56 Records of Alleged Abusive or Improper Conduct where the event type is “Denial of Medical Care”

July, 2023

Among cases cited in a July 2023 Human Rights First report was that of a Haitian asylum-seeking man to whom CBP officers denied access to emergency medical care, while harassing the humanitarian worker accompanying him.

Even during the Title 42 period, it was customary to be granted access to the Reynosa port of entry for medical emergencies requiring an ambulance. The humanitarian worker, however, was told by CBP officers at the limit line, “This isn’t our problem. If you want, you can bring him to wait in line.” At this time, other vulnerable individuals waiting to access the port of entry without an appointment were being forced to wait for over 72 hours in extreme heat. “If I bring him to wait in this line without medical care, he will die,” the humanitarian worker told CBP officers.

After advocacy by another local humanitarian worker, the ambulance transporting the critical case was approved to cross. Yet upon arrival at the port with the ambulance, the humanitarian worker and the Haitian man were harassed by CBP: “It’s you again?” the CBP officer greeted the humanitarian worker who tried to explain the situation but was silenced. A CBP nurse said, “You call this an emergency?” and removed the Haitian man’s oxygen tubes and ordered him to stand up, lowering him from the bed and off the ambulance. A CBP supervisor refused to provide the Haitian man with a wheelchair and instead forced him to walk and to carry his luggage, prohibiting the humanitarian worker from carrying it for him. The CBP supervisor accepted the man for processing and ordered the local humanitarian worker to leave, threatening her and saying she was prohibited from return:

“You’re already in trouble, so if you don’t want to have more problems, leave. You are no longer allowed in this area.”

— Asencio, Christina, Eleanor Acer, and Rebecca Gendelman. “Refugee Protection Travesty.” New York: Human Rights First, July 12, 2023. https://humanrightsfirst.org/library/refugee-protection-travesty/.

Sector(s): Laredo Field Office

Agency(ies): Office of Field Operations

Event Type(s): Abusive Language, Denial of Medical Care, Denial of Protection to Most Vulnerable, Intimidation of Humanitarian Workers

Last Known Accountability Status: Unknown

Victim Classification: Advocate or Humanitarian Worker, Haiti, Medical Condition, Single Adult

June 20, 2023

“One person I represented had been held in CBP custody for two weeks before she spoke with an asylum officer,” said National Immigrant Justice Center (NIJC) Supervising Attorney Lee VanderLinden, in an NIJC report about CBP blocking access to counsel for asylum seekers in the agency’s custody. “During that time, she was denied medical attention despite asking for treatment for her anxiety. She has since been deported, but the government has not told me or her mother to where she was deported.”

— National Immigrant Justice Center. “Obstructed Legal Access: June 2023 Update,” June 20, 2023. https://immigrantjustice.org/staff/blog/obstructed-legal-access-june-2023-update.

Sector(s): Border-Wide

Agency(ies): CBP

Event Type(s): Conditions in Custody, Denial of Access to Asylum, Denial of Access to Counsel, Denial of Medical Care

Last Known Accountability Status: Unknown

Victim Classification: Female

June, 2023

A July 12, 2023 Human Rights First report found that asylum seekers forced to undergo credible fear interviews by telephone from CBP custody, under the Biden administration’s new asylum rule, “face abysmal conditions — including inadequate access to food, hygiene, or medical care — which may lead some to abandon their claims for protection.”

The report related the case of a Venezuelan asylum seeker fleeing government persecution who “accepted voluntary return to Mexico in June 2023 while suffering horrendous medical neglect in CBP custody.”

His asthma was exacerbated by the extreme cold in the CBP jail and he had recently been ill with pneumonia, but he was denied access to an inhaler or other medical care by CBP officers who told him they didn’t care or to “shut up” when he begged for medical attention. Though he feared harm in Mexico because he witnessed Mexican police targeting other Venezuelan migrants due to their nationality, he felt compelled to accept voluntary return to Mexico because of the conditions in CBP detention, according to his attorney at NIJC [National Immigrant Justice Center].

— Asencio, Christina, Eleanor Acer, and Rebecca Gendelman. “Refugee Protection Travesty.” New York: Human Rights First, July 12, 2023. https://humanrightsfirst.org/library/refugee-protection-travesty/.

Sector(s): Border-Wide

Agency(ies): CBP

Event Type(s): Abusive Language, Conditions in Custody, Denial of Medical Care

Last Known Accountability Status: Unknown

Victim Classification: Medical Condition, Single Adult, Venezuela

May 17, 2023

Anadith Danay Reyes Alvarez, an eight-year-old Panamanian daughter of Honduran parents, died on her ninth day of being held in CBP custody with her family in Border Patrol’s Harlingen, Texas Station. The likely cause was influenza.

The family had turned themselves in to Border Patrol in Texas on May 9, 2023, two days before the Title 42 pandemic expulsion policy came to an end, a time when the agency was apprehending about 10,000 people per day. This may have prolonged their time in custody, although the Associated Press reported that by May 14, the average time in custody border-wide had fallen to 77 hours as the rate of new apprehensions dropped rapidly. Under normal circumstances, migrants are meant to spend no more than 72 hours in Border Patrol’s austere holding facilities.

According to a series of CBP statements and updates about Reyes’s case, on May 14th Reyes voiced complaints of abdominal pain, nasal congestion, and cough. That day, CBP-contracted medical personnel reported a fever of 101.8 degrees and a positive test result for Influenza A. In accordance with CBP protocol, the family was transferred to Harlingen Border Patrol Station for communicable disease medical isolation.

Reyes’s mother, Mabel Álvarez Benedicks, told the Associated Press that Border Patrol personnel, including medical contractors, repeatedly denied her appeals for medical aid, including an ambulance and hospitalization, in some cases just administering fever-reducing medication.

CBP reported that the family requested the medical personnel review Anadith’s medical documents to understand her medical conditions: a history of heart problems and sickle-cell anemia (original link). The parents made four requests for an ambulance. All requests were denied.

CBP acknowledged that medical personnel at the Harlingen Border Patrol Station refused to escalate Anadith’s level of care, even as her fever rose to 104.9 degrees early on May 16, the day before she passed. “Contracted medical personnel did not consult with on-call physicians (including an on-call pediatrician) about the girl’s condition, symptoms, or treatment,” the agency’s June 1 statement continued. “The contracted medical personnel failed to document numerous medical encounters, emergency antipyretic interventions, and administrations of medicine.”

The statement went on to note that “the camera system at Harlingen Station was flagged for repair/replacement on April 13. The outage was not reported to CBP OPR as required by H.R. 1158, Fiscal Year 2020 DHS Consolidated Appropriation.”

CBP reported nine medical encounters while the family was in the Harlingen facility. The mother requested emergency attention three times on the 17th; that day, the girl had a seizure, became unresponsive, and was transported to a hospital, where personnel declared her deceased within minutes.

