Minnesota Center of Excellence in Newcomer Health Updates: December 2024

Center of Excellence in Newcomer Health Minnesota

Center of Excellence in Newcomer Health

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December 2024

The Minnesota Center of Excellence in Newcomer Health (MN COE) is dedicated to developing tools to support health care providers, public health professionals, and resettlement partners in their efforts to better serve immigrant and refugee families. We build on existing infrastructure and partners’ extensive experience to identify and monitor newcomer health issues and needs, contribute to evidence-based policies and guidance, and ultimately improve continuity of care and health outcomes for newcomers.


Pop Quiz

speech bubble icon with question mark in center

1. Which of the following is an immigration status?

A. Temporary Protected Status

B. Cuban/Haitian Entrant

C. Neither

D. Both

For our clinical audience...

Shweta, a 6-year-old girl who arrived from India, comes to your clinic with her mom for her well-child check. When reviewing her immunization history, you notice that Shweta had received two “fIPV” vaccinations in India prior to coming to the U.S.

2. Based on your knowledge of polio vaccines in India, what is your next best step?

A. She is fully vaccinated and no further action is needed for polio vaccination.

B. You give additional intermuscular IPV doses according to the U.S. schedule with the age appropriate IPV.

C. You draw a titer to determine immunization status.

D. You give additional fractional intradermal IPV doses to complete the series.

Answers at the end of the newsletter


ENHANCED TOOL: VaxRef Tutorial

We created a video and written tutorial to help you use VaxRef. These short, easy-to-use guides answer commonly asked questions and explain how to use VaxRef.

Clinical Guidance and Clinical Decision Tools: VaxRef

The Minnesota Center of Excellence in Newcomer Health launched VaxRef in 2023. VaxRef is a web-based application that translates immunization records into English. Multilingual users including newcomers, interpreters, health care workers, and community organization staff can use this tool.

Once the form is completed, an English translation of the record you enter will be sent to the email you provide. All original immunization documents must be attached to the translated record when meeting a health care provider. This application does not give medical advice or vaccine guidance. Health care professionals should be consulted for advice or information about immunizations.

Welcome to VaxRef video thumbnail

MN COE Publications

Time to COVID-19 Vaccination by Language and Country of Origin

Margaret B. Nolan, MD, MS ; Ella Chrenka, MS ; Malini B DeSilva, MD, MPH

JAMA Network Open, Volume 7, Issue 10, e2437388

Our MN COE partners at HealthPartners have recently published an article about the differences in COVID-19 vaccine uptake by primary language and country of origin: Time to COVID-19 Vaccination by Language and Country of Origin. Learn about how reporting vaccination coverage and uptake by primary language may identify health disparities that can be addressed with language-specific interventions.

MN COE Trainings

Haitian Culture and Health Screening Considerations

Thursday, Dec. 12, 2024
2 – 3:30 p.m. ET | 1 – 2:30 p.m. CT | noon – 1:30 p.m. MT | 11 a.m. – 12:30 p.m. PT

Register now

Microsoft Teams webinar registration:
Haitian Culture and Health Screening Considerations

Learning objectives

  • Describe the history of migration of Haitians to the United States and current drivers of migration.
  • Discuss potential health issues and disparities of Haitians residing in the U.S.
  • List three required or recommended components of medical screening/care for Haitian new arrivals.
  • Describe two health care access problems faced by Haitians in the U.S.
  • Identify at least three cultural considerations when providing care for Haitians in the United States.

Presenters

Christina Pardo, MD, MPH, FACOG

Christina Pardo, MD, MPH, FACOG

Assistant Professor in Obstetrics & Gynecology
Medical Director, Women’s Health Practice
Weill Cornell Medicine/New York-Presbyterian

Jean Kesnold Mesidor, PhD, Licensed Psychologist

Jean Kesnold Mesidor, PhD, Licensed Psychologist

Clinical Associate Professor
Department of Behavioral Sciences and Social Medicine
Florida State University, College of Medicine

Dominique Guillaume, MSN, AAHIVE

Dominique Guillaume, MSN, AAHIVE

PhD Candidate
Johns Hopkins School of Nursing

Moderator

Janine Young, MD, FAAP

Janine Young, MD, FAAP

Chief, Division of Academic General Pediatrics, Developmental-Behavioral Pediatrics and Newborn Medicine
Medical Advisor, Social Determinants of Health, CDC National Healthcare and Safety Network
University of California – San Diego

CME/continuing education

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Minnesota Medical Association (MMA) and Minnesota Department of Health (MDH). MMA is accredited by the ACCME to provide continuing medical education for physicians.

MMA designates this live internet activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in this activity.

Other participants will receive a proof-of-attendance document from MDH following completion of a post-webinar evaluation and are responsible for determining if this training meets CEU criteria for their professional organization.

NOTE: CMEs will only be offered to attendees of live webinars after a completed evaluation. CEU credits for webinars are offered indefinitely. Learn more about Minnesota Center of Excellence in Newcomer Health webinars and trainings

Share this training opportunity

Please forward this message to your colleagues who may be interested in attending.

