Minnesota Center of Excellence in Newcomer Health Updates: March 2025

Center of Excellence in Newcomer Health Minnesota

Center of Excellence in Newcomer Health

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March 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.


Pop Quiz

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1. In what ways does immigration influence the United States’ economy? Select all that apply.

A. Improves the overall U.S. economy, which is positive for both U.S. born citizens and immigrants alike

B. Immigrants reduce jobs and the wages of U.S. born citizens’ wages

C. Immigrants pay into the government budget through sales taxes, property taxes, and income taxes for Medicare and Social Security, which exceeds what they receive through government services

For our clinical audience...

Maryam, a 46-year-old Liberia woman, arrived in the U.S. 15 years ago. Last month, during a visit to Nigeria with her family, she went swimming in a freshwater lake. She presents at your clinic with 100.8 F temperature, myalgias, and states that she has had an itchy rash appearing as tiny red bumps down her legs. She did not seek treatment prior to coming back to the U.S.

2. What might be your next best step?

A. Empirically treat with Praziquantel 40 mg/kg PO

B. Test for Schistosoma IgG antibodies together with microscopy of stool or urine

C. Test for influenza A/B

D. Monitor and return in one week if symptoms worsen or don’t improve

Answers at the end of the newsletter


NEW RESOURCE: Dari and Pashto Translations of the Survey of Well-being of Young Children

The Survey of Well-being of Young Children (SWYC)™ is a freely available, comprehensive screening instrument for children under 5 years of age. The SWYC was written to be simple to answer, short, and easy to read. Many translations are available through TEAM UP for Children: Translations | The SWYC; however, we noticed that Dari and Pashto was missing.

In partnership with subject matter and cultural experts, the MN COE translated the SWYC into Dari and Pashto, making it accessible to evaluate the wellbeing of young Afghan new arrivals. Additionally, we developed a few companion resources to support health care professionals and improve care for families.

  • For the health care professional, we developed trauma considerations during developmental screening for medical providers and a process manuscript for those who may be interested in translating the SWYC into additional languages.
  • Based on focus group discussions with Afghan families, and their identified needs, we developed an explanatory document in Dari and Pashto for Afghan newcomers who may not be familiar with developmental screening tools.

Visit Afghan Cultural Adaptation of the Survey of Well-Being of Young Children (SWYC) to access the translated SWYCs and the companion resources.


NEW RESOURCE: Immigrant Health Matters Discussion Guide

Many of you are familiar with our Immigrant Health Matters series, which Dr. Pat Walker has authored over the last couple of years. These brief vignettes focus on optimizing access to care for refugees and immigrants. Each article presents a scenario, provides background on related concepts, and discusses action steps for providers and organizations caring for newcomers.

Recently, Dr. Walker developed a discussion guide to accompany the “Starting a clinic for newcomers” story. This discussion guide is designed to facilitate discussion and education of residents, nursing students, health care administrators, and other learners in the field who want to know more about refugee and newcomer health and the logistics behind enhancing their clinic services.

Revisit the Starting a clinic for newcomers story and download the discussion guide:


MN COE Trainings

Advanced Techniques in Mental Health Care for Newcomers Two-Part Series

Part 1: Assessment – Engaging and Building Trust

Wednesday, April 9, 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
Advanced Techniques in Mental Health Care for Newcomers
Part 1: Assessment – Engaging and Building Trust

Learning objectives:

  • Describe strategies to build trust and establish safety.
  • Identify at least two methods of normalization and psychoeducation.
  • Recognize barriers in cross-cultural engagement and ways to reduce it.

Part 2: In-Depth Treatment Considerations

Wednesday, April 16, 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
Advanced Techniques in Mental Health Care for Newcomers
Part 2: In-Depth Treatment Considerations


Learning objectives:

  • Describe how to design culturally aware treatment plans through collaboration.
  • Discuss how to respond to socio-environmental contributors to trauma and stress.
  • Identify at least three strategies for provider sustainability.

Promotional flyer:
Advanced Techniques in Mental Health Care for Newcomers: Two-Part Series (PDF)

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:

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We want to hear from you!

Last year, we made the decision to offer CMEs for those who attend the live webinars.

Would you like to receive CMEs for watching a recorded session? We are re-evaluating this policy and would like to hear from you!