“They killed my daughter, because she was nearly a day and a half without being able to breathe,” Álvarez Benedicks told the Associated Press. “She cried and begged for her life and they ignored her. They didn’t do anything for her.”

When she reported her daughter’s bone pain to an agent, she said he responded, “‘Oh, your daughter is growing up. That’s why her bones hurt. Give her water.’”

“I just looked at him,” Alvarez Benedicks said. “How would he know what to do if he’s not a doctor?”

“I felt like they didn’t believe me,” she said.

In an interview with ABC’s GMA3 program, Álvarez Benedicks said “she felt like medical personnel thought she was lying about how sick her child was feeling… She says Anadith told the staff ‘I can’t breathe from my mouth or my nose.’” The mother added her belief that she received poor treatment because she is Black: “I feel that since I got there they discriminated against me because of my skin tone and because I am an immigrant.”

In a May 21 statement, CBP “Senior Official Performing the Duties of Commissioner” Troy Miller informed that the agency would review cases of “medically fragile” people being kept in custody for long periods, and “will immediately initiate a review of medical care practices at CBP facilities and ensure the deployment of additional medical personnel as needed” (original link). The statement added that CBP had added more than 1,000 medical contractors to its facilities since 2021.

In a June 1 statement, Miller pledged other changes like reducing family units’ time in custody, deploying clinicians from the United States Public Health Service (USPHS) to CBP sites, ordering a review of the medical contractor’s practices at CBP facilities, and prohibiting several medical providers involved in the incident from providing care at CBP facilities (original link).

The Washington Post reported that on June 15 CBP transferred its chief medical officer, David Tarantino, to another assignment at DHS. (Tarantino’s position was created in 2020, after, as the Associated Press put it, “at least six children died during a roughly yearlong period from 2018 to 2019 during the Trump administration.”)

The Washington Post and Los Angeles Times reported on internal Department of Homeland Security (DHS) documents finding fault with CBP’s care for medically fragile migrants in the agency’s custody. The Post reviewed a June 8 internal memo from DHS acting chief medical officer Herbert O. Wolfe that found the Harlingen Border Patrol station “lacked sufficient medical engagement and accountability to ensure safe, effective, humane and well-documented medical care.” The memo, according to the Post’s Nick Miroff, “describes an ad hoc system with little ability to manage medical records, poor communication among staff and a lack of clear guidelines for seeking help from doctors outside the border agency.”

In his response to Wolfe, CBP’s Miller stated that he had ordered the relocation of medically vulnerable migrants from the Harlingen station, and halted the facility’s use as an isolation unit. He added that CBP is reviewing its medical record-keeping system and has told its medical contractor to “take immediate action to review practices and quality assurance plans to ensure appropriate care.” That contractor, Loyal Source Government Services, “received a $408 million medical services contract from CBP in 2020,” the Post reported.

The Los Angeles Times obtained documents from DHS’s Office of the Immigration Detention Ombudsman (OIDO) indicating that officials at one of the Texas CBP detention facilities where Anadith’s family was held had been “complaining about the facility’s ‘overuse of hospitalization.’” A May 22 memo reported by the Times’s Hamed Aleaziz noted that the staff of CBP’s Donna, Texas processing facility “had a ‘tendency to send migrants to the hospital for things that could easily be treated on location,’ the investigators wrote.” Days earlier, agents refused Anadith Reyes’ parents’ repeated pleas for an ambulance and hospital care.

The August 25, 2023 Washington Post reported that Border Patrol had already decided not to renew a $25 million per month contract with the company providing medical services in its Harlingen, Texas station when Reyes passed there. The agency had not yet selected a company to take over duties performed by Florida-based Loyal Source Government Services, which had filed protests about the contracting process.

Anadith Danay Reyes Alvarez was laid to rest in New Jersey on June 17. “We will let our baby rest and let her rest in peace. We want justice for her so that no one else has to go through this,” read a statement from the family. According to the Associated Press, attorneys with the Texas Civil Rights Project and the Haitian Bridge Alliance have requested an independent autopsy to determine the cause of her death.

— U.S. Customs and Border Protection. “June 1, 2023 Update: Death in Custody of 8-Year-Old in Harlingen, Texas,” June 1, 2023. https://www.cbp.gov/newsroom/speeches-and-statements/june-1-2023-update-death-custody-8-year-old-harlingen-texas.

— U.S. Customs and Border Protection. “Statement from CBP Acting Commissioner Troy Miller on the Investigation of the In-Custody Death of a Child,” June 1, 2023. https://www.cbp.gov/newsroom/speeches-and-statements/statement-cbp-acting-commissioner-troy-miller-investigation.

— U.S. Customs and Border Protection. “Update: Death in Custody of 8-Year-Old in Harlingen, Texas,” May 21, 2023. https://www.cbp.gov/newsroom/speeches-and-statements/update-death-custody-8-year-old-harlingen-texas.

— U.S. Customs and Border Protection. “Statement from CBP Acting Commissioner Troy Miller Regarding the Ongoing Investigation of In-Custody Death,” May 21, 2023. https://www.cbp.gov/newsroom/speeches-and-statements/statement-cbp-acting-commissioner-troy-miller-regarding-ongoing.

— U.S. Customs and Border Protection. “Statement from CBP,” May 17, 2023. https://www.cbp.gov/newsroom/speeches-and-statements/statement-cbp.

— Gonzalez, Valerie. “Mother of 8-Year-Old Girl Who Died in Border Patrol Custody Says Pleas for Hospital Care Were Denied.” Associated Press, May 20, 2023. https://apnews.com/article/border-patrol-custody-death-harlingen-8da5429f39cb7ac0ff4c9184a42d8ba2.

— Garcia, Armando. “CBP Ignored Pleas for Help before Migrant Girl’s Death, Parents Say.” ABC News, June 22, 2023. https://abcnews.go.com/US/cbp-pleas-migrant-girls-death-parents/story?id=100271491.

— Miroff, Nick. “CBP Reassigns Chief Medical Officer after Child’s Death in Border Custody.” Washington Post, June 15, 2023. https://www.washingtonpost.com/nation/2023/06/15/border-patrol-medical-care-child-death/.

— Spagat, Elliot. “Death of 8-Year-Old Girl in Border Patrol Custody Highlights Challenges Providing Medical Care.” AP News, May 22, 2023. https://apnews.com/article/border-patrol-custody-child-death-e6dbfde4986eb9e8a91284c3f80293df.

— Miroff, Nick. “Inquiry after Girl’s Death Reports Unsafe Medical Care in U.S. Border Facilities.” Washington Post, June 22, 2023. https://www.washingtonpost.com/immigration/2023/06/22/medical-care-unsafe-border-facilities-migrants/.

