Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, 1999-2003

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M o n th

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Refugee Health Program,Minnesota Department of Health

Primary Refugee Arrivals, 1999-2003


Refugee Arrivals to MN by Region of World 1979-2003

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1000

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70001

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Nu

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Southeast Asia Sub-Saharan Africa Eastern Europe FSU Other


Primary Refugees Arrival & Screened Refugees in Minnesota (1995-2003)

2456

2148

1620

2148

1927

13161454

1365

1013

1863

1721

1448

3924

3670

2680

4012

3684

3109

2791

2526

2268

1035962

869

24022232

2093

0

500

1000

1500

2000

2500

3000

3500

4000

4500

1995 1996 1997 1998 1999 2000 2001 2002 2003

Arrivals Elligible For Screening Screened

Ethnicity pie chart

Former Soviet Union

10%

Ethiopia33%

Somalia28%

Liberia16%

Other*9%Sudan

4%

*”Other” includes: Bosnia, China, Cameroon, China, Iran,Iraq, Kenya, Sierra Leone, Togo, Vietnam.Zaire,

N =4012


Primary Refugee Arrivals by Country of Origin Minnesota, 2003

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

2001-4000

501-2000

101-500

51-100

1-25

26-50

0


2003 Primary Refugee Arrivals To Minnesota

(N=2403)

Primary Refugees Lost to Follow-up Minnesota 2003

3%6%

3%

24%

11%

30%

2%

21%

Moved Out Of State Moved to Unknown Destination

Unable To Locate Never Arrived

Refused Screening Missed Appt

Contact Failed Screened Elsewhere no result


(N=301)

Primary Refugees Screened By Region of Origin Minnesota, 2003

Region of world Total arrivalsIneligible for Screening

Number (%)

Screened

Africa 2046 141 1775 (93%)

E.Asia/Pacific 47 07 45 (96%)

Europe 266 16 246 (98%)

Near East 20 0 20(100%)

W.Hemisphere 16 13 0(0%)


Refugee Screening Rates By Test Minnesota, 2003

92.75%

90.10%

84%

69%

3%

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

TB Infection

HepB

Intestinal Parasites

STIs

Malaria

(2071/2233)

(2013/2233)

(1869/2233)

(1548/2233)

(60/2233)

N=2233/2403 eligible for screening N=2233/2403 eligible for screening (90% Screening rate)(90% Screening rate)


Health Status of New Refugees Minnesota, 2003(N=2233*)

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

TB infection** 2071(93%) 1092(53%)

Hep B infection*** 2013(90%) 139(6%)

Parasitic Infection**** 1869(84%) 290(16%)

Sexually Transmitted 1548(69%) 10(2%)Infections(STIs)*****

Malaria Infection 60(3%) 3(5%)

*Among total refugees eligible for screening (N=2233)**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, 2003

16%

25%

8%

23%

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

Africa

E.Asia/Pacific

Europe

Near East

*Overall intestinal *Overall intestinal parasite infection rate parasite infection rate 15.5%15.5%

(3/13)

(44/282)

(16/195)

(7/28)

(264/1625)

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

30.00%

55.00%

44%

33.00%

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

Near East

Africa

Europe

East Asia and Pacific

106/239

961/1761

6/20

N=2071 (Refugees screened for TB infection)

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

14/43


Tuberculosis Infection* Rate Among Refugees Screened By Region Of Origin , 2003

Documents

Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, 1999-2003