Please take this short survey and let us know what you think:

Continuing Medical Education Credits from COE Webinar Recordings


University of Minnesota SimLab

Our partners at the University of Minnesota are inviting interested health care professionals working with newcomers in clinical settings in dentistry, medicine, nursing, public health, social work, and other professions to a two-hour online simulation-based workshop.

This interactive simulation-based workshop is designed to build capacity in the area of working with interpreters for interprofessional team members. Workshop objectives include:

  • Supporting newcomers and improving their care by collaborating with trained interpreters.
  • Working as part of an interprofessional team.
  • Applying just-in-time training in an online, simulated clinical environment with standardized patients and trained interpreters.
  • Discussing practical applications in health care settings.

All dates will have two sessions offered, 5:30-7:30 p.m. CT and 6:30-8:30 p.m. CT:

  • April 16 & 29
  • May 12 & 22
  • July 22 & 23
  • August 5 & 6

Register now: You're invited to a virtual workshop!

Promotional flyer:
Supporting Newcomer Health Workshop: Enhancing your skills with interpreters (PDF)


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. The first three session are:

  • Tuesday, April 29:
    Introduction to Newcomer Health: Outpatient Setting
  • Tuesday, May 27:
    Introduction to Newcomer Health: Inpatient and Emergency Setting
  • Tuesday, June 24:
    Case Studies: Newcomer Health in a Changing Landscape

All sessions will be held at 11 a.m. ET | 10 a.m. CT | 9 a.m. MT | 8 a.m. PT.

Learn more and sign up now: ECHO Colorado: Newcomer Health

Please note that you may need to clear your internet history/cache before registering on this new website. You can also access and explore past session materials on the Newcomer Health ECHO Resource Page


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.

International Refugee and Migration Health Conference

2025 Minnesota In-Person Global Health Course

The in-person course is comprised of didactic lectures, case-based learning, discussions, and simulated scenarios. Our four-week in-person global health course provides intensive training ideal for any physician or health care provider who serves a globally mobile population, such as immigrants, refugees or international travelers. One of only 17 courses offered worldwide, ours is the only program of its kind offered in collaboration with the Centers for Disease Control and Prevention. Learn more at University of Minnesota Medical School: Minnesota-Based Global Health Course.

Dates:
May 5-30
Required dates are May 19-30, but you are welcome to join us May 5-16 as well.

Spots fill up fast so sign up soon!
2025 In-Person Global Health Course Registration 

Global Medicine: University of Minnesota Department of Medicine

Guidance: An Important Update for Status Adjusters

People applying to adjust their immigration status to become United States permanent residents (“green card”) are required to undergo a medical examination performed by a Civil Surgeon, which includes vaccine review and administration. Applicants are required to have received age-appropriate vaccines according to Advisory Committee on Immunization Practices (ACIP) guidelines. Note that these requirements are consistent with vaccines recommended for the general population and are not a “special” group of vaccines.

Recently, the United States Citizenship and Immigration Services (USCIS) updated the vaccine requirements for those adjusting their status to lawful permanent resident. Effective Jan. 22, 2025, the COVID-19 vaccine requirement has been waived. More information about vaccination requirements for the adjustment of status exam can be found at USCIS: Vaccination Requirements.

More information on adjustment of status exams, including a list of Civil Surgeons and differences in requirements for refugee applicants, can be found at Minnesota Civil Surgeons.


New EthnoMed Resource! Ramadan Fasting Guidance: A Toolkit for Providers

Ramadan is a sacred month for Muslims worldwide, marked by fasting from dawn to sunset. During fasting hours, individuals abstain from food, water, and oral medications, which can present unique challenges for medication management and health care.

As health care providers, it’s essential to collaborate with patients observing Ramadan to create personalized care plans that honor their spiritual commitments while prioritizing their safety and well-being. A respectful and culturally sensitive approach fosters trust and ensures better health outcomes.

To support health care providers, EthnoMed developed Ramadan Fasting – A Toolkit for Health Providers. The comprehensive toolkit features:


Stay up to date on the latest publications

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


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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Sign up for bimonthly updates for sharing data-related outputs, resources, and invitations to join projects with us.

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 updates.

For more information or questions, please contact the Minnesota Department of Health Refugee Health Program at MNCOENewcomerHealth@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.