Refugee Arrivals in Minnesota: Trends and Diversity

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This data visualizes primary refugee arrivals to Minnesota from 1979 to 2016 by region of the world, monthly arrivals from 2012 to 2016, and details of the 2016 arrivals by initial county of resettlement and country of origin. The analysis showcases the influx of refugees from various regions like Southeast Asia, Sub-Saharan Africa, Eastern Europe, and more, highlighting the complex nature of refugee resettlement in Minnesota.

  • Refugee Arrivals
  • Minnesota
  • Diversity
  • Refugee Resettlement
  • Immigration

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  1. Primary* Refugee Arrivals to MN by Region of World 1979-2016 8000 7000 6000 Number of arrivals 5000 4000 3000 2000 1000 0 1997 1979 1981 1983 1985 1987 1989 1991 1993 1995 1999 2001 2003 2005 2007 2009 2011 2013 2015 Southeast Asia Sub-Saharan Africa Eastern Europe FSU Middle East/North Africa Other *First resettled in Minnesota Refugee and International Health Program Refugee and International Health Program

  2. Primary Refugee Arrivals by Month, Minnesota, 2012-2016 450 400 350 300 250 200 150 100 50 0 January February March April May June July August September October November December 2012 2013 2014 2015 2016 2 Refugee and International Health Program Refugee and International Health Program

  3. 2016 Primary Refugee Arrival To Minnesota (N=3,186) Lake of the Woods Kittson Roseau Koochiching Marshall St. Louis Beltrami Pennington Polk Cook Clear Water Red Lake Lake Itasca Mahnomen Norman Hubbard Cass Becker Clay Aitkin Wadena Crow Wing Carlton Otter Tail Number of Refugee Arrival By Initial County Of Resettlement Wilkin Pine Todd Mille Lacs Kanabec 0 Grant Douglas Morrison Benton 1- 10 Stevens Pope Stearns Traverse Isanti Big Stone 11 - 30 Sherburne Chisago Swift Kandiyohi Anoka 71 31 - 100 Meeker Wright Wash- ing- ton Chippewa Ram- sey Hennepin Hennepin 101 - 250 Lac Qui Parle McLeod Carver Renville Scott Yellow Medicine 251 500 Dakota Sibley Lincoln Lyon Redwood Rice >500 Goodhue Le Sueur Nicollet Wabasha Brown Pipestone Murray Watonwan Blue Earth Waseca Steele Dodge Olmsted Winona Cottonwood 3 Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston Refugee and International Health Program Refugee and International Health Program

  4. Primary Refugee Arrivals, Minnesota, 2016 Other*, 386 (12%) DR Congo, 104 (3%) Bhutan, 128 (4%) Somalia, 1425 (45%) Iraq, 193 (6%) Ethiopia, 291 (9%) N=3,186 Burma, 658 (21%) * Other Afghanistan, Belarus, Burundi, Cameroon, China, Rep. of Congo, Dominican Republic, Egypt, El Salvador, Eritrea, Guinea, Honduras, Iran, Kazakhstan, Kenya, Liberia, Mexico, Moldova, Russia, Sri Lanka, Sudan, Syria, Tanzania, Tibet, Togo, and Ukraine 4 Refugee and International Health Program Refugee and International Health Program

  5. Country of Origin by County of Resettlement, 2016 400 800 700 Burma Somalia 300 600 Somalia Ethiopia 500 Ethiopia Afghanistan Bhutan 200 400 Bhutan DR Congo Other 300 Other 200 100 100 0 0 N=1,467 N=631 Ramsey Hennepin 250 Iraq 40 200 Somalia Somalia 150 Moldova Other Ukraine 100 20 Other 50 0 0 Stearns N=281 Anoka N=192 5 Refugee and International Health Program Refugee and International Health Program *2015 data are preliminary

  6. Primary Refugee Arrivals Screened in Minnesota, 2006 2016 6000 5355 4893 5000 4710 4000 3186 3125 2867 3101 2505 2740 3000 2697 2244 2459 2264 2320 2160 2241 1893 2421 2209 2205 2128 2220 2168 2177 1845 2087 1830 2000 1265 1205 1200 1167 1169 1152 98% 99% 99% 99% 99% 99% 98% 99% 98% 1000 97% 99% 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Arrivals Eligble for Screening Screened Ineligible if moved out of state or to an unknown destination, no insurance, unable to locate or died before screening 6 Refugee and International Health Program Refugee and International Health Program

