Minnesota Center of Excellence in Newcomer Health Updates: January 2025

Center of Excellence in Newcomer Health Minnesota

Center of Excellence in Newcomer Health

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January 2025

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.

Happy New Year!

As we enter into 2025, we just wanted to take a moment to wish everyone a happy and healthy new year! Thank you for all of your passion, work, and contributions to improve the health of newcomers over the past year.

We created a dedicated email address for the MN COE to receive your suggestions, requests, inquiries and more. We would love to hear from you at MNCOENewcomerHealth@state.mn.us.

We look forward to our continued collaboration in this coming year!

Pop Quiz

speech bubble icon with question mark in center

Refugees have several legal rights in their host countries, as established by international law and conventions.

1. What are some of these legal rights (select all that apply)?

A. To not be forcibly returned to their country of origin

B. Access to education and health care

C. Right to gainful employment and housing

D. Right to movement within the host country

E. Free access to courts of law in the territory of all contracting states

For our clinical audience...

Victor, a 27-year-old Guatemalan man, arrived in the U.S. recently. He presents at your FQHC with a runny nose, sore throat, fever, and red eyes persisting for a few days. Victor began vomiting yesterday, preventing him from going to work. He had postponed coming into the clinic due to his work schedule and is worried about his sickness affecting his current work (he was able to find work as a “chicken catcher” at a poultry factory).

2. What is your next step (select all that apply)?

A. Consider testing for SARS-CoV-2, novel influenza A viruses, influenza B, and RSV

B. Empirically treat with antibiotics

C. Empirically treat with antivirals

D. Implement isolation measures

Answers at the end of the newsletter


SPOTLIGHT: COEs Featured in the World Health Organization’s Dashboard

The World Health Organization recently published the Global Experiences in Promoting Refugee and Migrant Health Dashboard. Per the WHO: “This dashboard illustrates the positive steps taken by countries all over the world towards better health outcomes for the one billion people on the move. Based on voluntary submissions by governments and partners, the dashboard showcases how countries with varying health systems and challenges have implemented policies in line with the WHO global action plan on promoting the health of refugees and migrants, 2019–2030."

Both the Colorado and the Minnesota COEs featured multiple case studies in the United States Country Case Examples, found in the bottom left box of the dashboard.

The Colorado case studies are titled:

  • Newcomer health overview infographics
  • A cultural navigation model to link communities with public health
  • Integrating cultural considerations into public health response efforts
  • Video development for public health messaging

The Minnesota case studies are titled:

  • Enhance capacity to tackle the social determinants of health and to accelerate progress towards achieving the Sustainable Development Goals, including universal health coverage
  • Population-based surveillance of COVID-19 vaccination among refugees
  • Promoting health screening for refugees and migrants through continuing education for health care providers and medical interpreters

Read more about this dashboard at WHO: Dashboard on Global Experiences in Promoting Refugee and Migrant Health.

WHO Dashboard on Global Experiences in Promoting Refugee and Migrant Health: List of case studies

NEW RESOURCE: Haitian Clinical Guidance

megaphone icon with NEW text

We launched a new resource! The Haitian Clinical Guidance provides health screening guidance for clinicians caring for Haitians, in addition to a repository of links to webinars and trainings, health and safety guidance, health profiles, translated materials, benefits, and more resources.


Survey results are in!

Nearly 400 of you responded to our needs assessment survey near the end of 2023. Over the last year, we analyzed the results and finalized our report! The results of the 2016 survey informed our early work, including the creation of CareRef and the Clinical Decision Support tools. This latest survey took this a step further by evaluating these tools in addition to asking what would be most helpful in your work. Based on your feedback, here are some projects and initiatives we are exploring:

  • Redesigning CareRef’s interface to reflect your requests, including looking into adding checklists and adding a print feature
  • A “Resource Hub” that could act as a one-stop-shop for health care providers looking for resources and information on various health topics, like immunizations, tuberculosis, and mental health
  • More interactive trainings
  • Revised and added newcomer health profiles
  • A MN COE email address to provide technical assistance, with our commonly asked questions featured in a FAQ feature on the Resource Hub

Read the report in its entirety:
A Survey of Health Care Providers to Identify Educational Needs to Ensure Quality and Equitable Care for Refugees, 2025 (PDF)

Call for Abstracts: International Refugee and Migration Health Conference

The Society of Refugee Healthcare Providers’ annual conference, the International Refugee and Migration Health Conference (formerly known as the North American Refugee Health Conference, or NARHC) will be held in Halifax, Canada, June 27-29, 2025.

They have opened their call for abstracts, due Feb. 1, 2025. Read more and submit your abstract today at Society of Refugee Healthcare Providers: Abstract Submissions.

International Refugee and Migration Health Conference

Missed a webinar? Don’t sweat it!

The following recordings have recently been approved for accessibility and are posted on our Trainings: Minnesota Center of Excellence in Newcomer Health webpage:


ECHO Colorado Newcomer Health Series

In partnership with ECHO Colorado, the Minnesota Center of Excellence in Newcomer Health has been hosting a monthly training on newcomer health since Oct. 25, 2022.

We are currently planning the 2025 series and plan on having the first session in April 2025.

Until then, you can access and explore past session materials on the Newcomer Health ECHO Resource Page and be the first to sign up for this year’s session when registration opens on the new ECHO Colorado: Newcomer Health website! Please note that you may need to clear your internet history/cache before registering on this new website.


