Primary* Refugee Arrivals to MN by Region of World
1979-2013
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
2013
2011
2009
2007
2005
2003
2001
1999
1997
1995
1993
1991
1989
1987
1985
1983
1981
0
1979
1000
Primary Refugee Arrival by Month, Minnesota, 2009-2013
Number of Arrivals
800
600
400
200
Month
2009
2010
Refugee Health Program, Minnesota Department of Health
2011
2012
2013
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
0
Kittson
2013 Primary Refugee Arrivals
To Minnesota (N=2,160)
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
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
2013
Bhutan
7%
Ethiopia
3%
Iraq
8%
Other
4%
Somalia
39%
N=2,160
Burma
39%
“Other” includes Afghanistan, Belarus, Cambodia, Cameroon, China, DR Congo, Cuba, Eritrea, Iran, Kenya,
Liberia, Mexico, Moldova, Sudan, Togo, Ukraine, Vietnam, and West Bank
Refugee Health Program, Minnesota Department of Health
Country of Origin by County of Resettlement, 2013
400
900
800
300
700
600
Burma
500
Somalia
400
Bhutan
DR Congo
300
Other
200
Somalia
Bhutan
Iraq
Ethiopia
Other
200
100
100
0
0
Ramsey
Hennepin
N=1,113
N=441
60
200
50
150
40
Somalia
100
Somalia
Iraq
30
Ethiopia
Other
Other
20
50
10
0
Stearns
N=181
Refugee Health Program, Minnesota Department of Health
0
Olmsted
N=141
Primary Refugee Arrivals Screened
Minnesota, 2003-2013*
8000
7351
7009
6801
7000
5326
5108 5355
4893
4990
4710
Number of Arrivals
6000
5000
4000
97%
3000
2403
2242
2118
98%
98%
2867
2740
2697
2000
1000
98%
94%
2321
2264
2242 1891
2205 2160
2220 1839
2177 2128 2087
1829
1205 1265
1200
1167
1169
1152
99%
99%
99%
99%
98%
97%
0
2003
2004
2005
2006
Arrivals
2007
2008
Eligible for Screening
2009
2010
2011
2012
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
2013
Primary Refugees Lost to Follow-up
Minnesota, 2013
Missed
Appointment,
10%
Refused
Screening, 10%
Screened
Elsewhere, No
Results, 32%
Contact Failed,
11%
N=73
Unable to
Locate,
Incorrect
Address*, 21%
*Ineligible for the refugee health assessment
Refugee Health Program, Minnesota Department of Health
Moved Out of
State*, 23%
Primary Refugee Screenings by
Region of Origin, Minnesota, 2013
World Region
Total arrivals
Ineligible for
Screening
Number
Screened (%*)
SE Asia/E Asia
1,012
3
1,003 (99%)
Sub-Saharan Africa
953
23
916 (98%)
North Africa/
Middle East
181
6
156 (89%)
Eastern Europe
8
0
8 (100%)
Latin America/
Caribbean
6
0
4 (67%)
Refugee Health Program, Minnesota Department of Health
*Percent screened among the eligible
Refugee Screening Rates by Exam Type
Minnesota, 2013
98%
Health Screening
Rate
Tuberculosis (TB)
2,087/2,128
2,039/2,087
98%
Hepatitis B
Intestinal Parasites
Lead (<17 yrs old)
98%
2,051/2,087
96%
2,006/2,087
807/849
95%
STIs*
2,047/2,087
98%
Malaria
9%
185/2,087
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, 2013
Health status upon arrival
infection
No of refugees
screened
No(%) with
among screened
TB (latent or active)**
2,039 (98%)
455 (22%)
Hepatitis B infection***
2,051 (98%)
122 (6%)
Parasitic Infection****
2,006 (96%)
276 (14%)
Sexually Transmitted
2,047 (99%)
29 (1%)
185 (9%)
1 (1%)
Lead******
807 (96%)
88 (11%)
Hemoglobin
2,055 (98%)
395 (19%)
Infections (STIs)*****
Malaria Infection
Total screened: N=2,087 (98% of 2,128 eligible refugees)
* For refugees arriving into the US from 1/1/2013 through 12/31/2013
** 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=849 screened); Lead Level ≥5 ug/dL
Tuberculosis (Latent or Active) Infection* Among
Refugees By Region Of Origin, Minnesota, 2013
N=2,039 screened
22%
Overall TB Infection
30%
Sub-Saharan Africa
265/891
18%
SE/East Asia
0%
Latin America/Caribbean
173/987
0/3
9%
North Africa/Middle East
455/2,039
14/150
25%
Europe
0%
10%
20%
*Diagnosis of Latent TB infection (N=446) or Suspect/Active TB disease (N=9)
Refugee Health Program, Minnesota Department of Health
2/8
30%
40%
50%
Hepatitis B infection Among Refugees
by Region of Origin, Minnesota, 2013
N=2,051 screened
Overall Hepatitis B
Infection Rate
Sub-Saharan Africa
0%
77/990
8%
0%
North Africa/Middle East 1%
Europe
43/898
5%
SE/East Asia
Latin
America/Caribbean
122/2,051
6%
0%
0/3
2/152
0/8
5%
Refugee Health Program, Minnesota Department of Health
10%
15%
20%
Intestinal Parasitic Infection* Among Refugees
by Region of Origin, Minnesota, 2013
N=2,006 screened
Overall Parasitic
Infection Rate
14%
Sub-Saharan Africa
15%
SE/East Asia
14%
Latin America/Caribbean
0%
Europe
0%
0%
130/896
132/957
0/3
10%
North Africa/Middle East
276/2,006
14/142
0/8
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
2013
2012
2011
2010
2009
2008
2007
2006
2005
Overseas
Domestic
2004
100
90
80
70
60
50
40
30
20
10
0
2003
% with Evidence of
Immunizations
Health Status of New Refugees, Minnesota
Immunization Status, 2003 - 2013