Primary* Refugee Arrivals to MN by Region of World

1979-2011

0

1000

2000

3000

4000

5000

6000

7000

80001979

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

2011

Nu

mb

er

of

arr

iva

ls

Southeast Asia Sub-Saharan Africa Eastern Europe

Former Soviet Union Middle East/North Africa Other

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

Primary Refugee Arrival by Month, Minnesota, 2007-2011

0

200

400

600

800Ja

n

Feb Mar

Ap

r

May

Jun

Jul

Au

g

Sep Oct

No

v

Dec

Month

Nu

mb

er

of

Arr

iva

ls

2007 2008 2009 2010 2011

Refugee Health Program, Minnesota Department of Health

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

2011 Primary Refugee Arrival To Minnesota (N=1,891)

Ram- sey

0

1- 10

11 - 30

31 - 50

51 - 100

101 – 500

501 – 1,500

Primary Refugee Arrivals, Minnesota2011

N=1,891

Refugee Health Program, Minnesota Department of Health

“Other” includes Afghanistan, Belarus, Burundi, Cameroon, China, Cuba, DR Congo, the Gambia, Guinea, Haiti, Iran, Kenya, Kyrgyzstan, Mexico, Moldova, Philippines, Russia, Sudan, Tanzania, Uganda, Ukraine, and Zimbabwe

Country of Origin by County of Resettlement, 2011

0

20

40

60

80

100

120

140

Hennepin

Somalia

Ethiopia

Bhutan

Liberia

FSU

Laos/Hmong

Kenya

Other

0100200300400500600700800900

100011001200

Ramsey

Burma

Bhutan

Somalia

Laos/Hmong

Ethiopia

Other

0

20

40

60

80

100

Stearns

Somalia

Iraq

Ethiopia

0

5

10

15

20

25

30

Olmsted

Iraq

Bhutan

Somalia

Burma

Sudan

N=308N=1,274

N=79 N=66

Refugee Health Program, Minnesota Department of Health

Refugee Health Program, Minnesota Department of Health

Primary Refugee Arrivals Screened Minnesota, 2002-2011*

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

Primary Refugees Lost to Follow-up Minnesota, 2011

Refugee Health Program, Minnesota Department of Health

*Ineligible for the refugee health assessment

55%29%

6%5% 5%

Unable to Locate, Incorrect Address* Moved Out of State*

Contact Failed Missed Appointment

Screened Elsewhere, No Results

N=62

Primary Refugee Screenings by Region of Origin, Minnesota, 2011

World Region Total arrivalsIneligible for

ScreeningNumber

Screened (%*)

SE Asia/E Asia 1,250 14 1,235 (99)

Sub-Saharan Africa 533 36 493 (99)

North Africa/

Middle East48 0 48 (100)

Eastern Europe 41 0 41 (100)

Latin America/

Caribbean19 2 12 (71)

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

Refugee Screening Rates by Exam Type Minnesota, 2011

0% 20% 40% 60% 80% 100%

Malaria

STIs*

Lead (<17 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health ScreeningRate

7%

96%

97%

99%

99%

98%

99%

Refugee Health Program, Minnesota Department of Health

1,799/1,829

1,813/1,829

1,806/1,829

745/769

1,765/1,829

132/1,829

1,829/1,839

*Screened for at least one type of STI

Health Status of New Refugees, Minnesota, 2011

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

TB infection** 1,799 (98%) 391 (22%)

Hepatitis B infection*** 1,813 (99%) 137 (8%)

Parasitic Infection**** 1,806 (99%) 383 (21%)

Sexually Transmitted 1,765 (96%) 16 (1%)

Infections (STIs)*****

Malaria Infection 132 (7%) 3 (2%)

Lead****** 745 (97%) 17 (2%)

Hemoglobin 1,804 (99%) 350 (19%)

Refugee Health Program, Minnesota Department of Health

Total screened: N=1,829 (99.5% of 1,839 eligible refugees) * For refugees arriving into the US from 1/1/2011 through 12/31/2011 ** Persons with LTBI (>= 10mm induration or IGRA+, normal CXR) or suspect/active TB disease*** Positive for Hepatitis B surface antigen (HBsAg)

**** Positive for at least one intestinal parasite infection

***** Positive for at least one STI (tested for syphilis, HIV, chlamydia or gonorrhea)

****** Children <17 years old (N=769 screened)

15%

10%

17%

17%

36%

22%

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

Europe

North Africa/Middle East

Latin America/Caribbean

SE/East Asia

Sub-Saharan Africa

Overall TB Infection

6/39

206/1,220

N=1,799 screened

*Diagnosis of Latent TB infection (N=383) or Suspect/Active TB disease (N=8)

Refugee Health Program, Minnesota Department of Health

Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2011

172/480

391/1,799

5/48

2/12

Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2011

0%

0%

0%

8%

7%

8%

0% 5% 10% 15% 20%

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=1,813 screened

137/1,813

34/484

103/1,230

0/39

0/48

0/12

Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2011

14%

16%

8%

25%

14%

21%

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

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

383/1,807

68/482

302/1,231

5/36

*At least one type of pathogenic intestinal parasite

N=1,806 screened

1/12

7/45