0

1000

2000

3000

4000

5000

6000

7000

800019

79

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Nu

mb

er o

f ar

riva

ls

Southeast Asia Sub-Saharan Africa Eastern Europe FSU Other

Primary* Refugee Arrivals Primary* Refugee Arrivals to MN by Region of World MN by Region of World 1979-20061979-2006

Refugee Health Program, Minnesota Department of HealthRefugee Health Program, Minnesota Department of Health *First resettled in Minnesota

Primary Refugee Arrival, Minnesota, 2003-2006

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Month

Nu

mb

er

of

Arr

iva

ls

2003 2004 2005 2006

Refugee Health Program, Minnesota Department of Health

Lake

Cook

0

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

71Anoka

Hennepin

Number of Refugees Arrival By Initial County Of Resettlement

2-251- 10

11 - 50

51 - 100

101 - 200

201 - 400

401 - 1000

2006 Primary Refugee Arrival To 2006 Primary Refugee Arrival To Minnesota (N=5,354) Minnesota (N=5,354)

3001 - 3100

Ram sey

Primary Refugee Arrivals, Minnesota, 2006

Other

6%

FSU

2%Burma

3%

Hmong

4%

Liberia

7%

Ethiopia

9%

Somalia

69%

SomaliaEthiopiaLiberiaHmongBurmaFSUOther

N=5,354

““Other” includes Cambodia, Cameroon, China (also Tibet), Congo, Cuba, Eritrea, Gabon, Guinea, Iran, Kenya, Nepal, Nigeria, Sierra Leone, Sudan, Togo, Vietnam, and Zimbabwe

Refugee Health Program, Minnesota Department of Health

Refugee Health Program, Minnesota Department of Health

Primary Refugee Arrivals Screened in Minnesota 1997-2006

14541365

1013

18631721

1448

3925

3674

2704

4013

3691

31542795

25362294

1033964

890

24012240

2115

7352

70106801

53235100

4968

5354

48954698

0

1000

2000

3000

4000

5000

6000

7000

8000

Nu

mb

er

of

Arr

iva

ls

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Arrivals Eligible for Screening Screened

*Ineligible if moved out of state/unknown destination, unable to locate or died before screening

Primary Refugees Lost to Follow-up Minnesota, 2006

8%

4% 4%

3%2%

48%

18%

13%

Moved Out of State* Unable To Locate*Screened Elsewhere, No Results Contact FailedMissed Appointment Moved to Unknown Destination*Refused Screening Data Not Returned

Refugee Health Program, Minnesota Department of Health

N=656

*Ineligible for the refugee health assessment

Primary Refugee Screenings by Region of Origin, Minnesota, 2006

World Region Total arrivals Ineligible for Screening

Number

Screened (%*)

Sub-Saharan Africa

4,762 441 4,148 (96)

E.Asia/SE Asia 469 11 456 (100)

Eastern Europe 112 1 89 (80)

Latin America/

Caribbean9 6 3 (100)

North Africa/

Middle East2 - 2 (100)

Refugee Health Program, Minnesota Department of Health *Percent screened among the eligible

Refugee Screening Rates by Exam Type Minnesota, 2006

3%

82%

91%

91%

97%

92%

96%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Malaria

STIs

Lead (<6 yrs old)

Intestinal Parasites

Hepatitis B

Tuberculosis (TB)

Health Screening Rate

Refugee Health Program, Minnesota Department of Health

4,344/4,698

4,570/4,698

4,292/4,698

297/328

3,830/4,698

148/4,698

4,698/4,895

Health Status of New Refugees, Minnesota, 2006

Health status upon arrival No (%) of refugees No (%) with infection

screened among screened

TB infection* 4,344 (92%) 1,990 (46%)

Hep B infection** 4,570 (97%) 397 (9%)

Parasitic Infection*** 4,292 (91%) 684 (16%)

Sexually Transmitted 3,830 (82%) 75 (2%)

Infections(STIs)****

Malaria Infection 148 (3%) 1 (<1%)

Lead***** 297 (91%) 14 (5%)

Refugee Health Program, Minnesota Department of Health

Total screened: N=4,698 (96% of the 4,895 eligible refugees) * Persons with Latent TB infection or suspect/active TB disease diagnosis** Positive for Hepatitis B surface antigen (HBsAG)

*** Positive for at least one intestinal parasite infection

**** Positive for at least one STI

*****Children <6 year old (N=328)

21%

49%

50%

46%

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

42/84

92/431

N=4,344 screened

*Diagnosis of Latent TB infection or Suspect/Active TB disease

Refugee Health Program, Minnesota Department of Health

Tuberculosis Infection* Rate Among Refugees By Region Of Origin, Minnesota, 2006

1,855/3,824

1,990/4,344

Hepatitis B infection Rate Among Refugees by Region of Origin, Minnesota, 2006

6%

8%

9%

9%

0% 3% 6% 9% 12% 15%

Eastern Europe

SE/East Asia

Sub-Saharan Africa

Overall Hepatitis BInfection Rate

Refugee Health Program, Minnesota Department of Health

N=4,570 screened

397/4,570

355/4,033

37/448

5/84

Intestinal Parasitic Infection* Rates Among Refugees by Region of Origin, Minnesota, 2006

5%

15%

22%

16%

0% 5% 10% 15% 20% 25%

Eastern Europe

Sub-Saharan Africa

SE/East Asia

Overall ParasiticInfection Rate

* At least one stool parasite found (including nonpathogenic)Refugee Health Program, Minnesota Department of Health

684/4,292

92/423

589/3,801

3/65

* At least one type of parasite

N=4,292 screened