primary* refugee arrivals to mn by region of world 1979-2012 refugee health program, minnesota...
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Primary* Refugee Arrivals to MN by Region of World
1979-2012
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
2012
Nu
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of
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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, 2008-2012
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
2008 2009 2010 2011 2012
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 Refugee Arrivals By Initial County Of Resettlement
2012 Primary Refugee Arrivals To Minnesota (N=2,264)
Ram- sey
0
1- 10
11 - 30
31 - 50
51 - 100
101 – 500
501-1,500
Somalia35%
Burma 34%
Bhutan 9%
Iraq 7%
Ethiopia7%
Other8%
Primary Refugee Arrivals, Minnesota2012
N=2,264
Refugee Health Program, Minnesota Department of Health
“Other” includes Belarus, Cameroon, China, DR Congo, Cuba, Eritrea, Guatemala, Indonesia, Iran, Ivory Coast, Kenya, Laos/Hmong, Liberia, Mexico, Moldova, Nepal, Russia, Sudan, Tanzania, and Ukraine
0
10
20
30
40
Olmsted
Somalia
Iraq
Bhutan
Burma
Sudan
0
20
40
60
80
100
120
Stearns
Somalia
Iraq
0
100
200
300
400
Hennepin
Somalia
Ethiopia
Bhutan
Iraq
Other
0
100
200
300
400
500
600
700
800
900
Ramsey
Burma
Somalia
Bhutan
Ethiopia
Iraq
Other
Country of Origin by County of Resettlement, 2012
N=559N=1,196
N=118 N=95
Refugee Health Program, Minnesota Department of Health
Refugee Health Program, Minnesota Department of Health
Primary Refugee Arrivals Screened Minnesota, 2002-2012*
0
1000
2000
3000
4000
5000
6000
7000
8000
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
1032
2403
7351
5326 5355
2867
1205 2867
2320 1891 2264
963
2242
7009
51084893
2740
1167 1200
22411839 2200
890
2118
6801
49904710
2697
1152 1169
22201829
2170
Nu
mb
er o
f A
rriv
als
Arrivals Eligible for Screening Screened
92%
94%
97%
98% 98%
98%
99%97%
99% 99%99%
*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, 2012
Refugee Health Program, Minnesota Department of Health
*Ineligible for the refugee health assessment
41%
26%
21%
5%
2% 2%2%
Moved Out of State* Contact Failed
Unable to Locate, Incorrect Address* Never Arrived*
Missed Appointment Screened Elsewhere, No Results
Refused Screening
N=94
Primary Refugee Screenings by Region of Origin, Minnesota, 2012
World Region Total arrivalsIneligible for
ScreeningNumber
Screened (%*)
SE Asia/E Asia 996 12 983 (>99%)
Sub-Saharan Africa 1,041 50 965 (97%)
North Africa/
Middle East175 0 174 (99%)
Eastern Europe 44 0 44 (100%)
Latin America/
Caribbean8 2 4 (67%)
Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible
0% 20% 40% 60% 80% 100%
Malaria
STIs*
Lead (<17 yrs old)
Intestinal Parasites
Hepatitis B
Tuberculosis (TB)
Health ScreeningRate
5%
96%
96%
99%
98%
99%
Refugee Screening Rates by Exam Type Minnesota, 2012
Refugee Health Program, Minnesota Department of Health
2,125/2,170
2,145/2,170
2,088/2,170
784/837
119/2,170
2,170/2,200
*Screened for at least one type of STI
2,077/2,170
94%
Health Status of New Refugees, Minnesota, 2012
Health status upon arrival No of refugees No(%) with infection screened among screened
TB infection** 2,125 (98%) 474 (22%)
Hepatitis B infection*** 2,145 (99%) 121 (6%)
Parasitic Infection**** 2,088 (96%) 290 (14%)
Sexually Transmitted 2,077 (96%) 26 (1%)
Infections (STIs)*****
Malaria Infection 119 (5%) 2 (2%)
Lead****** 793 (95%) 11 (1%)
Hemoglobin 2,134 (98%) 443 (21%)
Refugee Health Program, Minnesota Department of Health
Total screened: N=2,170 (99% of 2,200 eligible refugees) * For refugees arriving into the US from 1/1/2012 through 12/31/2012 ** 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=837 screened)
7%
13%
0%
17%
30%
22%
0% 10% 20% 30% 40% 50%
Europe
North Africa/Middle East
Latin America/Caribbean
SE/East Asia
Sub-Saharan Africa
Overall TB Infection
3/44
166/963
N=2,125 screened
*Diagnosis of Latent TB infection (N=467) or Suspect/Active TB disease (N=7)
Refugee Health Program, Minnesota Department of Health
Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2012
283/944
474/2,125
22/170
0/4
Hepatitis B infection Among Refugees by Region of Origin, Minnesota, 2012
0%
1%
0%
7%
5%
6%
0% 5% 10% 15% 20%
Europe
North Africa/Middle East
LatinAmerica/Caribbean
SE/East Asia
Sub-Saharan Africa
Overall Hepatitis BInfection Rate
Refugee Health Program, Minnesota Department of Health
N=2,145 screened
121/2,145
50/949
70/978
0/44
1/170
0/4
Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2012
2%
12%
0%
16%
12%
14%
0% 5% 10% 15% 20% 25% 30%
Europe
North Africa/Middle East
Latin America/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
290/2,088
113/938
160/971
1/44
*At least one type of pathogenic intestinal parasite
N=2,088 screened
0/4
16/131
Health Status of New Refugees, MinnesotaImmunization Status, 2002 - 2012
0
10203040
50607080
90100
% w
ith
Evi
den
ce o
f Im
mu
niz
atio
ns
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Overseas
Domestic
Refugee Health Program, Minnesota Department of HealthRefugee Health Program, Minnesota Department of Health