Refugee Health Quarterly: January 2024

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Refugee Health Quarterly

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Greetings from the Refugee Health Team

As we enter the new calendar year, we would like to highlight the Fiscal Year (FY) 2024 Presidential Determination on Refugee Admissions. Each fiscal year, which runs Oct. 1 - Sept. 30, the President of the United States designates the maximum number of refugees who may resettle to the United States. For the third year in a row, the Biden-Harris Administration has set a target of 125,000 refugee arrivals, the highest target in several decades.

Many people, including our partners across Minnesota, have been essential in resettling more refugees to the U.S. In FY 2023, 60,014 refugees resettled to the United States and 2,145 refugees resettled to Minnesota. In FY 2024, Minnesota is expecting to resettle nearly 3,000 refugees. Notably, regional allocations for FY 2024 include higher numbers from the Latin America/Caribbean region and lower numbers from the Europe/Central Asia region than FY 2023.

Refugee Arrivals to the United States, 1980-2023

Refugee Arrivals to the United States, 1980-2023

Source: Migration Policy Institute (MPI) analysis of WRAPS data from the State Department PRM Bureau: Admissions & Arrivals


Primary Refugee Arrivals to Minnesota, FY 1988 - FY 2023*

Primary Refugee Arrivals to Minnesota, FY 1988 - FY 2023*

*2023 data are preliminary; FY runs from Oct. 1 through Sept. 30

In other news, we are excited to announce updates to several of our webpages, including an updated “Who is eligible” table outlining refugee health assessment eligibility and health requirements by immigration status. Check out the changes and learn more about our program, the refugee health assessment, other benefits, and resources:

We also invite you to read the newest installment of the Minnesota Center of Excellence in Newcomer Health’s Immigrant Health Matters, a quarterly series of brief vignettes focused on immigrant health and health equity. Each article presents a scenario, provides background on related concepts, and discusses action steps for providers and organizations caring for refugees and immigrants. This quarter features a scenario in which a clinic manager leads an effort to serve newcomers at her small community clinic. Access it at Immigrant Health Matters.

Data and Surveillance: Arrival and Vaccination Trends

From Jan. 1 through Dec. 31, 2022, 2,431 individuals who resettled in Minnesota received services through our program. This included 587 people who came through the U.S. Refugee Admissions Program (USRAP) and 1,708 who received humanitarian parole in the U.S. from Ukraine or Afghanistan.

Although not required, U.S.-bound refugees who arrive through USRAP are often offered some vaccines overseas through the Centers for Disease Control and Prevention's Vaccination Program for U.S.-Bound Refugees. However, many may not be fully up to date with the Advisory Committee of Immunization Practices (ACIP) recommended immunization schedule at time of arrival. Most refugees are due for at least one immunization upon arrival to the U.S.

Among the 587 people who arrived in Minnesota in 2022 on a refugee visa, 581 received a post-arrival refugee health assessment (RHA). The country of origin among the 581 who received an RHA is described in the figure below.

Five-hundred eighty (>99%) of those who had an RHA received at least one immunization overseas and 459 (79%) received at least one immunization in Minnesota from time of arrival through the completion of their RHA (Table 1).

Many adult refugees who arrive in Minnesota are due for at least a Tdap vaccine, annual flu vaccine, COVID-19 vaccine, and/or completion of a vaccination series that was started overseas (i.e., hepatitis B). Newly arrived refugee children are often due for vaccinations not routinely given as part of the Vaccination Program for U.S.-Bound Refugees (i.e., hepatitis A, Hib), annual flu vaccine, COVID-19 vaccine, and/or completion of a vaccination series that was started overseas. The Minnesota Department of Health Refugee Health Program is working with clinics and local public health to identify any barriers and best approaches to vaccinating new arrivals in the U.S.

Country of Origin among Primary Refugees to Minnesota who received a Refugee Health Assessment, 2022

Country of Origin among MN Primary Refugees 2022: Somalia 26%, Ethiopia 22%, DR Congo 16%, Burma 9%, Afghanistan 6%, Guatemala 5%, Other 16%


Other includes Ukraine, Moldova, Syria, Sudan, El Salvador, Tajikistan, Bhutan, Iran, Rwanda, Eritrea, and Nicaragua

Table 1: Immunizations Received by Primary Refugees to Minnesota who received a Refugee Health Assessment*, 2022

Age at U.S. Arrival

1+ Immunizations
Received Overseas (%)

1+ Immunizations
Received in
Minnesota** (%)

<18 years
(217)

217 (100%)

188 (87%)

18+ years
(364)

363 (>99%)

271 (74%)

Total
(581)

580 (>99%)

459 (79%)

*Medical exam generally conducted within 90 days of U.S. arrival by public health clinics and/or private providers
**Received 1+ immunizations in Minnesota from the time of U.S. arrival up through completion of their RHA


Private Sponsorship Pathways

Minnesota continues to receive a small number of families through Welcome Corps, the private refugee sponsorship program launched in early 2023. The strong resettlement partnerships across the state remain key in supporting these new arrivals and sponsors. In December 2023, Welcome Corps expanded to allow private sponsor groups to sponsor specific individuals, including family members.

