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Refugees in Indiana. Helen Townsend MPH RN Refugee Health coordinator Refugee Health Program Tuberculosis/Refugee Health Division Indiana State Department of Health. Definition of a Refugee. International Statistics. UNHCR 2007 Statistical Yearbook # of Refugees worldwide in 2007
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Refugees in Indiana Helen Townsend MPH RN Refugee Health coordinator Refugee Health Program Tuberculosis/Refugee Health Division Indiana State Department of Health
International Statistics UNHCR 2007 Statistical Yearbook # of Refugees worldwide in 2007 11.4 million does not include 4.6 million Palestinians counted by another UN agency # of Refugees resettled worldwide in 2007 75,300 (0.7% of total # of refugees) # of Refugees resettled in United States in FY 2007* 48,300 • *Federal fiscal year (1 Oct 2006-30 Sep 2007)
Refugee Resettlement in Indiana 2004-2006 1232 arrivals* 2007 1533 arrivals* 2008 1552 arrivals* 2009 Arrival #s are expected to follow the trend of the previous two years *This number does not include secondary migrants: refugees who originally settled in another part of the United States, then moved to Indiana after arrival.
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Medical Screening • Overseas • Pre-departure • Domestic • 30-90 days after US arrival
Purpose of the Overseas Refugee Medical Examination To identify applicants with inadmissible health-related conditions
Purpose of the TB Follow-up Worksheet To collect information on immigrants and refugees who have migrated to the U.S. They were classified overseas during the required medical examination process with a TB condition. Follow-up evaluation in the U.S. was recommended.
TB Class B Arrivals in Indiana 2007 185 arrivals 2008 240 arrivals 130 refugees 110 immigrants
Purpose of the Domestic Refugee Medical Screening 1) To screen for communicable diseases of public health significance and link refugees with local treatment services 2) To introduce refugees to the U.S. health care system 3) To identify refugee populations who arrive with an increased risk of disease