Primary* Refugee Arrivals to MN by Region of World
1979-2014
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
2013
2011
2009
2007
2005
2003
2001
1999
1997
1995
1993
1991
1989
1987
1985
1983
1981
0
1979
1000
Eastern Europe
Other
*First resettled in Minnesota
Primary Refugee Arrival by Month, Minnesota, 2010-2014
Number of Arrivals
600
400
200
Month
2010
2011
Refugee Health Program, Minnesota Department of Health
2012
2013
2014
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
0
Kittson
2014 Primary Refugee Arrivals
To Minnesota (N=2,505)
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
2014
Bhutan
3%
Ethiopia
3%
Iraq
9%
Burma
33%
Other
7%
Somalia
45%
N=2,505
“Other” includes Afghanistan, Belarus, Cambodia, Cameroon, DR Congo, Cuba, Ecuador, El Salvador, Eritrea, the
Gambia, Honduras, Iran, Kenya, Liberia, Moldova, Nepal, Russia, Rwanda, Sierra Leone, Sri Lanka, Sudan,
Tanzania, Ukraine, and West Bank
Refugee Health Program, Minnesota Department of Health
Country of Origin by County of Resettlement, 2014
900
400
800
700
Burma
Somalia
Bhutan
Iraq
Ethiopia
Other
600
500
400
300
200
300
Somalia
Iraq
Bhutan
Ethiopia
Other
200
100
100
0
0
Ramsey
Hennepin
N=1,277
300
100
250
80
200
Somalia
Iraq
Kenya
150
100
N=455
60
Iraq
40
Somalia
Afghanistan
Other
20
50
0
Stearns
N=275
Refugee Health Program, Minnesota Department of Health
0
Anoka
N=155
Primary Refugee Arrivals Screened
Minnesota, 2004-2014*
8000
7351
7009
6801
7000
5326
5355
5108
4893
4990
4710
Number of Arrivals
6000
5000
4000
97%
2867
98%
98%
3000
2505
2264
2321
2259
2459
2205
2242
2320
2200
2421
2220 1839
2177
2172
1829
2740
2697
2000
98%
1205
1265
1167
1200
1169
1152
1000
98%
99%
99%
98%
2012
2013
99%
99%
97%
2008
2009
0
2004
2005
2006
2007
Arrivals
Eligible for Screening
2010
2011
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
2014*
Primary Refugees Lost to Follow-up
Minnesota, 2014
Contact Failed,
5%
Refused
Screening, 4%
Screened
Elsewhere, No
Results, 37%
Moved Out of
State*, 23%
Unable to
Locate,
Incorrect
Address*, 32%
N=84
*Ineligible for the refugee health assessment
Refugee Health Program, Minnesota Department of Health
*Counted as ineligible for screening
Primary Refugee Screenings by
Region of Origin, Minnesota, 2014
World Region
Total arrivals
Ineligible for
Screening
Number
Screened (%*)
Sub-Saharan Africa
1,272
36
1,228 (99%)
SE Asia/E Asia
947
2
944 (>99%)
North Africa/
Middle East
229
6
194 (87%)
Eastern Europe
45
0
45 (100%)
Latin America/
Caribbean
12
2
10 (100%)
Refugee Health Program, Minnesota Department of Health
*Percent screened among the eligible
Refugee Screening Rates by Exam Type
Minnesota, 2014
98%
Health Screening
Rate
Tuberculosis (TB)
Hepatitis B
Intestinal Parasites
2,377/2,421
98%
2,369/2,421
2,215/2,421
1,004/1,036
97%
STIs*
Malaria
98%
91%
Lead (<17 yrs old)
2,421/2,459
2,082/2,109
2,364/2,421
98%
9%
206/2,421
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, 2014*
Health status upon arrival
No of refugees
screened
No(%) with infection
among screened
TB (latent or active)**
2,377 (98%)
522 (22%)
Hepatitis B infection***
2,369 (98%)
124 (5%)
Parasitic Infection****
2,215 (91%)
331 (15%)
Sexually Transmitted
2,364 (98%)
19 (1%)
206 (9%)
0 (0%)
Lead******
1,004 (97%)
71 (7%)
Hemoglobin
2,365 (98%)
503 (21%)
Infections (STIs)*****
Malaria Infection
Total screened: N=2,421 (98% of 2,459 eligible refugees)
* For refugees arriving into the US from 1/1/2014 through 12/31/2014
** 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=1,036 screened); Lead Level ≥5 ug/dL
Tuberculosis (Latent or Active) Infection* Among
Refugees By Region Of Origin, Minnesota, 2014
N=2,377 screened
22%
Overall TB Infection
Sub-Saharan Africa
SE/East Asia
30%
358/1,206
14%
0%
Latin America/Caribbean
522/2,377
126/933
0/10
16%
North Africa/Middle East
18%
Europe
0%
31/189
10%
7/39
20%
*Diagnosis of Latent TB infection (N=521) or Suspect/Active TB disease (N=4)
Refugee Health Program, Minnesota Department of Health
30%
40%
50%
Hepatitis B infection Among Refugees
by Region of Origin, Minnesota, 2014
N=2,369 screened
Overall Hepatitis B
Infection Rate
Sub-Saharan Africa
124/2,369
5%
50/1,205
4%
SE/East Asia
Latin
America/Caribbean
0%
0/10
North Africa/Middle East
0%
0/190
Europe
0%
0/37
0%
74/927
8%
5%
Refugee Health Program, Minnesota Department of Health
10%
15%
20%
Intestinal Parasitic Infection* Among Refugees
by Region of Origin, Minnesota, 2014
N=2,215 screened
Overall Parasitic
Infection Rate
15%
Sub-Saharan Africa
16%
SE/East Asia
15%
Latin America/Caribbean
0%
Europe
0%
3%
170/1,063
141/928
0/9
11%
North Africa/Middle East
331/2,215
19/177
1/38
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
2014
2013
2012
2011
2010
2009
2008
2007
2006
Overseas
Domestic
2005
100
90
80
70
60
50
40
30
20
10
0
2004
% with Evidence of
Immunizations
Health Status of New Refugees, Minnesota
Immunization Status, 2004 – 2014