Print or download the one-page promotional flyer:

Haitian Culture and Health Screening Considerations (PDF)

Save the date for Part 2 in January

This training is Part 1 of a 2-part series focused on considerations when caring for Haitian newcomers in the U.S. Save the date for Part 2 in January:

Haitian Newcomers: Considerations for Perinatal and Reproductive Health

Tuesday, Jan. 21, 2025
1 – 2:30 p.m. ET | noon – 1:30 p.m. CT | 11 a.m. – 12:30 p.m. MT | 10 – 11:30 a.m. PT


Resources Spotlight

Colorado Center of Excellence Infographics

The Colorado Center of Excellence has completed and published updated infographics for Afghanistan, Syria, Somalia, Iraq, the Democratic Republic of the Congo, Burma (Myanmar), Ukraine, and Eritrea. Additionally, newly developed infographics for Cuba and Latin America are now available. Visit their website to view and download them: Colorado COE in Newcomer Health Infographics

New Arrival Health Overview: Latin America

Supporting Higher Education in Refugee Resettlement (SHERR) Spotlight Series

The Supporting Higher Education in Refugee Resettlement (SHERR) Program is pleased to announce a free webinar on "Higher Education Partnerships in Refugee Health."

Thursday, Dec. 5, 2024
noon - 1 p.m. CT

Zoom registration: Higher Education Partnerships in Refugee Health

This one-hour webinar will highlight refugee health partnerships between higher education institutions and refugee serving organizations. It will spotlight existing models and discuss ways colleges and universities can engage with refugee communities to help meet refugee health care needs and improve health outcomes while achieving key educational goals and deepening their commitment to public service. This webinar will be co-hosted with the Society of Refugee Healthcare Providers.


Clinical Guidance: Updates from the CDC

Varicella screening

On Nov. 25, the CDC issued an update regarding potential exposures to a case of varicella (chickenpox) in a 2-year-old U.S.-bound refugee in Tanzania. They are closely monitoring all potential contacts. Standard USRAP varicella outbreak practice does not require quarantine for potential contacts after exposure.  As of Nov. 22, 2024, no additional varicella cases had been identified, and travel (for potential contacts) to the U.S. occurred on Nov. 24, 2024. Travel for the infected child (and the immediate family)  was postponed until recovery.

Domestic health care providers should be aware that it is possible for exposed, non-immune contacts to develop varicella within 21 days after exposure to a case; however, administration of post-exposure vaccination (varicella vaccine within five days of exposure) reduces risk of developing varicella. To further reduce risk of infection, everyone should follow ACIP recommendations for varicella vaccination. More information on these recommendations and post-exposure vaccination can be found at CDC: Chickenpox Vaccination.  

Additional questions can be directed to CDC’s domestic team at IRHBdomestic@cdc.gov


Stay Up to Date on the Latest Publications

Take a moment and review some recent publications on newcomer health:

  1. Vonnahme, L. A., Shaw, K. M., Gulati, R. K., Hollberg, M. R., Posey, D. L., & Regan, J. J. (2024). Tuberculosis Disease Among Nonimmigrant Visa Holders Reported to US Quarantine Stations, January 2011-June 2016. Journal of Immigrant and Minority Health26(5), 823–829. 
  2. Lee, S. H., Fox, S., Smith, R., Skrobarcek, K. A., Keyserling, H., Phares, C. R., Lee, D., & Posey, D. L. (2024). Development and validation of a deep learning model for detecting signs of tuberculosis on chest radiographs among US-bound immigrants and refugees. PLOS Digital Health3(9), e0000612. 
  3. De La Hoz, A., Gadi, N., Lopez, C. G., Barrera-Godinez, A., Miller, N. S., Bourque, D. L., Brem, C., Ozluk, E., Seth, G., Kimball, S., & Taylor, J. L. (2024). Immune Reconstitution Inflammatory Syndrome in a Patient With Cutaneous Leishmaniasis and HIV: A Diagnostic Challenge for Clinicians Caring for a Migrant Population in the United StatesOpen Forum Infectious Diseases11(10), ofae587. 
  4. Kang, T. S., Head, M. G., Brackstone, K., Buchko, K., & Goodwin, R. (2024). Functional disability, health care access, and mental health in Ukrainians displaced by the 2022 Russian invasion. Psychiatry Research342, 116238. Advance online publication. 
  5. Mastrogiovanni, N., Byrow, Y., & Nickerson, A. (2024). The Development and Validation of a Measure of Mental Health, Help-Seeking Beliefs in Arabic-Speaking RefugeesAssessment31(7), 1359–1377. 
  6. Müller, F., Hansen, A., Kube, M., Arnetz, J. E., Alshaarawy, O., Achtyes, E. D., & Holman, H. T. (2024). Translation, cultural adaptation, and validation of the PHQ-9 and GAD-7 in Kinyarwanda for primary care in the United StatesPloS ONE19(10), e0302953. 

Colorado COE in Newcomer Health

Colorado Center of Excellence in Newcomer Health

Did you know that we are one of two centers established by support from the Centers for Disease Control and Prevention? Visit our partner site: Colorado COE in Newcomer Health!

The Colorado team leads data/epidemiology and public health navigation initiatives through partnerships with states and sites across the country. Their primary goal is to maintain a data repository to identify and respond to the changing landscape of newcomer health, with a focus on domestic medical exams and long-term health follow-up data.

Additionally, they support public health teams in ensuring that all populations are included in public health responses, regardless of culture or language. They develop best practices, toolkit resources, and capacity-building trainings for navigators and public health teams.

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Contact

Please sign up now if you are not already subscribed to Minnesota Center of Excellence in Newcomer Health Updates and wish to receive future editions.

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

The Minnesota Center of Excellence in Newcomer Health is supported by NU50CK000563 (MN) from the U.S. Centers for Disease Control and Prevention.