— Aleaziz, Hamed. “Border Patrol Officials Complained of ‘overuse of Hospitalization’ as 8-Year-Old Died.” Los Angeles Times, June 28, 2023. https://www.latimes.com/politics/story/2023-06-28/8-year-old-border-patrol-death-fever-hospital.

— Univision. “Entierran a la niña que murió en custodia de la Patrulla Fronteriza y sus padres aseguran: ‘Buscaremos justicia.’” Univision, June 17, 2023. https://www.univision.com/noticias/inmigracion/padres-nina-8-anos-murio-custodia-patrulla-fronteriza-entierran.

— Gonzalez, Valerie, and Liset Cruz. “Balloons, Tears and Hugs as Family of Girl Who Died in Border Patrol Custody Holds New York Funeral.” AP News, June 16, 2023. https://apnews.com/article/border-patrol-anadith-custody-death-8cfee1e24758eefc21086ff3a2215943.

— Miroff, Nick. “Before Child Died in Custody, CBP Tried to Replace Medical Contractor.” Washington Post, August 28, 2023. https://www.washingtonpost.com/immigration/2023/08/25/border-medical-migrants-loyal-source/.

Sector(s): Rio Grande Valley

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Denial of Medical Care, Fatal Encounter

Last Known Accountability Status: Shared with DHS OIG, Shared with Local Police, Under OPR Investigation

Victim Classification: Accompanied Child, Family Unit, Female, Panama

April, 2023

In early April, The San Diego Union-Tribune reported that Border Patrol agents had been keeping migrants out in the open, in the area between two layers of border wall, for days.

The agency was using the space as an open-air holding cell for extended periods of time since at least October of 2022, as media reports from Tijuana’s El Imparcial documented. The initial Union-Tribune investigation reported roughly 150 people held between the walls for up to 5 days, with agents providing them nothing to eat and very little water.

In the days leading up to the May 11, 2023 end of the Title 42 pandemic expulsions policy, the area became a focus of media attention, as reports indicated about 1,000 migrants “stuck” between the wall layers for days before Border Patrol would process them, in the meantime relying on volunteers on the other side of the fence for basic needs.

The initial San Diego Union Tribune reports described the scene:

When a gate opened in the wall further into the United States, many of the migrants tried to walk or run out of the area. Border Patrol agents on ATVs and in cars quickly appeared and directed the group back inside the enclosure. That indicated that the migrants were not free to leave and thus in custody of the agents.

The group told the Union-Tribune that they’d been instructed to wait there to be processed by agents. The more than a dozen people interviewed by the Union-Tribune said they had crossed into the United States to seek asylum.

On May 13, the Southern Border Communities Coalition (SBCC) filed a complaint with DHS’s Office of Civil Rights and Civil Liberties alleging that CBP “is detaining migrants in cruel, inhuman and degrading conditions in an open-air corridor in California.” The complaint added, “CBP agents have only given migrants one small bottle of water a day and one granola bar, far from adequate to endure, leading migrants to eat leaves to survive.” SBCC noted that “CBP has provided only one port-a-potty for hundreds of people, which filled up weeks ago and is unusable.” A vast majority of migrants agreed with the statement, “If I did not receive food and water from volunteers, I would not get enough food and water from Border Patrol to survive.”

People from at least 15 countries, including more than a few children, spent as many as 7 days, according to SBCC, out in the open air between the wall layers, fashioning shelters from bits of plastic. Some used their mobile phones—charged with the help of volunteers on the other side of the fence—to order food deliveries from Tijuana restaurants.

Several members of Congress wrote to CBP voicing strong concern, including a May 5th letter. (original link) The agency responded in early July:

The individuals in question had not made contact with U.S. Border Patrol personnel and were not constrained from further movement…At the time of this incident, the USBP San Diego Sector facilities were experiencing capacity issues and some transportation challenges which have since been remediated. Border Patrol Agents encountered and apprehended the migrants as soon as it was operationally feasible to do so.

Representative Robert Garcia (D-California) responded:

To say that it’s not happening or that they’re not aware of the incident I think is not acceptable…There are human beings here who need help and assistance. This idea that they can’t fess up to something that’s really an issue and really happening is very concerning. I hope that the department isn’t lying to us in Congress with these claims.

Rep. Garcia affirmed he was moving to launch an investigation through his work on the Homeland Security Committee.

Over the weekend of May 13-14, CBP started to empty out two San Diego encampments, processing migrants 30 to 50 at a time.

In September 2023, as migration began increasing again to levels last seen in April, Border Patrol began to hold migrants in between the border wall layers again. Border Patrol was sending around 50 migrants at a time on buses to be processed, which was “a faster circulation of people than what we saw back in May,” Pedro Rios of AFSC told San Diego’s local CBS affiliate.

September reports indicate that the wait for processing was 24 to 36 hours. Border Patrol agents were handing out water bottles, cheese, and crackers. Volunteers provided all other supplies, from blankets to diapers to phone charging equipment, through the slats of the border wall.

As of late September 2023, migrants continued to await processing out in the open in an encampment between layers of the double border wall between San Diego and Tijuana. “An official familiar with the situation” told the Los Angeles Times, in a story published on September 16, “that the number of people between the walls is growing faster than agents can move them out.”

— Cuéllar, Mireya. “Trasladan a Los Retenidos Entre Los Dos Muros de La Línea Tijuana-San Diego.” La Jornada, May 15, 2023. https://www.jornada.com.mx/2023/05/15/politica/004n1pol.

— Garcia, Robert, Juan Vargas, and Delia C. Ramirez. “Letter to Border Patrol Chief Raul Ortiz,” May 5, 2023. https://ramirez.house.gov/sites/evo-subsites/ramirez.house.gov/files/evo-media-document/2023-05-05_letter-border-outdoor-detention-.pdf.

— Hernandez, David. “Open-Air Holding Areas at the Border Cleared as Processing of Migrants Ramps Up.” The San Diego Union Tribune, May 14, 2023. https://www.sandiegouniontribune.com/news/immigration/story/2023-05-14/open-air-holding-areas-at-the-border-cleared-as-processing-of-migrants-ramps-up.

— Karlamangla, Soumya. “Visiting the Migrant Camp at the San Diego-Tijuana Border.” The New York Times, May 15, 2023, sec. U.S. https://www.nytimes.com/2023/05/15/us/migrants-title-42-san-diego-tijuana.html.

— Morrissey, Kate. “Border Patrol Leaves Migrants Stranded in San Diego as Shelters Reach Capacity.” Los Angeles Times, September 16, 2023. https://www.latimes.com/california/story/2023-09-16/border-patrol-leaves-migrants-stranded-in-san-diego-as-shelters-reach-capacity.