To learn more about Welcome Corps and private sponsorship groups, visit Sponsor A Refugee You Know. For assistance with applications, visit Application Support Session. For resources regarding supporting Welcome Corps arrivals, visit State-by-State Resources for Newcomers and Sponsors.


International Health Update

MDH’s Infectious Disease Equity and Engagement Team is excited to share new travelers’ health posters from our partnership with Minneapolis College’s graphic design students. MDH selected and contracted with four finalists from the class. The posters contain information to help travelers stay safe as well as reminders for health care professionals when seeing patients traveling internationally. Posters can be shared electronically and printed out. If you would like to request printed posters, please email health.idee@state.mn.us.

Access posters at Materials and Resources: International Travel and Infectious Disease

thumbnails of 4 traveler's health posters

Announcements

North American Refugee Health Conference

In honor of Minnesota’s historic leadership in U.S. refugee health care, the North American Refugee Health Conference (NARHC) will be held in Minneapolis from Aug. 5 to 7, 2024. NARHC brings together a diverse group of people interested or working in the field of refugee, immigrant, and newcomer health. Attendees learn about the latest and best practices in refugee and immigrant health and network with other people in the field. Two free pre-courses, An Introduction to Refugee Health and Afghan Women’s Health, will be held Aug. 4, 2024. Abstract submissions are open now through April 1, 2024. Registration details and more information is available at NARHC Conference.

Society of Refugee Healthcare Providers 2024 North American Refugee Health Conference: Submit abstracts - deadline April 1, 2024

Submit Your Organization to Our Directories for Organizations Serving Diverse Communities

The Minnesota Department of Health Refugee Health Program and Infectious Disease Equity and Engagement Unit maintain three directories for organizations serving diverse communities:

  1. Health Services Directory
  2. Diverse Media Directory
  3. Community-Based Organizations Directory

These directories are used by many state agencies, organizations, and community partners. We hope you consider having your organization listed in one of the three directories, if applicable! 

We are beginning the process of updating all three directories and are requesting that community organizations and vendors do the following: 

  • If your organization is already in the appropriate directory, please check to verify that your information is updated and correct through one of the links above. If anything needs to change, please submit your information using Update Directory Information.
  • If your organization is not listed and you would like it to be, please submit your information using Update Directory Information.

Upcoming Events

Minnesota Immigrant and Refugee Health Network (MIRHN)

The Refugee Health Program hosts monthly Minnesota Immigrant and Refugee Health Network (MIRHN) meetings. MIRHN co-chairs plan the monthly meetings and bring in presenters, including community-based organizations, health professionals, and those who work with the immigrant and refugee communities. We meet on the second Tuesday of each month from 9:30 to 11 a.m. CT via Teams.

You can receive the meeting invites by subscribing to Minnesota Immigrant and Refugee Health Announcements. If you would like to join our February 2024 meeting, you can register now: February MIRHN Meeting. If you are interested in presenting at a future MIRHN meeting with a health-related topic, please reach out to Cynthia.trevino@state.mn.us.

Minnesota Center of Excellence in Newcomer Health

  • The Minnesota Center of Excellence in Newcomer Health, in collaboration with ECHO Colorado, will be starting the 2024 Newcomer Health Series at the end of January. This ECHO series is designed to increase medical providers' knowledge of the resettlement and health issues of newcomers, including refugee, immigrant, and migrant (RIM) populations. Refer to the full 2024 schedule and register at ECHO Colorado: Newcomer Health.
  • The Minnesota Center of Excellence will present a free webinar titled EPIC, CareRef, and More: Optimizing Clinical Decision Support Tools on Feb. 8, 2024, from noon to 1 p.m. CT. The webinar will feature presenters from the Children’s Hospital of Philadelphia and the Minnesota Department of Health. Continuing medical education credits are available. Register for the webinar at EPIC, CareRef, and More: Optimizing Clinical Decision Support Tools.
  • To keep up to date with future Minnesota Center of Excellence webinars, announcements, and events, subscribe to Center of Excellence in Newcomer Health Updates.

Contact Us

Thank you for your partnership. We look forward to our ongoing collaboration!

For more information or questions, please contact the Minnesota Department of Health Refugee Health Program at refugeehealth@state.mn.us or 651-201-5414.