In this illuminating Grand Rounds lecture, Dr. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky. They give an overview of the Global Health Initiative at University of Louisville which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support. The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines and bettering our surveillance and epidemiology surrounding global health populations.