Primary* Refugee Arrivals to MN by Region of World 1979-2004 8000 Number of arrivals 7000 6000 5000 4000 3000 2000 1000 Southeast Asia Sub-Saharan Africa Refugee Health Program, Minnesota Department of Healthof Refugee Health Program, Minnesota Department Health Eastern Europe FSU 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 0 Other *First resettled in Minnesota Primary Refugee Arrival, Minnesota, 2001-2004 2000 1800 Number of Arrivals 1600 1400 1200 1000 800 600 400 200 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month 2001 2002 Refugee Health Program, Minnesota Department of Health 2003 2004 Primary Refugee Arrivals, Minnesota, 2004 Liberia 6% FSU 4% Ethiopia 9% Burma 3% Other 3% Hmong Somalia Ethiopia Liberia FSU Burma Other Somalia 32% Hmong 43% N=7345 “Other” includes Cameroon, China (also Tibet), Congo, Cuba, Eritrea, Guatemala, Guinea, Iran, Iraq, Kenya, Nigeria, Rwanda, Sierra Leone, Sudan, Togo, Vietnam and Yemen Refugee Health Program, Minnesota Department of Health Kittson 2004 Primary Refugee Arrival To Minnesota (N=7345) Lake of the Woods Roseau Koochiching Marshall St. Louis Beltrami Pennington Polk Cook Clear Water Red Lake Lake Itasca Mahnomen Norman Hubbard Cass Becker Clay Aitkin Crow Wing Wadena Carlton Ottertail Wilkin Number of Refugees Arrival By Initial County Of Resettlement Pine Todd Mille Lacs Grant Douglas Stevens Pope Kanabec 0 Morrison 2-25 1- 25 Benton Traverse Stearns Isanti Big Stone Sherburne Swift 26 - 50 Chisago Anoka Kandiyohi Meeker 71 Wright Chippewa Hennepin Hennepin Lac Qui Parle McLeod Renville WashingRam- ton sey 51 - 100 101 - 500 Carver Scott Yellow Medicine Dakota Sibley Lincoln Lyon Redwood Le Sueur Nicollet Rice 501 - 2000 Goodhue Wabasha 2001 - 3000 Brown Pipestone Murray Cottonwood Rock Nobles Jackson Watonwan Blue Earth Waseca Steele Dodge Olmsted Winona 3001 - 4000 Martin Faribault Freeborn Mower Fillmore Houston Primary Refugee Arrivals Screened in Minnesota 1995-2004 8000 7345 7005 6771 7000 Number of Arrivals 6000 5000 4013 3925 3691 3674 3154 4000 3000 2000 2704 2456 2148 2148 1927 1620 1316 1454 1365 2795 2536 2294 1863 1721 1448 2401 2240 2115 1033 964 890 1013 1000 0 1995 1996 1997 Arrivals 1998 1999 2000 Eligible for Screening 2001 2002 Screened *Ineligible if moved out of state/unknown destination, unable to locate or died before screening Refugee Health Program, Minnesota Department of Health 2003 2004 Primary Refugees Lost to Follow-up Minnesota, 2004 3% 3% 12% 3% 7% 36% 9% N=574 27% Unable To Locate Refused Screening Missed Appt Contact Failed Refugee Health Program, Minnesota Department of Health Moved Out Of State Screened elsewhere, no results Moved to Unknown Destination Data not returned 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/ Caribbean 4 4 - North Africa/ Middle East 8 3 5 (100) Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible Refugee Screening Rates by Exam Type Minnesota, 2004 97% Health Screening Rate TB Infection 98% Hepatitis B 96% Intestinal Parasites 93% Lead (<6 yrs old) STIs 82% 64% Malaria 6% 0% 10% 20% 30% Refugee Health Program, Minnesota Department of Health 40% 50% 60% 70% 80% 90% 100% Health Status of New Refugees, Minnesota, 2004 Health status upon arrival No (%) of refugees screened No(%) with infection 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%) Malaria Infection 388 (6%) 4 (1%) Lead 807 (82%) 17 (2%) Infections(STIs)**** 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 Refugee Health Program, Minnesota Department of Health Tuberculosis (Latent or Active) Infection* Rate Among Refugees By Region Of Origin, Minnesota, 2004 N=6656 screened Overall TB Infection Rate 34% 2252/6656 Sub-Saharan Africa 55% Europe 36% 1684/3071 96/265 SE/East Asia 14% 471/3316 0% 10% *Tuberculin Skin Test (TST) >=10mm induration Refugee Health Program, Minnesota Department of Health 20% 30% 40% 50% 60% Hepatitis B infection Rate Among Refugees by Region of Origin, Minnesota, 2004 N=6518 screened Overall Hep B Infection Rate 9% 11% SE/East Asia Sub-Saharan Africa 607/6518 8% 348/3212 253/3044 Eastern Europe 2% 6/257 0% 3% Refugee Health Program, Minnesota Department of Health 6% 9% 12% 15% Intestinal Parasitic Infection* Rates Among Refugees by Region of Origin, Minnesota, 2004 N=6283 screened Overall Parasitic Infection Rate 720/3125 24% SE/East Asia 12% Sub-Saharan Africa Eastern Europe 1084/6283 17% 6% 0% 348/2899 16/256 5% 10% 15% * At least one type of parasite Refugee Health Minnesota Department of nonpathogenic) Health * At least one Program, stool parasite found (including 20% 25% 30%
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