, Minnesota Department of Health

471/2,129

150/827

270/1,033

3/33

*At least one type of pathogenic intestinal parasite

N=2,129 screened

15/32

33/204