Primary* Refugee Arrivals to MN by Region of World 1979-2005 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 2005 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, 2001-2005 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 2002 2003 Refugee Health Program, Minnesota Department of Health 2004 2005 Kittson 2005 Primary Refugee Arrival To Minnesota (N=5323) 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 - 1000 Goodhue Wabasha 1501 - 2000 Brown Pipestone Murray Cottonwood Rock Nobles Jackson Watonwan Blue Earth Waseca Steele Dodge Olmsted Winona 2001 - 3000 Martin Faribault Freeborn Mower Fillmore Houston Primary Refugee Arrivals, Minnesota, 2005 Liberia 8% FSU 3% Burma 3% Other 4% Ethiopia 6% Hmong Somalia Ethiopia Liberia FSU Burma Other Hmong 32% Somalia 44% N=5323 ““Other” includes Burundi, Cambodia, Cameroon, China (also Tibet), Congo, Cuba, Eritrea, Guinea, Kenya, Rwanda, Sierra Leone, Sudan, Togo, Vietnam, Yemen and Zimbabwe Refugee Health Program, Minnesota Department of Health Primary Refugee Arrivals Screened in Minnesota 1996-2005 8000 7352 7010 6801 7000 Number of Arrivals 6000 5323 5100 4968 5000 3925 3674 4000 4013 3691 3154 3000 2000 2795 2536 2294 2704 2148 1927 1454 1365 1316 1013 1863 1721 1448 2401 2240 2115 1033 964 890 1000 0 1996 1997 1998 Arrivals 1999 2000 2001 Eligible for Screening 2002 2003 Screened *Ineligible if moved out of state/unknown destination, unable to locate or died before screening Refugee Health Program, Minnesota Department of Health 2004 2005 Primary Refugees Lost to Follow-up Minnesota, 2005 5% 1% 3% 4% 20% 22% 4% N=354 Unable To Locate Refused Screening Missed Appointment Contact Failed Refugee Health Program, Minnesota Department of Health 41% Moved Out of State Screened Elsewhere, No Results Moved to Unknown Destination Data Not Returned Primary Refugee Screenings by Region of Origin, Minnesota, 2005 World Region Total arrivals Ineligible for Screening Number Screened (%*) Sub-Saharan Africa 3206 185 2925 (97) E.Asia/SE Asia 1933 36 1872 (99) Eastern Europe 178 - 167 (94) Latin America/ Caribbean 5 2 3 (100) North Africa/ Middle East 1 - 1 (100) Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible Refugee Screening Rates by Exam Type Minnesota, 2005 97% Health Screening Rate Tuberculosis (TB) 98% Hepatitis B 98% Intestinal Parasites 94% Lead (<6 yrs old) 86% STIs Malaria 0% 74% 2% 10% 20% 30% Refugee Health Program, Minnesota Department of Health 40% 50% 60% 70% 80% 90% 100% Health Status of New Refugees, Minnesota, 2005 Health status upon arrival No (%) of refugees screened No (%) with infection among screened TB (latent or active)* 4888 (98%) 1962 (40%) Hep B infection** 4861 (98%) 436 (9%) Parasitic Infection*** 4693 (94%) 721 (15%) Sexually Transmitted 3635 (74%) 63 (2%) Infections(STIs)**** Malaria Infection 113 (2%) Lead***** 488 (86%) 0 (0%) 20 (4%) Total screened: N=4968 (97% of the 5100 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 *****Children <6 year old (N=567) Tuberculosis (Latent or Active) Infection* Rate Among Refugees By Region Of Origin, Minnesota, 2005 N=4888 screened Overall TB Infection Rate 40% 1944/4888 Sub-Saharan Africa 51% Europe SE/East Asia 30% 24% 0% 1470/2875 47/157 443/1852 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, 2005 N=4861 screened Overall Hep B Infection Rate 9% 436/4861 SE/East Asia 9% 174/1856 Sub-Saharan Africa 9% 256/2843 Eastern Europe 0% 4% 6/158 3% Refugee Health Program, Minnesota Department of Health 6% 9% 12% 15% Intestinal Parasitic Infection* Rates Among Refugees by Region of Origin, Minnesota, 2005 N=4693 screened Overall Parasitic Infection Rate Eastern Europe 3% 0% 367/1806 20% SE/East Asia Sub-Saharan Africa 721/4693 15% 12% 349/2748 4/135 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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