Primary* Refugee Arrivals to MN by Region of World
1979-2012
8000
Number of arrivals
7000
6000
5000
4000
3000
2000
Southeast Asia
Former Soviet Union
Sub-Saharan Africa
Middle East/North Africa
Refugee Health Program, Minnesota Department of Health
Eastern Europe
Other
*First resettled in Minnesota
2012
2011
2010
2009
2008
2007
2006
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
0
1979
1000
Primary Refugee Arrival by Month, Minnesota, 2008-2012
Number of Arrivals
800
600
400
200
Month
2008
2009
Refugee Health Program, Minnesota Department of Health
2010
2011
2012
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
0
Kittson
2012 Primary Refugee Arrivals
To Minnesota (N=2,264)
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
Wadena
Crow Wing
Number of Refugee Arrivals By
Initial County Of Resettlement
Carlton
Ottertail
Wilkin
Pine
Todd
Mille
Lacs
Grant
Douglas
Stevens
Pope
Kanabec
0
Morrison
Benton
Traverse
Stearns
1- 10
Isanti
Big Stone
Sherburne
Swift
11 - 30
Chisago
Kandiyohi
Anoka
Meeker
71
Wright
Chippewa
Hennepin
Hennepin
Lac Qui Parle
McLeod
Renville
31 - 100
WashingRam- ton
sey
101 - 250
Carver
Scott
Yellow Medicine
251 – 500
Dakota
Sibley
Lincoln
Lyon
Redwood
Le
Sueur
Nicollet
Rice
>500
Goodhue
Wabasha
Brown
Pipestone
Murray
Watonwan
Blue Earth
Waseca
Steele
Dodge
Olmsted
Winona
Cottonwood
Rock
Nobles
Jackson
Martin
Faribault
Freeborn
Mower
Fillmore
Houston
Primary Refugee Arrivals, Minnesota
2012
Ethiopia
6%
Other
8%
Iraq
7%
Somalia
36%
Bhutan
9%
N=2,264
Burma
34%
“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
Refugee Health Program, Minnesota Department of Health
Country of Origin by County of Resettlement, 2012
400
900
800
300
700
Burma
600
Somalia
Ethiopia
Bhutan
Iraq
Other
Somalia
500
Bhutan
400
200
Ethiopia
300
Iraq
200
Other
100
100
0
0
Ramsey
Hennepin
N=1,196
N=559
40
120
100
30
Somalia
Iraq
Bhutan
Burma
Sudan
80
Somalia
Iraq
60
20
40
10
20
0
Stearns
N=118
Refugee Health Program, Minnesota Department of Health
0
Olmsted
N=90
Primary Refugee Arrivals Screened
Minnesota, 2002-2012*
7351
8000
7009
6801
7000
5326
Number of Arrivals
6000
97%
5108
4990
5355
4893
4710
5000
4000
98%
2867
2740
2403
2242
2118
3000
2000
98%
1032
963
890
98%
94%
2264
2321
1891
2242
2205
2177
2220 1839
1829
2697
1265
1205
1200
1167
1169
1152
1000
99%
92%
99%
99%
99%
2010
2011
97%
0
2002
2003
2004
2005
Arrivals
2006
2007
Eligible for Screening
2008
2009
Screened
*Ineligible if moved out of state or to an unknown destination, unable to locate or died before screening
Refugee Health Program, Minnesota Department of Health
2012
Primary Refugees Lost to Follow-up
Minnesota, 2012
Screened
Elsewhere, No
Results, 8%
Missed
Appointment,
2%
Refused
Screening, 2%
Moved Out of
State*, 45%
Contact Failed,
20%
Unable to
Locate,
Incorrect
Address*, 23%
*Ineligible for the refugee health assessment
Refugee Health Program, Minnesota Department of Health
N=87
Primary Refugee Screenings by
Region of Origin, Minnesota, 2012
World Region
Total arrivals
Ineligible for
Screening
Number
Screened (%*)
SE Asia/E Asia
995
11
983 (>99%)
Sub-Saharan Africa
1,036
45
972 (98%)
North Africa/
Middle East
180
0
174 (99%)
Eastern Europe
44
0
44 (100%)
Latin America/
Caribbean
8
2
4 (67%)
Refugee Health Program, Minnesota Department of Health
*Percent screened among the eligible
Refugee Screening Rates by Exam Type
Minnesota, 2012
99%
Health Screening
Rate
Tuberculosis (TB)
98%
Hepatitis B
99%
Intestinal Parasites
Lead (<17 yrs old)
STIs*
Malaria
2,177/2,205
2,141/2,177
2,152/2,177
96%
2,093/2,177
97%
819/819
2,081/2,177
96%
6%
125/2,177
0%
20%
*Screened for at least one type of STI
Refugee Health Program, Minnesota Department of Health
40%
60%
80%
100%
Health Status of New Refugees, Minnesota, 2012
Health status upon arrival
infection
No of refugees
screened
No(%) with
among screened
TB (latent or active)**
2,141 (98%)
478 (22%)
Hepatitis B infection***
2,152 (99%)
121 (6%)
Parasitic Infection****
2,093 (96%)
289 (14%)
Sexually Transmitted
Infections (STIs)*****
2,081 (96%)
25 (1%)
Malaria Infection
125 (6%)
2 (2%)
Lead******
819 (95%)
12 (1%)
Hemoglobin
2,141 (98%)
444 (21%)
Total screened: N=2,177 (99% of 2,205 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)
Refugee Health Program, Minnesota Department of Health
****** Children <17 years old (N=837 screened)
Tuberculosis (Latent or Active) Infection* Among
Refugees By Region Of Origin, Minnesota, 2012
N=2,141 screened
22%
Overall TB Infection
Sub-Saharan Africa
30%
284/953
18%
SE/East Asia
0%
Latin America/Caribbean
478/2,141
170/970
0/4
12%
North Africa/Middle East
Europe
0%
7%
21/170
3/44
10%
20%
*Diagnosis of Latent TB infection (N=467) or Suspect/Active TB disease (N=7)
Refugee Health Program, Minnesota Department of Health
30%
40%
50%
Hepatitis B infection Among Refugees
by Region of Origin, Minnesota, 2012
N=2,152 screened
Overall Hepatitis B
Infection Rate
Sub-Saharan Africa
5%
SE/East Asia
7%
Latin
America/Caribbean
0%
North Africa/Middle East 1%
Europe
0%
121/2,152
6%
0%
50/956
70/978
0/4
1/170
0/44
5%
Refugee Health Program, Minnesota Department of Health
10%
15%
20%
Intestinal Parasitic Infection* Among Refugees
by Region of Origin, Minnesota, 2012
N=2,093 screened
Overall Parasitic
Infection Rate
14%
Sub-Saharan Africa
12%
SE/East Asia
16%
Latin America/Caribbean
0%
North Africa/Middle East
Europe 2%
0%
289/2,093
111/943
161/971
0/4
12%
16/131
1/44
5%
10%
*At least one type of pathogenic intestinal parasite
* At least
oneProgram,
stool parasite
found
(including
nonpathogenic)
Refugee
Health
Minnesota
Department
of Health
15%
20%
25%
30%
Year
Refugee Health Program, Minnesota Department of Health
Refugee Health Program, Minnesota Department of Health
2012
2011
2010
2009
2008
2007
2006
2005
2004
Overseas
Domestic
2003
100
90
80
70
60
50
40
30
20
10
0
2002
% with Evidence of
Immunizations
Health Status of New Refugees, Minnesota
Immunization Status, 2002 - 2012