2018 Refugee and International Health Program PROTECTING MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS Primary Refugee Arrivals to Minnesota by Region of World 19792018 first resettled in Minnesota ID: 780465
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Slide1
Primary Refugee Arrival Health Screening Data
2018
Refugee and International Health Program
PROTECTING, MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS
Slide2Primary* Refugee Arrivals to Minnesota by Region of World
1979-2018
*first resettled in Minnesota
Category
1979
1980
1981
1982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018Southeast Asia3817645732961783147716441551187220662600238417921923254920701797124963810913613711173574434581933469705726583108212439951005947884836304359Sub-Saharan Africa00017647073667630686591115312176496663427664293031982159556204635893203476419813504249215331036953126911501911678293Eastern Europe0003720311710555451107565116228106447507648518419704853302355915000000000000000Former Soviet Union0000000000000000000035433529233125129417811216745126394144845581773288Middle East/North Africa0000000000000000000000000000076119235481751622001492297612Other000922645541464226720202310657374763184035304612611147144326913126511366
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Slide3Primary Refugee Arrivals to Minnesota by Month
2014-2018
Category
2014
2015
2016
2017
2018January1511599821453February16511617615988March241159329100156April2272092538993May1641742429874June2991812367975July2482482234351August1741354153850September17336131210169October2361803275538November2271752936640December20915628261313
Slide4Primary Refugee Arrivals to Minnesota by Country of Origin
2018
N=818
“Other” includes Afghanistan, Bhutan, Cameroon, China, Cuba, El Salvador, Eritrea, Guatemala, India, Iran, Iraq, Kazakhstan,
Kuwait
, Mexico, Moldova, Philippines, Russia, Rwanda, Senegal, South Sudan, Sri Lanka, Syria, Thailand, Venezuela, and Yemen.
4
Slide52018 Primary Refugee Arrivals to Minnesota by County (N=818)
Primary Refugee Arrivals to Minnesota by Initial County of Resettlement and Country of Origin, 2018 (PDF) (
https://
www.health.state.mn.us/communities/rih/stats/18yrsum.pdf)
5
Slide6Arrivals by County of Resettlement and Country of Origin Minnesota, 2018
N=442
N=112
N=47
N=40
6
Slide7Primary Refugee Arrivals Screened in Minnesota
2008-2018
Ineligible if moved out of state or to an unknown
destination, no
insurance,
unable
to locate, or died before
screening.Category20082009201020112012201320142015201620172018Arrivals1205126523201893226421602505224431861103818Eligible for screening1167120022411884220521282459220931251089787Screened1152116922201830217720872421216831011068771Percent of arrivals who completed screening99%97%99%99%99%98%99%99%99%98%98%7
Slide8Primary Refugees’ Reasons for No Screening Minnesota, 2018
Category
Number of Arrivals
Percent of Total Arrivals
Unable to locate*
21
45%
No insurance*919%Refused screening919%Screening still pending36%Missed appointments24%Contact failed12%Screened elsewhere, no results12%Moved out of Minnesota*12%N=47*Ineligible for the refugee health assessment8
Slide9Refugee Screening Rates by Exam Type
Minnesota, 2018
Category
Number of Eligible Arrivals
Number of Arrivals Screened
Percent Screened
Health Screening
78777198%Tuberculosis (TB)77176399%Hepatitis B77175698%Sexually Transmitted Infections (STIs)77175398%Intestinal Parasites77149664%Lead (<17 yrs old)30429798%*Screened for at least one type of STI9
Slide10Health Status of New Refugees, Minnesota, 2018
Health status
upon arrival
Number (%)
of
refugees screened*
Number (%) of refugees with infection
TB (latent or active)**763 (99%)137 (18%)Hepatitis B infection***756 (99%)30 (4%)Parasitic infection****496 (64%)91 (18%)Sexually transmitted infections (STIs)*****753 (98%)10 (1%)Lead******297 (98%)33 (11%)Hemoglobin763 (99%)118 (15%)*Total screened: N=771 (98% of 787 eligible refugees)** 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, and/or gonorrhea)****** Children <17 years old (N=304); lead level ≥5 µg/dL10
Slide11Latent or Active Tuberculosis (TB)* Among Refugees
by Region of Origin, Minnesota, 2018
*Diagnosis of Latent TB infection (N=137) or Suspect/Active TB disease (N=0)
Total screened=763
Category
Number of Infections
Number of Arrivals Screened
Infection Rate (%)Sub-Saharan Africa8526232%Southeast/East Asia3735210%Latin America/Caribbean3526%North Africa/Middle East0120%Europe128514%Overall TB Infection13776318%11
Slide12Intestinal Parasitic Infection* Among Refugees
by Region of Origin, Minnesota, 2018
*At least 1 parasitic infection found via stool or serology (excluding nonpathogenic)
Total screened=496
Category
Number of Infections
Number of Arrivals Screened
Infection Rate (%)Sub-Saharan Africa2316314%Southeast/East Asia5320626%Latin America/Caribbean3447%North Africa/Middle East090%Europe127416%Overall Parasitic Infection9149618%12
Slide13Hepatitis B Infection* Among Refugees
by Region of Origin, Minnesota, 2018
*Positive hepatitis B surface antigen (
HBsAg
)
Total screened=756
Category
Number of InfectionsNumber of Arrivals ScreenedInfection Rate (%)Sub-Saharan Africa72614%Southeast/East Asia213463%Latin America/Caribbean0516%North Africa/Middle East0120%Europe2860%Overall Hep B Infection307564%13
Slide14Immunization Status Among Refugees
Minnesota, 2002-2018
Category
2002
2003
2004
2005
2006200720082009201020112012201320142015201620172018Received at least one documented vaccine overseas24%7.4%49.7%39.2%33.5%62.4%74.2%81.2%85.6%83.5%78%76%75.9%83.4%85.8%90.6%90.8%Received one or more vaccinations during domestic screening process85.6%87.2%91.1%91.7%88.8%86.1%88.6%86.3%91.3%92.2%96%97%95.8%92.8%90.6%92.2%87.3%14