Minnesota Refugee Health Provider Guide
This manual is designed to be a reference document for health care providers who perform the Minnesota Initial Refugee Health Assessment exam. Providers can use the manual to find specific guidance on the recommended components of the exam as well as answers to general questions about the delivery of health care to refugees.
You may also wish to bookmark CareRef, an interactive screening recommendation tool. Recommendations are kept updated in CareRef.
Introduction to the refugee health program and this provider guide, including how to use the guide, plus acknowledgements.
- Refugee Health Program
The history of the MN Refugee Health program, terminology, and descriptions of the refugee health medical exams.
- The Minnesota Initial Refugee Health Assessment
The Minnesota initial refugee health assessment is designed to reduce health-related barriers to successful resettlement, while protecting the health of Minnesota residents and the U.S. population.
Every child and adult refugee should be appropriately immunized against vaccine-preventable diseases.
Over 80 percent of TB cases in Minnesota occur among foreign-born persons. Refugee health assessments offer an excellent public health opportunity for screening and treating latent TB infection and prevent future TB disease in a high-risk population.
- Hepatitis B
During 2011, 8 percent of all refugees screened in Minnesota tested positive for hepatitis B infection.
- Sexually Transmitted Diseases
The rate of STDs among refugees arriving to Minnesota is unknown.
- Parasitic Infections
In 2011, 21 percent of refugees screened in Minnesota had at least one intestinal parasite, with the highest prevalence among Southeast Asians (25 percent).
In 2011, 47 cases of malaria were reported to MDH. Thirty-eight case-patients likely acquired malaria in Africa.
- Child Lead Screening
In 2010, Refugee children had up to three times the risk of lead poisoning compared with the general population of Minnesota children.
- Mental Health Screening
Although the Minnesota Initial Refugee Health Assessment form does not have a mental health component, it is critical that mental health issues be addressed in the screening process.
- Working with Medical Interpreters
The need for clarity and understanding is paramount in a clinic or hospital, where life-and-death-decisions hinge on immediate, accurate communications.
Definitions of refugee and refugee health terms.