— Morrissey, Kate. “In Letter to Congressmembers, CBP Denies Holding Migrants in Custody between Border Fences in San Diego.” San Diego Union-Tribune, July 12, 2023. https://www.sandiegouniontribune.com/news/immigration/story/2023-07-12/letter-congressmembers-cbp-migrants-between-border-fences-san-diego.

— Morrissey, Kate. “Migrants Say Border Patrol Is Keeping Them between the Border Walls for Days without Food or Shelter.” San Diego Union-Tribune, April 13, 2023. https://www.sandiegouniontribune.com/news/immigration/story/2023-04-13/migrants-say-border-patrol-is-keeping-them-between-the-border-walls-for-days-without-food-or-shelter.

— Reyes, Khennia. “Cumplen migrantes tres días detenidos en el muro de Estados Unidos.” Noticias de Tijuana | EL IMPARCIAL, October 17, 2022. https://www.elimparcial.com/tijuana/tijuana/Cumplen-migrantes-tres-dias-detenidos-en-el-muro-de-Estados-Unidos-20221016-0023.html.

— Southern Border Communities Coalition. “BREAKING: Border Advocates File Complaint Alleging CBP Has Violated Custody Standards, Putting Lives at Risk in the California Corridor Between Border Walls,” May 13, 2023. https://www.southernborder.org/border_advocates_file_complaint_alleging_cbp_has_violated_custody_standards_putting_lives_at_risk_in_the_california_corridor_between_border_walls.

— Southern Border Communities Coalition. “BREAKING: Migrants in CBP Custody Speak About Their Conditions in Open-Air Detention Sites in California in a New Report by U.S. Immigration Policy Center,” May 15, 2023. https://www.southernborder.org/migrants_in_cbp_custody_speak_about_their_conditions_in_open_air_detention_sites_in_california_in_a_new_report_by_us_immigration_policy_center.

Sector(s): San Diego

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Denial of Food or Water, Denial of Medical Care

Last Known Accountability Status: Complaint Filed with CRCL, Shared with Congressional Oversight Committees

Victim Classification:

Early December 2022

Reporting on December 15, 2022, the Nogales-based Kino Border Initiative (KBI) stated, “Over the past 2 weeks, KBI received 11 reports of Border Patrol (BP) confiscating personal belongings and never returning them. These reports include 3 deported people who explained that BP took thousands of Mexican pesos from them (1,000 pesos = $50 USD), leaving them unable to pay for transportation or basic necessities.”

Among cases cited:

When BP apprehended Yael [name changed to protect privacy], agents threw away his clothes and medicine. He had to go 5 days without medication to treat his illness.

— “December 15 update from KBI” (Nogales: Kino Border Initiative, December 15, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: Single Adult

Mid-October, 2022

Reporting on October 27, 2022, the Nogales-based Kino Border Initiative (KBI) recounted a Mexican migrant’s inability to receive prompt medical care in Border Patrol custody after being bitten by a venomous animal.

As Caleb [name changed to protect privacy] was crossing the desert, a Border Patrol helicopter appeared overhead and he laid down on the ground, only to be stung by a venomous scorpion on his hip. When a BP agent approached him, Caleb told him he had been stung and needed medical attention, as he was having trouble breathing and his throat felt tingly. The agent told him to sit down and be quiet. After being transported to Yuma, Caleb asked again for medical attention and showed an agent his sting, but she told him to wait. He waited in a holding cell from sometime in the afternoon until 3 am, when there was a shift change and the agent coming on duty saw his condition and immediately brought him to the ER to get an anti-venom shot. Over the course of his detention, he had trouble getting the antibiotics that he needed to prevent the sting from getting infected and also lost all his personal belongings that BP had confiscated, despite contacting the Mexican Consulate for assistance getting them returned.

— “October 27 update from KBI” (Nogales: Kino Border Initiative, October 27, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: Mexico, Single Adult

October 13, 2022

“Over the past 2 weeks,” reported the Nogales-based Kino Border Initiative (KBI), “KBI recorded 13 cases of BP [Border Patrol] taking personal belongings and never returning them (an issue highlighted in the recent NGO letter to CBP Commissioner Magnus), 4 cases of physical abuse and mistreatment, 2 cases of deportations in the middle of the night and 2 cases of medical neglect.”

— “Early October Update on Asylum, Border, and Deportations from KBI” (Nogales: Kino Border Initiative, October 13, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Dangerous Deportation, Denial of Medical Care, Non-Return of Belongings, Use of Force

Last Known Accountability Status: Unknown

Victim Classification:

October 12, 2022

A report published by Oxfam America and the Tahirih Justice Center includes this example of gender-based harm in Border Patrol custody, gathered from a February interview with a migrant woman.

A painful example, shared by a provider recalling a client who had been detained by CBP [59] at the border, highlights the ways in which US officials ignore women’s needs. This client, a young woman, was forced by CBP to spend over 72 hours in a cell without access to sanitary items she needed for menstruation while being harassed by a CBP officer:

“She was held in a holding cell that you’re not supposed to be in for more than 72 hours, like right at the border, but she was there for…maybe five days…She was held for significantly longer than she was supposed to be and was only allowed to be in her underwear. She was on her period and was given no menstrual sanitary items—pads, tampons or anything…[She was] forced to sit there cold in her underwear with this one officer that she said she felt like had it out for her…[he would] say really mean things to her and not let her sleep and make her get her little kid up who’s only five.” [60]

— Duvisac, Sara, and Irena Sullivan. “Surviving Deterrence: How Us Asylum Deterrence Policies Normalize Gender-Based Violence.” United States: Oxfam America, Tahirih Justice Center, October 12, 2022. <https://www.tahirih.org/wp-content/uploads/2022/10/Oxfam_Tahirh_Surviving-Deterrence_English_2022.pdf>.

Footnotes from above:

[59] We use the term “CBP” because the vast majority of our interview respondents refer to US officials at the border as “CBP.” These officials are most likely Border Patrol agents.

[60] Interview 13, February 2022.

Sector(s):

Agency(ies): Border Patrol

Event Type(s): Abusive Language, Conditions in Custody, Denial of Medical Care, Gender-Based Harm or Violence

Last Known Accountability Status: Unknown

Victim Classification: Female, Single Adult

Early October 2022

The Nogales-based Kino Border Initiative (KBI) related Border Patrol’s expulsion, without medical attention, of a migrant who needed a hospital visit upon his arrival in Mexico.

When Elvin [name changed to protect privacy] attempted to enter the US, the mafia attacked him and others in the group he was traveling with. They were all seriously beaten. Elvin then tried to turn himself in to BP [Border Patrol] and ask for help and medical attention. However, BP did not give him any medical attention and didn’t even record his information, but rather expelled him quickly and told him to go to Grupo Beta in Mexico, the humanitarian arm of Mexican immigration. Grupo Beta brought him to the hospital where he received the medical attention he was denied by BP.

