0

1000

2000

3000

4000

5000

6000

70001979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

Nu

mb

er

of

arr

iva

ls

Southeast Asia Sub-Saharan Africa Eastern Europe FSU Other

Refugee Arrivals to MN by Region of World - 1979-2001*Refugee Arrivals to MN by Region of World - 1979-2001*

P r im a r y R e f u g e e A r r iv a l s , 1 9 9 9P r im a r y R e f u g e e A r r iv a l s , 1 9 9 9 -- 2 0 0 1 ( Y T D )2 0 0 1 ( Y T D )

0

1 0 0

2 0 0

3 0 0

4 0 0

5 0 0

6 0 0

7 0 0

8 0 0

2 0 0 12 0 0 01 9 9 9

M o n th

Pri

ma

ry R

efu

gee

Arr

iva

ls

10/15/2002Refugee Health Program, Minnesota Department of Health

Ethnicity pie chart

Ethiopia7%

Bosnia7%

Liberia12%

Vietnam2%

Former SovietUnion10%

Sudan2%

Other*6%

Somalia54%

Primary Refugee Arrivals by Country Primary Refugee Arrivals by Country of Origin Minnesota, 2001of Origin Minnesota, 2001

*”Other” includes: Benin, Burma, Cambodia, Cameroon, Croatia, Cuba, the Gambia, Ghana, Hmong, Iraq, Kenya, Kosovo, Laos, Nigeria, Serbia, Sierra Leone, Togo, Vietnam, Yemen, Yugoslavia, Zaire**U.S. arrival date from 1/1/01 to 12/31/01

N = 2791 total arrivals

08/20/02

Lake

Cook

Le Sueur

RiceGoodhue

NoblesRock Jackson Martin Faribault Freeborn Mower Fillmore Houston

WinonaOlmstedDodgeSteeleWasecaBlue EarthWatonwanCottonwoodMurrayPipestone

Nicollet

Wabasha

DakotaScott

Wash-ing-ton

Chisago

Isanti

Brown

Sibley

Carver

Hennepin

WrightMeeker

Kandiyohi

Renville

Redwood

Sherburne

LyonLincoln

Yellow Medicine

Lac Qui Parle

Swift

Big Stone

PopeStevensTraverse

Chippewa

StearnsBenton

Carlton

Pine

Kanabec

MilleLacs

Aitkin

Crow Wing

Morrison

CassHubbard

Wadena

Todd

DouglasGrant

OttertailWilkin

BeckerClay

ClearWater

MahnomenNorman

Red Lake

PenningtonPolk

Beltrami

Marshall

Itasca

Koochiching

Lakeof theWoods

RoseauKittson

St. Louis

McLeod

71Ram- sey

Anoka

Hennepin

Number of Refugees Arrival By Initial County Of Resettlement(2001)

0

2-252-25

26-50

51-100

101-500

501-2000

2001-3000

2001 Primary Refugee Arrival To 2001 Primary Refugee Arrival To Minnesota(N=2791)Minnesota(N=2791)

Primary Refugees Lost to Follow-up Minnesota,2001 (N=351)

32%

5%36%

2%9%

5% 3% 8%

Moved Out Of State Moved to Unknown Destination

Unable To Locate Never Arrived

Refused Screening Missed Appt

Contact Failed Screened Elsewhere no result

2456

2148

1620

2148

1927

1316

14541365

1013

1863

1721

1448

3924

3670

2680

4012

3684

3109

2791

2526

2268

0

500

1000

1500

2000

2500

3000

3500

4000

4500

1995 1996 1997 1998 1999 2000 2001

Arrivals Eligible For Screened Screened

Primary Refugee Arrival & Screened Refugee in Minnesota(1995-2001)

Refugee Health Assessment Provider Types-Minnesota 2001(N=2268*)

Missing1%

Private clinic17%

Hennepin Co.HAP57%

Olmsted Co.PH7%

Red Door Clinic8%

Public82%

St.Paul-Ramsey Co.PH10%

*Total number of refugees screened ,2526 were eligible for screening

Primary Refugees Screened By Region of Origin –Minnesota,2001

Region of world Total arrivals

Ineligible for Screening

No(%) *

Screened

Africa 2156 228 1760(91%)

E.Asia/Pacific 78 07 61(86%)

Europe 527 19 432(85%)

Near East 19 06 13(100%)

W.Hemisphere 11 05 02(33%)

Refugee Screening Rates By Test Minnesota,2001

88.30%

85.10%

81%

55%

3%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

TB Infection

HepB

Intestinal Parasites

STIs

Malaria

(2231/2526)

(2152/2526)

(2057/2526)

(1381/2526)

(68/2526)

N=2526/2791 eligible for screening N=2526/2791 eligible for screening (89% Screening rate) (89% Screening rate)

Health Status of New Refugees Minnesota, 2001(N=2526)

Health issue upon arrival No (%) of refugees screened No(%) with infection among screened

TB infection** 2231(88.3%) 1065(47.7%)

Hep B infection*** 2152(85.1%) 150(7%)

Parasitic Infection**** 2057(81%) 398(19.3%)

Sexually Transmitted 1381(55%) 32(2.3%)Infections(STIs)*****

Malaria Infection 68(3%) 1(1.5%)

*Among total refugees eligible for screening (N=2526)**Persons with >= 10mm induration from tuberculin skin test***Positive for HBsAg (hepatitis B surface antigen)****Testing positive for at least one intestinal parasite infection

Intestinal Parasitic Infection* Rates Among by Region of Origin –Minnesota,2001

21%

5%

12%

29%

50%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Africa

E.Asia/Pacific

Europe

Near East

W.Hemisphere

Overall intestinal Overall intestinal parasite infection rate parasite infection rate 19.3%19.3%

(1/2)

(45/362)

(2/7)

(3/57)

(347/1629)

* At least one stool parasite found (including nonpathogenic)

0%

61.50%

39.20%

50.20%

39%

0% 10% 20% 30% 40% 50% 60% 70%

Western Hemisphere

Near East

East Asia

Africa

Europe

Tuberculosis Infection* Rate Among Refugees Screened By Region Of Origin ,2001

871/1734

20/60

8/13

0/2

N=2230 (Refugees screened for TB infection)

*Reaction for TB are those refugees with 10-14mm or >=15mm induration from PPD test

165/419