refugee health program,minnesota department of health primary refugee arrivals, mn,1999-2002

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Page 1: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

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Refugee Health Program,Minnesota Department of Health

Primary Refugee Arrivals, MN,1999-2002

Page 2: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Refugee Health Program,Minnesota Department of Health

Refugee Arrivals to Minnesotaby Region of World, 1979-2002

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Southeast Asia Sub-Saharan Africa Eastern Europe FSU Other

Page 3: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Refugee Health Program,Minnesota Department of Health

Primary Refugee Arrivals & Screening Rates, MN, 1995-2000

2456

2148

1620

21481927

13161454

1365

1013

1863

1721

1448

3924

3670

2680

4012

3684

3109

2791

2526

2268

1035962

869

0

500

1000

1500

2000

2500

3000

3500

4000

4500

1995 1996 1997 1998 1999 2000 2001 2002

Arrivals Eligible For Screened Screened

Page 4: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Ethnicity pie chart

Ethiopia10%

Bosnia6%

Liberia27%

Former Soviet Union

33%

Sudan3%

Other*9%

Somalia12%

*”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,

N =4012

Refugee Health Program,Minnesota Department of Health

Primary Refugee Arrivals by Country of Origin, MN, 2002

Page 5: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

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

Refugee Health Program,Minnesota Department of Health

2002 Primary Refugee Arrivals To Minnesota

(N=1035)

Page 6: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Primary Refugees Lost to Follow-up Minnesota, 2002

4%

11%

3%

9% 8%

25%

4%

36%

Moved Out Of State Moved to Unknown Destination

Unable To Locate Never Arrived

Refused Screening Missed Appt

Contact Failed Screened Elsewhere no result

Refugee Health Program,Minnesota Department of Health

(N=129)

Page 7: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Primary Refugees Screened by Region of Origin Minnesota, 2002

Region of world Total arrivalsIneligible for Screening

Number (%) *

Screened

Africa 555 54 466 (93%)

E.Asia/Pacific 62 07 55 (100%)

Europe 390 09 333 (87%)

Near East 21 1 11 (55%)

W.Hemisphere 06 02 03 (75%)

Refugee Health Program,Minnesota Department of Health

Page 8: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Refugee Screening Rates By Test MN, 2002

89.60%

82.50%

80%

59%

3%

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

TB Infection

HepB

Intestinal Parasites

STIs

Malaria

(862/962)

(794/962)

(772/962)

(565/962)

(26/962)

N=962/1035 eligible for screening N=962/1035 eligible for screening (90% screening rate)(90% screening rate)

Refugee Health Program,Minnesota Department of Health

89.60%

82.50%

80%

59%

3%

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

TB Infection

HepB

Intestinal Parasites

STIs

Malaria

Page 9: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Health Status of New Refugees Minnesota, 2002 (N=962)

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

TB infection** 862 (90%) 366 (42%)

Hep B infection*** 794 (82%) 51 (6%)

Parasitic Infection**** 772 (80%) 196 (25%)

Sexually Transmitted 565 (59%) 10 (2%)Infections(STIs)*****

Malaria Infection 26 (3%) 1 (3.8%)

*Among total refugees eligible for screening (N=3684)**Persons with >= 10mm induration from tuberculin skin test***Positive for HBsAg (hepatitis B surface antigen)****Testing positive for at least one intestinal parasite infection

Refugee Health Program,Minnesota Department of Health

Page 10: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

Intestinal Parasitic Infection* Rates by Region of Origin, Minnesota, 2002

33%

21%

16%

0%

0%

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 25.4%25.4%

(1/6)

(44/282)

(0/7)

(10/47)

(142/434)

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

Page 11: Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals, MN,1999-2002

67%

18.00%

44.00%

41%

44.00%

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

Western Hemisphere

Near East

Africa

Europe

East Asia and Pacific

135/327

203/465

2/11

2/3

N=862 (Refugees screened for TB infection)

*Refugees with 10-14mm or >=15mm induration

24/55

Refugee Health Program,Minnesota Department of Health

Tuberculosis Infection* Rates by Region Of Origin, MN, 2002