— “Early October Update on Asylum, Border, and Deportations from KBI” (Nogales: Kino Border Initiative, October 13, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care

Last Known Accountability Status: Unknown

Victim Classification: Single Adult

Early October 2022

The Nogales-based Kino Border Initiative (KBI) reported that a pregnant migrant woman lost her child after Border Patrol refused medical attention while she was in the agency’s custody, then expelled her under the Title 42 authority.

KBI recently accompanied Esmeralda [name changed to protect privacy] who lost her unborn child when BP [Border Patrol] apprehended her at 8 months pregnant and refused her medical attention 3 times. Upon apprehension, she told them she was 8 months pregnant and had a child that tended to move around a lot and that she was alarmed she hadn’t felt the baby move in hours. She requested a medical examination 3 times and BP agents repeatedly told her to wait. She was quickly expelled to Mexico. The following morning when she began to experience serious pain, a migrant shelter in Nogales brought her to the hospital, where they told her that her baby was no longer alive.

— “Early October Update on Asylum, Border, and Deportations from KBI” (Nogales: Kino Border Initiative, October 13, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Denial of Protection to Most Vulnerable

Last Known Accountability Status: Unknown

Victim Classification: Female, Pregnancy

October 7, 2022

A Southern California public radio investigation found that CBP and Border Patrol in San Diego are releasing injured migrants from custody before they receive necessary treatment, in order to avoid “skyrocketing medical costs” amid a big increase in border wall-related injuries.

Mexico’s consul in San Diego said that “during the first 12 days of August, eight Mexican nationals died trying to cross the border in an undocumented way.” A January 27, 2023 document from the consulate recorded 23 deaths and dozens of injuries, listed as “wall-related,” of Mexican migrants in the San Diego area. (Original link)

With CBP paying far fewer of injured migrants’ medical bills, California’s state government—which changed its law in 2021 to expand the state’s health-care program to cover undocumented migrants’ medical costs—is now bearing most of the cost. The investigation reports:

In 2019, CBP paid the medical expenses of roughly 75% of the patients their agents brought into UC San Diego. That percentage increased to 80% in 2020 but then dropped to 50% in 2021. So far this year, the CBP payment rate at the hospital is down to 15%, although that percentage could go up as payments are processed.

It adds, citing the hospital’s head of trauma, that “the UC San Diego Medical Center has received so many border fall patients this year that the hospital had to dedicate an entire ward just for them.”

— Solis, Gustavo. “Border Patrol Avoiding Medical Costs by Releasing Injured Migrants, Records Show.” KPBS Public Media, October 7, 2022. <https://www.kpbs.org/news/border-immigration/2022/10/07/border-patrol-avoiding-medical-costs-by-releasing-injured-migrants-records-show>.

— “Mexican Nationals Injured or Dead While Crossing the Border in the San Diego-Tijuana Region during Fiscal Years 2020-2022.” Consulate of Mexico in San Diego, January 2023. <https://consulmex.sre.gob.mx/sandiego/index.php/boletines/856-increasing-number-of-mexican-nationals-injured-or-dead-in-their-attempt-to-cross-the-border>.

Sector(s): San Diego, San Diego Field Office

Agency(ies): Border Patrol, Office of Field Operations

Event Type(s): Denial of Medical Care

Last Known Accountability Status: Unknown

Victim Classification:

June 2022

An October 3, 2022 letter from a coalition of Arizona-based groups, led by ACLU Arizona, to CBP Commissioner Chris Magnus cites a case of U.S. border authorities confiscating a child’s medication and denying medical assistance.

The ACLU of New Mexico encountered a woman who was detained by Border Patrol agents in El Paso with her two children. Her five-year-old daughter has epilepsy and takes medication three times a day and follows a strict dietary regimen. Once she was detained by CBP, her daughter’s medications were taken away, and the family was refused any medical assistance until later that night, after her daughter began convulsing. Her daughter was taken from CBP custody to the University Medical Center (UMC) in El Paso where she stayed for two days. Doctors at UMC prescribed medications for four months, as well as Enfamil and PediaSure nutrition drinks for approximately one month. Once the child returned to CBP detention, CBP agents withheld the medicine and meal supplements prescribed by UMC staff. The mother was unable to obtain medication for her child until they were released to a shelter in Las Cruces, New Mexico, where her child once again had convulsions. While at the shelter, her child received medical care and medication.

— Several Arizona Non-Governmental Human Rights Groups. “Letter to CBP Regarding Treatment of Migrants’ Personal Belongings,” October 3, 2022. <https://www.acluaz.org/sites/default/files/2022.10.03_letter_to_cbp_regarding_treatment_of_migrants_personal_belongings.pdf>.

Sector(s): El Paso

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: Accompanied Child

April 2022

An October 3, 2022 letter from a coalition of Arizona-based groups led by ACLU Arizona to CBP Commissioner Chris Magnus, citing “a New Mexico shelter provider that receives migrants from the El Paso Sector Border Patrol,” reported on an 18-year-old migrant boy who was separated from his mother “around April of this year” who “was released from Border Patrol custody without his epilepsy medication.”

— Several Arizona Non-Governmental Human Rights Groups. “Letter to CBP Regarding Treatment of Migrants’ Personal Belongings,” October 3, 2022. <https://www.acluaz.org/sites/default/files/2022.10.03_letter_to_cbp_regarding_treatment_of_migrants_personal_belongings.pdf>.

Sector(s): El Paso

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: Single Adult

Early April, 2022

The Kino Border Initiative (KBI) reported about two Guatemalan men who were expelled to Nogales, Mexico in the middle of the night:

Pablo and William (not real names) arrived at Kino the morning after Border Patrol agents expelled them to Nogales, México. They are both Guatemalan nationals, and had originally crossed in another location, and so were unfamiliar with the area. They both reported that they were expelled around 2 in the morning. As they did not have anywhere to go, they spent the night out in the open, trying to sleep on the ground, and without anything to protect themselves from the cold. Pablo is an older man, while William is in his early twenties. Pablo indicated that when Border Patrol detained him, he requested medical attention as he felt severely dehydrated. Although he complained to Border Patrol of chest pains and a headache, his request was ignored. It was only after he arrived to Kino that he was finally able to receive medical assistance.

— “April 14 Update from KBI” (Nogales: Kino Border Initiative, April 14, 2022).

Sector(s): Tucson

Agency(ies): Border Patrol

Event Type(s): Dangerous Deportation, Denial of Medical Care

Last Known Accountability Status: Shared with Congressional Oversight Committees, Unknown

Victim Classification: Guatemala, Single Adult

March, 2022

“In March 2022, CBP turned away a Nigerian asylum seeker with urgent medical needs,” reads a report from Human Rights First, the Haitian Bridge Alliance, and Al Otro Lado. “The man had been shot multiple times in Mexico, required a colostomy bag to eat, and urgently needed medical treatment unavailable in Tijuana, according to Nicole Ramos, an attorney with Al Otro Lado.”