From Our Partners at Children's Hospital of Philadelphia

Short Course on Multilingual Approaches to Research Studies

May 21-23, 2025
Roberts Center for Pediatric Research | Philadelphia, PA
Application deadline: April 15, 2025

Expand your research skillset to better engage children and families who prefer a language other than English in health research via the Short Course on Multilingual Approaches to Research Studies. Join experts from Children’s Hospital of Philadelphia and peer institutions across the country May 21-23 in Philadelphia for a hands-on course featuring lectures, case studies, workshops, and consultations. 

This course is tailored to graduate, postdoctoral, early career, and senior investigators from a wide range of academic disciplines. The course also supports career development for multilingual investigators from underrepresented backgrounds by providing training to leverage language skills for multilingual research and grant-seeking. Course faculty have expertise in applied linguistics, translation and interpreting studies, community engagement, public health, nursing research, and medicine. 

Scholarships are available. Learn more and Apply Today for the Short Course on MARS 2025.

Questions? Email ShortCourseOnMARS@chop.edu


Clinical Guidance Spotlight: H5N1

H5N1 (also known as avian influenza or bird flu) has been rising in the news, with the total confirmed human cases nearing 70 at the beginning of January, including one death. CDC has put out the following key points to know (CDC H5 Bird Flu: Current Situation):

  • H5N1 is widespread in wild birds worldwide and has been causing recent outbreaks in poultry and U.S. dairy cows, with several recent human cases in U.S. dairy and poultry workers.
  • While the current public health risk is low, CDC is watching the situation carefully and working with states to monitor people with animal exposures.
  • CDC is using its flu surveillance systems to monitor for H5N1 activity in people.

CDC recommends avoiding direct contact with wild birds and other animals infected with or suspected to be infected with H5N1. If someone cannot avoid direct/close contact, they are advised to wear personal protective equipment (PPE).

CDC Clinician Brief: Evaluating and Managing Patients Exposed to Animals or Persons Infected with Novel Influenza A Viruses of Public Health Concern

Here are a couple of translated resources in Spanish:


Clinical Guidance: Updates from CDC

Varicella Exposures

On Dec. 18, 2024, CDC notified its domestic partners to raise awareness of a varicella exposure in refugees from Kenya. On Dec. 31, 2024, CDC again notified its domestic partners regarding another varicella exposure among refugees in Addis Ababa, Ethiopia. In both cases, all eligible family members of the index cases received a dose of varicella vaccine within the recommended five-day window and the family’s travel was delayed until the index cases recovered. The CDC, in partnership with in-country and international partners, will continue to monitor the situation in Kenya and Ethiopia, and will follow up with additional information as it becomes available.

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, CDC: ACIP Recommendations: Varicella (Chickenpox) Vaccine should be followed for all persons. More information on ACIP recommendations for varicella vaccination and post-exposure vaccination can be found at CDC: Varicella Vaccine Recommendations

Cholera Outbreak

On Dec. 26, 2024, CDC notified its domestic partners to raise awareness of a confirmed cholera outbreak in Myanmar and Thailand, along the border. As of Dec. 23, 2024, close to 300 cumulative cases, 56 with severe condition and two deaths, have been reported in Swe Koke Ko, Myanmar. Additionally, two cases with travel history from Myanmar were hospitalized with cholera in Thailand, with one being discharged. Among these cases, initial laboratory results have confirmed V. cholerae O1 Ogawa. The extent of the outbreak is under investigation and control measures are being implemented, including border closure in Thailand.

To prevent the spread of cholera, CDC has recommended a five-day predeparture surveillance period for refugees from camps along the border and is working with the International Organization for Migration (IOM), the Bureau of Population, Refugees, and Migration (PRM), and in-country partners to implement this public health measure. During the predeparture surveillance period, IOM medical staff will monitor refugees daily and refer those with symptoms of diarrhea or illness for immediate medical evaluation. Additionally, health education on the signs and symptoms of cholera, as well as hygiene practices, will be provided. Read more at CDC: About Cholera.

In the unlikely event that a newly arrived refugee develops symptoms after arrival, they should be immediately referred for medical evaluation with notification to the health care facility of the potential cholera exposure. Of note, there have been no cases of cholera among refugees resettled to the United States related to the ongoing outbreak.

Please contact the CDC Domestic Team with any questions: irhbdomestic@cdc.gov


Stay Up to Date on the Latest Publications

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

Fox, S., Shah, P., Hollberg, M. R., Lee, D., & Posey, D. L. (2024). Syphilis Among U.S.-Bound Refugees, 2015 - 2018Journal of immigrant and minority health26(6), 1062–1069. 

Shen, D., Ayala, A., Reves, R., Haas, M., Khurana, R., & Tuberculosis Epidemiologic Studies Consortium (2024). Tuberculosis infection prevalence and treatment completion among refugees in the United States. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases151, 107361. Advance online publication. 

Singh, R., Villalobos, K., Cohen, J. H., Maleku, A., Pyakurel, S., Suzuki, T., Raut, S., Troyer, M., Jackson, C. L., & Montiel Ishino, F. A. (2024). Profiles of community support and challenges associated with insomnia symptoms: Findings from the pilot Bhutanese Community of Central Ohio Health StudySleep health10(6), 722–730. 

Cabieses, B., Belo, K., Calderón, A. C., Rada, I., Rojas, K., Araoz, C., & Knipper, M. (2024). The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review. Lancet regional health. Americas40, 100660. 

Plesons, M., Hullfish, H., Joshi, P., Symes, S., & Saxena, A. (2024). Characteristics and Guardianship Status of Children Undergoing Forensic Medical and Psychological Evaluation for Asylum in Miami. Health and human rights26(2), 137–147.

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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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.