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

2. Refugee Health Program,Minnesota Department of Health Refugee Arrivals to MN by Region of World 1979-2003

3. Refugee Health Program,Minnesota Department of Health Primary Refugees Arrival & Screened Refugees in Minnesota (1995-2003)

4. Ethnicity pie chart *Other includes: Bosnia, China, Cameroon, China, Iran,Iraq, Kenya, Sierra Leone, Togo, Vietnam.Zaire, N =4012 Refugee Health Program,Minnesota Department of Health Primary Refugee Arrivals by Country of Origin Minnesota, 2003

5. Lake Cook Le Sueur Rice Goodhue NoblesRockJacksonMartinFaribaultFreebornMowerFillmoreHouston WinonaOlmstedDodgeSteele Waseca Blue EarthWatonwanCottonwoodMurrayPipestone Nicollet Wabasha Dakota Scott Wash- ing- ton Chisago Isanti Brown Sibley Carver Hennepin WrightMeeker Kandiyohi Renville Redwood Sherburne LyonLincoln Yellow Medicine Lac Qui Parle Swift Big Stone PopeStevens Traverse Chippewa Stearns Benton Carlton Pine Kanabec Mille Lacs Aitkin Crow Wing Morrison Cass Hubbard Wadena Todd DouglasGrant Ottertail Wilkin Becker Clay Clear Water Mahnomen Norman Red Lake Pennington Polk Beltrami Marshall Itasca Koochiching Lake of the Woods RoseauKittson St. Louis McLeod 71 Ram- sey Anoka Hennepin 2001-4000 501-2000 101-500 51-100 1-25 26-50 0 Refugee Health Program,Minnesota Department of Health 2003 Primary Refugee Arrivals To Minnesota (N=2403)

6. Primary Refugees Lost to Follow-up Minnesota 2003 Refugee Health Program,Minnesota Department of Health (N=301)

7. Primary Refugees Screened By Region of Origin Minnesota, 2003 Region of worldTotal arrivals Ineligible 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 Health Program,Minnesota Department of Health

8. Refugee Screening Rates By Test Minnesota, 2003 (2071/2233) (2013/2233) (1869/2233) (1548/2233) (60/2233) N=2233/2403 eligible for screening (90% Screening rate) Refugee Health Program,Minnesota Department of Health

9. 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 Refugee Health Program,Minnesota Department of Health

10. Intestinal Parasitic Infection* Rates Among by Region of Origin –Minnesota, 2003 *Overall intestinal parasite infection rate 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

11. 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 Refugee Health Program,Minnesota Department of Health Tuberculosis Infection* Rate Among Refugees Screened By Region Of Origin, 2003