0

1000

2000

3000

4000

5000

6000

7000

800019

79

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

Nu

mb

er o

f ar

riva

ls

Southeast Asia Sub-Saharan Africa Eastern Europe FSU Other

Primary* Refugee Arrivals Primary* Refugee Arrivals to MN by Region of World MN by Region of World 1979-20041979-2004

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

Primary Refugee Arrival, Minnesota, 2001-2004

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Month

Nu

mb

er

of

Arr

iva

ls

2001 2002 2003 2004

Refugee Health Program, Minnesota Department of Health

P rim a ry R e fu g e e A rr iv a ls , M in n e s o ta , 2 0 0 4

O the r

3%

B urm a

3%

FS U

4%

L ibe ria

6%

E th io p ia

9%

S om a lia

3 2%Hm ong

43%

H m o n gS o m a liaE th io p iaL ib er iaF S UB u rm aO th er

N =7345

“O th e r” in c lu d e s C a m e ro o n , C h in a (a ls o T ib e t), C o n g o , C u b a , E ritre a , G u a te m a la , G u in e a , Ira n , Ira q , K e n ya , N ig e ria , R w a n d a , S ie rra L e o n e , S u d a n , T o g o , V ie tn a m a n d Y e m e n

R e fu g e e H e a lth P ro g ra m , M in n e s o ta D e p a r tm e n t o f H e a lth

Lake

Cook

0

Le Sueur

RiceGoodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwoodMurrayPipestone

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

71Ram- sey

Anoka

Hennepin

Number of Refugees Arrival By Initial County Of Resettlement

2-251- 25

26 - 50

51 - 100

101 - 500

501 - 2000

2001 - 3000

2004 Primary Refugee Arrival To 2004 Primary Refugee Arrival To Minnesota (N=7345) Minnesota (N=7345)

3001 - 4000

Refugee Health Program, Minnesota Department of Health

Primary Refugee Arrivals Screened in Minnesota 1995-2004

24562148

1620

21481927

13161454

1365

1013

18631721

1448

39253674

2704

40133691

3154

27952536

2294

1033964

890

24012240

2115

7345

70056771

0

1000

2000

3000

4000

5000

6000

7000

8000

Nu

mb

er

of

Arr

iva

ls

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Arrivals Eligible for Screening Screened

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

Primary Refugees Lost to Follow-up Minnesota, 2004

7%

3%

3% 3% 12%

36%

27%

9%

Unable To Locate Moved Out Of State

Refused Screening Screened elsewhere, no results

Missed Appt Moved to Unknown Destination

Contact Failed Data not returned

Refugee Health Program, Minnesota Department of Health

N=574

Primary Refugee Screenings by Region of Origin, Minnesota, 2004

World Region Total arrivals Ineligible for Screening

Number

Screened (%*)

Sub-Saharan Africa

3583 304 3124 (95)

E.Asia/SE Asia 3457 24 3365 (98)

Eastern Europe 293 5 277 (96)

Latin America/

Caribbean4 4 -

North Africa/

Middle East8 3 5 (100)

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

Refugee Screening Rates by Exam Type Minnesota, 2004

6%

64%

82%

93%

96%

98%

97%

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

Malaria

STIs

Lead (<6 yrs old)

Intestinal Parasites

Hepatitis B

TB Infection

Health Screening Rate

Refugee Health Program, Minnesota Department of Health

Health Status of New Refugees, Minnesota, 2004

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

screened among screened

TB (latent or active)* 6656 (98%) 2252 (34%)

Hep B infection** 6518 (96%) 607 (9%)

Parasitic Infection*** 6283 (93%) 1084 (17%)

Sexually Transmitted 4352 (64%) 82 (2%)

Infections(STIs)****

Malaria Infection 388 (6%) 4 (1%)

Lead 807 (82%) 17 (2%)

Refugee Health Program, Minnesota Department of Health

Total screened: N=6771 (97% of the 7005 eligible refugees) * Persons with >= 10mm induration from Tuberculin Skin Test** Positive for Hepatitis B surface antigen (HBsAG)

*** Positive for at least one intestinal parasite infection

**** Positive for at least one STI

14%

36%

55%

34%

0% 10% 20% 30% 40% 50% 60%

96/265

471/3316

N=6656 screened

*Tuberculin Skin Test (TST) >=10mm induration

Refugee Health Program, Minnesota Department of Health

Tuberculosis (Latent or Active) Infection* Rate Among Refugees By Region Of Origin,

Minnesota, 2004

1684/3071

2252/6656

Hepatitis B infection Rate Among Refugees by Region of Origin, Minnesota, 2004

2%

8%

11%

9%

0% 3% 6% 9% 12% 15%

Eastern Europe

Sub-Saharan Africa

SE/East Asia

Overall Hep B InfectionRate

Refugee Health Program, Minnesota Department of Health

N=6518 screened

607/6518

348/3212

253/3044

6/257

Intestinal Parasitic Infection* Rates Among Refugees by Region of Origin, Minnesota, 2004

6%

12%

24%

17%

0% 5% 10% 15% 20% 25% 30%

Eastern Europe

Sub-Saharan Africa

SE/East Asia

Overall ParasiticInfection Rate

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

1084/6283

720/3125

348/2899

16/256

* At least one type of parasite

N=6283 screened