Extending Title 42 Would Escalate Dangers, Exacerbate Disorder, and Magnify Discrimination (New York: Human Rights First, Haitian Bridge Alliance, Al Otro Lado, April 27, 2022) https://www.humanrightsfirst.org/resource/extending-title-42-would-escalate-dangers-exacerbate-disorder-and-magnify-discrimination.

Sector(s): San Diego Field Office

Agency(ies): Office of Field Operations

Event Type(s): Denial of Medical Care, Denial of Protection to Most Vulnerable

Last Known Accountability Status: Unknown

Victim Classification: Black, Nigeria, Single Adult

February 2022

According to an October 3, 2022 letter from a coalition of Arizona-based groups led by ACLU Arizona to CBP Commissioner Chris Magnus, “an individual with a bleeding disorder requiring injections of anticoagulants had their medications and injection supplies confiscated by Border Patrol agents in Arizona. The individual had several months’ supply. Upon release, they were allowed to keep only two vials of their medication, and CBP failed to provide them with replacement needles or any other way of administering it.”

— Several Arizona Non-Governmental Human Rights Groups. “Letter to CBP Regarding Treatment of Migrants’ Personal Belongings,” October 3, 2022. <https://www.acluaz.org/sites/default/files/2022.10.03_letter_to_cbp_regarding_treatment_of_migrants_personal_belongings.pdf>.

Sector(s): Tucson, Yuma

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: Disability

February 14, 2022

The August 16, 2022 San Diego Union-Tribune recounted the story of “Lucy” (real name withheld), a Salvadoran mother who crossed the eastern California border with her children. According to her attorney, Lucy was fleeing death threats.

She claimed that a Border Patrol agent beat her during her apprehension, that she was denied medical attention, and that agents separate her from her 10-year-old daughter.

They were with a group of other migrants resting along a train line in Calipatria — a city about 35 miles north of Calexico — on Feb. 14 when Border Patrol agents found them.

Lucy said she went to wake up her 18-year-old son Anner as the other migrants fled. A Border Patrol agent caught her and began beating her, she said.

“The truth is I thought he was going to kill me because he had hit me so much,” she told the Union-Tribune.

Her children watched in horror and begged another agent to get him to stop, she said, but the other agent said that he couldn’t because of who the agent attacking her was.

Lucy, who is less than 5 feet tall, attempted to free herself from the agent to save herself, she said. Anner threw a couple of rocks near the agent to try to get him to stop.

The agent did stop, and Lucy escaped to where the other agent was standing with her children, she said.

They were taken to a Border Patrol station, and though Lucy was bleeding from the head and lip and already quite bruised, she did not receive medical attention, she said.

She recalled the agents bullying her and laughing at her.

She was placed in a holding area with her daughter, but soon agents came to take Lucy away. It would be more than a month before she even had an idea of where her daughter ended up.

“They didn’t even give me a chance to say goodbye,” Lucy said. “They took me out and handcuffed me.”

She was taken to a federal facility in Arizona to wait because she was being charged with assaulting and intimidating the agent that she says attacked her, a felony. Anner was charged with a misdemeanor and held in another facility.

The FBI agent who investigated the incident noted in a court filing that Anner told him that the Border Patrol agent was punching his mother.

In May, the U.S. Attorney’s Office asked the judge to dismiss the charges, and the case was dropped.

— Kate Morrissey, “Family Separations at the Border Continue Under Biden” (San Diego: The San Diego Union-Tribune, August 17, 2022) https://www.sandiegouniontribune.com/news/immigration/story/2022-08-16/family-separations-at-the-border-continue-under-biden.

Sector(s): El Centro

Agency(ies): Border Patrol

Event Type(s): Conditions in Custody, Conditions of Arrest or Apprehension, Denial of Medical Care, Family Separation, Use of Force

Last Known Accountability Status: Unknown

Victim Classification: El Salvador, Family Unit

January 2022

According to an October 3, 2022 letter from a coalition of Arizona-based groups led by ACLU Arizona to CBP Commissioner Chris Magnus, “an individual with HIV had his medications removed by Border Patrol agents in Arizona and was not given any medications while detained. He ended up contracting COVID during that time and was not provided any medications upon release.”

— Several Arizona Non-Governmental Human Rights Groups. “Letter to CBP Regarding Treatment of Migrants’ Personal Belongings,” October 3, 2022. <https://www.acluaz.org/sites/default/files/2022.10.03_letter_to_cbp_regarding_treatment_of_migrants_personal_belongings.pdf>.

Sector(s): Tucson, Yuma

Agency(ies): Border Patrol

Event Type(s): Denial of Medical Care, Non-Return of Belongings

Last Known Accountability Status: Unknown

Victim Classification: HIV-Positive

January 13, 2022

A January 2022 Human Rights First report, discussing implementation of the “Remain in Mexico” (RMX) program in El Paso, recounted examples of denial of medical attention to detained migrants.

A Nicaraguan man told Human Rights First that CBP officers ignored another detainee who lay unconscious on the floor of the cell for hours until other detainees begged for assistance. The Border Project reported that a migrant placed in RMX in El Paso had been held in a CBP detention facility for four days and denied needed blood pressure medication.

A Shameful Record: Biden Administration’s Use of Trump Policies Endangers People Seeking Asylum (New York: Human Rights First: January 13, 2022) https://www.humanrightsfirst.org/resource/shameful-record-biden-administration-s-use-trump-policies-endangers-people-seeking-asylum.

Sector(s): El Paso, El Paso Field Office

Agency(ies): CBP

Event Type(s): Denial of Medical Care

Last Known Accountability Status: Unknown

Victim Classification: Nicaragua

January 6, 2022

The Kino Border Initiative reported:

A man from Honduras was expelled to Nogales, Sonora late December in a state of extreme dehydration. He was visibly trembling and reported to KBI that for four days he had only drank water, and that he could not keep down any solid food. An ambulance took him from KBI to the hospital, where he received 15 bags of IV fluids.

— “January 6 Update from KBI” (Nogales: Kino Border Initiative, January 6, 2022).

Sector(s): Tucson Field Office

Agency(ies): Office of Field Operations

Event Type(s): Denial of Medical Care, Return of Vulnerable Individuals

Last Known Accountability Status: Shared with Congressional Oversight Committees, Unknown

Victim Classification: Honduras, Medical Condition, Single Adult

January 6, 2022

The Kino Border Initiative reported:

A young Guatemalan man who was recently expelled to Nogales, Sonora had tried to cross into the US to seek asylum after fleeing threats from extortionists in his hometown. He fell and injured his knee while traveling in the desert. Although he reported his injury to immigration officials, he was not offered medical attention. He was expelled to Nogales at 3AM, where he spent the night exposed in the plaza downtown until the sun came up.

