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Todd County public health flags infectious‑disease and access concerns after rise in Haitian workers

2530176 · February 18, 2025
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Summary

Public health officials told commissioners that a recent influx of Haitian workers in Long Prairie includes pregnant women and others who have not accessed routine care; staff said they have already identified several infections and want to increase screening and outreach.

Todd County Public Health on Tuesday briefed the Board of Commissioners on a rising local Haitian population in Long Prairie and associated public‑health concerns, including delays in prenatal care and several infectious‑disease cases.

Public Health Director Catherine (last name not specified) told commissioners that more than half of employees at a local employer are now Haitian workers, arriving under temporary protected status. Since Jan. 1, public health staff had enrolled five Haitian women in the home‑visiting program; three of those women had infectious diseases, the director said.

The department said language barriers, limited prior access to routine care in Haiti, and the short time many workers can miss of work to seek medical care are drivers of delayed care. Officials said the county has already handled a recent complicated tuberculosis case involving HIV that required nine months of direct observed therapy and quarantine hotel housing; public‑health staff estimated that intervention cost about $60,000 and was not reimbursed by the state.

Public health staff described steps they are taking: expanded screening for TB, HIV and sexually transmitted infections, outreach with local clinics and CentraCare Lakewood, and discussions about reinstating a free family‑planning clinic to reach people who otherwise delay care.

Why it matters: Rapid in‑migration of a population with unknown immunization and screening histories can raise the risk of local outbreaks and impose unplanned costs on county public‑health teams and social services. County officials said they will work with local clinics and employers to increase access to care and translated information.

What's next: Public Health asked commissioners to note the increased service demand and to support outreach and coordination with local health providers.