  7. Primary Refugees Reasons for No Screening, Minnesota, 2016 Screened Elsewhere, No Results, 5% Missed Died Before Screening*, 1% Appointments, 1% No Insurance*, 8% Refused Screening, 8% Unable to Locate*, 45% Contact Failed, 13% N= 85 Moved out of MN*, 16% *Ineligible for the refugee health assessment 7 Refugee and International Health Program

  8. Primary Refugee Screenings by Region of Origin, Minnesota, 2016 No. Ineligible for Screening World Region Total arrivals Screened (%*) 1,892 43 1,838 (99%) Sub-Saharan Africa 835 9 825 (>99%) SE Asia/E Asia North Africa/ Middle East 230 1 225 (98%) 177 2 171 (98%) Eastern Europe Latin America/ Caribbean 52 6 42 (91%) *Percent screened among the eligible 8 Refugee and International Health Program

  9. Refugee Screening Rates by Exam Type Minnesota, 2016 Health Screening Rate 99% 3,101 / 3,125 Tuberculosis (TB) 3,032 / 3,101 98% Hepatitis B 89% 2,768 / 3,101 Intestinal Parasites 79% 2,463 / 3,101 Lead (<17 yrs old) 97% 1,337 / 1,382 STIs** 3,002 / 3,101 97% Malaria 8% 245 / 3,101 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% **Screened for at least one type of STI 9 Refugee and International Health Program

  10. Health Status of New Refugees, Minnesota, 2016* Health status upon arrival No. of refugees No. (%) with infection TB (latent or active)** 3,032 (98%) 649 (21%) Hepatitis B infection*** 2,768 (89%) 135 (5%) Parasitic Infection**** 2,463 (79%) 468 (19%) 3,002 (97%) 47 (2%) Sexually Transmitted Infections (STIs)***** Malaria Infection 245 (8%) 1 (<1%) Lead****** 1,337(97%) 106 (8%) Hemoglobin 3,062 (99%) 608 (20%) *Total screened: N=3,101 (99% of 3,125 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 or gonorrhea) ****** Children <17 years old (N=1,382 screened); lead level 5 g/dL 10 Refugee and International Health Program

  11. Tuberculosis Infection* Among Refugees By Region Of Origin, Minnesota, 2016 N=3,032 screened Overall TB Infection 21% 649 / 3,032 Sub-Saharan Africa 30% 527 / 1,786 SE/East Asia 12% 98 / 814 Latin America/Caribbean 12% 5 / 42 North Africa/Middle East 5% 11 / 224 Europe 5% 8 / 166 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% *Diagnosis of Latent TB infection (N=644) or Suspect/Active TB disease (N=5) 11 Refugee and International Health Program

  12. Intestinal Parasitic Infection* Among Refugees by Region of Origin, Minnesota, 2016 N=2,463 screened Overall Parasitic Infection 19% 468 / 2,463 Sub-Saharan Africa 20% 272 / 1,344 SE/East Asia 23% 173 / 753 Latin America/Caribbean 7% 3 / 41 North Africa/Middle East 7% 13 / 186 Europe 5% 132 / 139 0% 5% 10% 15% 20% 25% 30% *At least 1 parasitic infection found via stool or serology (excluding nonpathogenic) 12 Refugee and International Health Program

  13. Hepatitis B* infection Among Refugees by Region of Origin, Minnesota, 2016 N=2,768 screened Overall Hep B Infection 5% 135 / 2,768 Sub-Saharan Africa 5% 82 / 1,560 SE/East Asia 6% 48 / 801 Latin America/Caribbean 0% 0/ 42 North Africa/Middle East 1 / 2250 1% Europe 3% 4 / 140 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% *+HBsAg 13 Refugee and International Health Program

  14. Health Status of New Refugees, Minnesota Immunization Status, 2002 2016 Overseas Domestic % with Evidence of Immunizations 100 90 80 70 60 50 40 30 20 10 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Year 14 Refugee and International Health Program

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