— “January 6 Update from KBI” (Nogales: Kino Border Initiative, January 6, 2021).

Sector(s): Tucson Field Office

Agency(ies): Office of Field Operations

Event Type(s): Dangerous Deportation, Denial of Medical Care

Last Known Accountability Status: Shared with Congressional Oversight Committees, Unknown

Victim Classification: Guatemala, Medical Condition, Single Adult

2021, all year

Four children’s defense organizations filed complaints in a California district court after hearing unaccompanied migrant children narrate abuse and poor treatment while in short-term CBP custody during 2021 (original link). The complaints were filed on April 11, 2022 and shared by VICE News on May 2, 2022.

Between January 1 and August 13, 2021, attorneys from the Florence Immigrant and Refugee Rights Project completed intakes with about 6,000 unaccompanied migrant children. “Out of those six thousand intakes,” the attorneys’ complaint reads, “the Florence Project documented over 900 reports of abuse and legal violations by CBP. Thus, approximately 15 percent of children we interviewed who passed through CBP custody were victims of abuse at the hands of CBP. That number is unacceptably high and likely undercounts the instances of abuse because many children remained afraid to report it.”

“Approximately 14 children reported being sick or getting sick while in CBP holding centers and not receiving adequate care,” the Florence Project’s complaint reads, citing the following examples:

  • A 16-year-old child was detained for six days in poor conditions and lacked adequate food. The child reported stomach pains from the food the child received and was not given medical attention when it was requested.
  • One child reported having COVID symptoms. CBP officers ignored the child until the child insisted on a COVID test. Upon testing positive, CBP officers refused to assist the child when the child requested toilet paper and water.
  • One child reported getting stomach pains after eating frozen food. The child asked for medical attention but never received it.
  • A child held for five days was very cold and became sick but was not given medical attention despite a request to see a medical provider.
  • One child stated that the child’s sister became sick with a respiratory illness and the nurse told her to just drink water and didn’t provide medicine or a COVID test.
  • A child reported being sick for five days while detained. Although the child was vomiting and had diarrhea, the officers did not provide medical attention. One officer told the child that “if you want medication, you have to stay five more days in detention.”
  • A child reported that the child felt sick while in CBP custody. A CBP officer examined the child and said that the child was fine, but the illness worsened. After the child arrived in ORR custody and was seen by medical processional, the child was immediately instructed to begin taking medication. The child believed that CBP’s failure to provide medical assistance allowed the condition to worsen.

— Laura Bellows, Yesenia Ramales, “Abuse of Unaccompanied Non-Citizen Children in Customs and Border Protection Custody Between January and August 2021” (Phoenix: Florence Immigrant and Refugee Rights Project, April 6, 2022) https://www.documentcloud.org/documents/21694269-alleged-abuse-of-unaccompanied-minors-in-customs-and-border-protection-custody.

— Keegan Hamilton, “Kids Allege Medical Neglect, Frigid Cells, and Rotten Burritos in Border Detention” (United States: VICE, May 2, 2022) https://www.vice.com/en/article/93b4vv/border-patrol-abuse-migrant-children.

Sector(s): Border-Wide

Agency(ies): CBP

Event Type(s): Abuse of Minor, Conditions in Custody, Denial of Medical Care

Last Known Accountability Status: Complaint Filed with CRCL, Shared with DHS OIG

Victim Classification: Unaccompanied Child

2021, all year

Four children’s defense organizations filed complaints in a California district court after hearing unaccompanied migrant children narrate abuse and poor treatment while in short-term CBP custody during 2021 (original link). The complaints were filed on April 11, 2022 and shared by VICE News on May 2, 2022.

During 2021, attorneys from Kids in Need of Defense (KIND) met with about 4,515 unaccompanied minor migrant children at 12 Office of Refugee Resettlement shelters in New York City, Houston, Atlanta, and Seattle. “During these screenings,” reads KIND’s complaint, “minors reported numerous civil rights violations during their apprehension and detention by CBP.”

“Approximately 455 minors, or 10.6% of the minors screened, indicated that they lacked access to sufficient food, water, medical attention, or other basic necessities while in detention,” reads KIND’s complaint. It cites the following examples of denied medical care:

  • Many children reported having symptoms such as fever, ear infection, nausea, stomach pain, sore throat, cough, chills, headaches, and/or body aches while detained, but they were denied access to adequate medical attention when they reported these symptoms to officers. Instead, officers regularly told minors to drink more water or gave the children cough drops or allergy medicine, rather than allowing them to speak with a trained medical professional.
  • One minor, who felt feverish and had a very sore, swollen throat, remembers asking to see a doctor. Officers told her that she could only see a doctor “if she was dying.”
  • Another minor, who was a teenager mother, reports begging officers to take her baby to the doctor after her baby became very ill. The officers first told her that she shouldn’t have left her country if she didn’t want her baby to get sick, and that there would be no “preferential treatment” for her. When the baby’s condition worsened, officers finally agreed to take him to the hospital, where doctors told the mother that the baby had a bacterial infection, likely caused by food he had eaten in detention.
  • After her apprehension [during which she suffered abrasions and bruises], Debra [pseudonym, a 15-year-old minor] was taken to a detention facility and spoke with a medical provider for 2 minutes or less, but they told her there was nothing they could do for her injuries. They did not clean her injuries or provide her with any bandages.
  • Mikayla [pseudonym of a 15-year-old minor] shared that on approximately the 5th day of their detention Cameron, Abel, Mikayla, and other detained children became very sick after eating rice and tortillas that they believed were spoiled because they tasted sour. Other food they ate tasted under-cooked. Mikayla reports that they had stomach cramps, fever, and other flu-like symptoms. She vomited 2 or 3 times. Her brothers were sicker than she was and vomited multiple times a day, multiple days in a row. Mikayla alerted CBP officers at least 5 times that they were sick, but the officers did nothing to help them. Officers told her they did not have medication or medical personnel available to help the children. Mikayla remembers that they said, “This is not a hospital, and we are not doctors. We cannot help you.” Mikayla asked if they could eat anything else instead of the food which had made them ill. Officers replied that they would either eat what was given to them or not eat at all, and that it was not their concern whether the children ate or not.”

— Carly Sessions, “Widespread infringement of the civil rights and civil liberties of Unaccompanied Noncitizen Children held in the custody of CBP: January – December 2021” (United States: Kids in Need of Defense, April 6, 2022) https://www.documentcloud.org/documents/21694269-alleged-abuse-of-unaccompanied-minors-in-customs-and-border-protection-custody.

— Keegan Hamilton, “Kids Allege Medical Neglect, Frigid Cells, and Rotten Burritos in Border Detention” (United States: VICE, May 2, 2022) https://www.vice.com/en/article/93b4vv/border-patrol-abuse-migrant-children.

Sector(s): Border-Wide

Agency(ies): CBP

Event Type(s): Abuse of Minor, Conditions in Custody, Denial of Medical Care

Last Known Accountability Status: Complaint Filed with CRCL, Shared with DHS OIG

Victim Classification: Female, Unaccompanied Child

2021, all year

Four children’s defense organizations filed complaints in a California district court after hearing unaccompanied migrant children narrate abuse and poor treatment while in short-term CBP custody during 2021 (original link). The complaints were filed on April 11, 2022 and shared by VICE News on May 2, 2022.

During 2021, attorneys from the Immigrant Defenders Law Center (ImmDef) provided Know Your Rights presentations and conducted legal screenings for at least 2,356 unaccompanied children exiting CBP custody. “During these legal screenings,” reads ImmDef’s complaint, “staff asked children to describe their experience being processed through the U.S. immigration system, with a focus on the conditions in CBP custody.”

“ImmDef has encountered…twenty-three children who suffered medical neglect,” reads the organization’s complaint, which includes the following examples:

  • R.M.M. [a seventeen-year-old child from Guatemala] received medication for three days, but his later requests for medical attention were outright denied. Instead, CBP officers yelled at him and called him names.
  • M.J.C. [a 14-year-old] requested medical attention, which CBP officers denied for three days, instructing her instead to lie down or sleep. CBP officers eventually had to take M.J.C. to a hospital after her symptoms worsened. Doctors later confirmed that her stomach problems were caused by the food provided in the hielera and that she was living with an untreated broken arm that she sustained during her journey. M.J.C. was eventually returned to the CBP facility, where officers withheld her medications and only provided her the same food that made her sick and landed her in the hospital. She became so hungry that she had no option but to eat the dangerous food, which unsurprisingly caused her to experience the same stomach pain. This time, however, she was too afraid to tell the officers that she was in pain and instead suffered in silence.

A June 2022 report from the Marshall Project elaborated on M.J.C.’s story:

It was during that chaos in the spring of 2021 when M.J., an unaccompanied 14-year-old girl from Guatemala, landed in a Border Patrol facility in the Rio Grande Valley of Texas. Instead of the maximum of 72 hours, as required, she was held for 18 days, according to case records reviewed by lawyers with the Immigrant Defenders, who are representing her in her immigration case.

M.J. had been injured in the last days of her journey across Mexico. She leapt from a moving freight train, landing on her shoulder in a bank of rocks, M.J. said in an interview in California in March. (Because she is a minor in legal proceedings, she asked that her name and exact location not be published.)

With her arm swollen and blue, M.J. turned herself in to the Border Patrol soon after crossing the Rio Grande. Agents kept her in handcuffs for 24 hours, she said, aggravating the ache.

She was moved to a vast tent holding families and minors, most likely, based on court documents, in Donna, Texas. Crammed with dozens of girls into a cell defined by clear plastic walls, M.J. slept on a narrow metal bench for nearly three weeks. To leave the cell to use the bathroom, she had to ask each girl for permission to step over. She never had a change of clothes, she said.

She fashioned a sling from a borrowed cloth to relieve the throb in her shoulder. An attendant, citing security rules, took it away, M.J. said. There were nurses on duty, but they declined to give her medication for the pain.

“No one told you to come to the United States,” she said one attendant told her.

The only food was egg burritos and beans, often half-frozen. On the fourth day, M.J. said, she started to vomit from stomach cramps and shoulder pain. The medical staff, relenting, sent her to a local clinic, where examinations revealed a fractured shoulder and severe dehydration.

A physician gave her a sling and prescribed a painkiller. After she was returned to the detention facility later that day, M.J. said, a guard took away the new sling. She never received the medication.

  • When B.T.P. [a Guatemalan girl] asked for medical assistance due to constant headaches, she was first ignored and later told that she would see a doctor. The doctor never arrived.
  • M.G.G. [a seventeen-year-old from El Salvador] also reported a lack of COVID-19 precautions and general medical neglect. When she first arrived, M.G.G. was not given a COVID-19 test and later discovered that there were people with active cases of COVID-19 held in the hielera with her. She was not provided with a mask.
  • The food in the hielera consisted of burritos that tasted spoiled, and L.L.C. [a sixteen-year-old child from Guatemala] soon became sick. When she reported feeling ill to medical staff, they did not address her concerns. As a result, L.L.C. was forced to skip meals. L.L.C. witnessed similar treatment of other children when they felt sick—CBP officers refused to provide medicine and only told the children to drink more water.
  • While crossing the border, M.V.P. [a seventeen-year-old child from Guatemala] hurt the back of her right knee while jumping over a wall. When she asked to see a doctor in the CBP facility, she was given unidentified pills but did not receive any other treatment or follow up.… After four days in CBP custody, M.V.P. began experiencing severe stomach pains and complained to CBP officers. Four hours later, she was taken to a nurse, who did not treat her. After another nine to ten hours of suffering severe pain, M.V.P. was taken to the emergency room, where she was diagnosed with dehydration and put on an IV. When she was discharged from the emergency room, the doctor gave the immigration official paperwork about her condition. M.V.P believes there was more to her condition than dehydration, but she never received a copy of that paperwork.

“It is not limited to one child or one instance,” ImmDef’s complaint concludes.

It is not limited to the conduct of a “bad apple” employee within the agency. It is not limited to even a rogue or remote CBP outpost that lacks training and resources. The sheer number of children who have reported abuse, many of whom told us that they fear retaliation and were afraid to speak up, suggests that these examples are but a fraction of the actual total.

— Hannah Comstock, Carson Scott, Madeline Sachs, “Abuse of Unaccompanied Minors in Customs and Border Protection Custody, January to December 2021” (Los Angeles: Immigrant Defenders Law Center, April 6, 2022) https://www.documentcloud.org/documents/21694269-alleged-abuse-of-unaccompanied-minors-in-customs-and-border-protection-custody.

— Keegan Hamilton, “Kids Allege Medical Neglect, Frigid Cells, and Rotten Burritos in Border Detention” (United States: VICE, May 2, 2022) https://www.vice.com/en/article/93b4vv/border-patrol-abuse-migrant-children.

— Anna Flagg and Julia Preston, “‘No Place for a Child’: 1 in 3 Migrants Held in Border Patrol Facilities Is a Minor” (The Marshall Project, Politico: June 16, 2022) https://www.politico.com/news/magazine/2022/06/16/border-patrol-migrant-children-detention-00039291.

Sector(s): Border-Wide

Agency(ies): CBP

Event Type(s): Abuse of Minor, Conditions in Custody, Denial of Medical Care

Last Known Accountability Status: Complaint Filed with CRCL, Shared with DHS OIG

Victim Classification: El Salvador, Female, Guatemala, Unaccompanied Child