Sick Mexican adult dies in U.S. custody

Agency investigating death of border crosser who twice sought medical care

A 45-year-old Mexican detained by the U.S. Customs and Border Protection agency died Monday at a medical facility in McAllen, Texas, after twice seeking medical attention, the agency reported.

The fatality followed the deaths in December of two migrant children in government custody, which prompted a vow from the Customs and Border Protection agency to conduct health checks on all children in its "care and custody," as the agency's commissioner, Kevin McAleenan, said at the time. The fate of those two children, both from Guatemala, renewed concerns about the zero-tolerance immigration policy pursued by President Donald Trump.

Another death is likely to raise fresh questions for the border control organization at the forefront of that policy, especially as the president pushes for a wall at the southern border. Trump's critics point to a humanitarian crisis fomented by his own hard-line approach, rather than a crisis of illegal entries that he claims is overwhelming the southwestern United States.

According to a statement Monday from the agency, the unnamed adult was apprehended on Feb. 2 for "illegal reentry," which means the person had tried to enter the country at least once before. The person encountered authorities near a port of entry in Roma, Texas, about 50 miles northwest of McAllen.

The detainee requested medical attention and was transported to a hospital in Mission, Texas, adjacent to McAllen. The same day, the individual was cleared to travel and sent back to a Customs and Border Protection station in Rio Grande City, close to Roma.

On Feb. 3, the detainee again requested medical attention, and, according to the Customs and Border Protection agency, was transported to McAllen Medical Center "shortly thereafter." The Mexican citizen was diagnosed with cirrhosis of the liver and congestive heart failure and remained at the 441-bed hospital from Feb. 3 until dying just before 9 a.m. Monday.

The official cause of death was unknown. The border control agency said its Office of Professional Responsibility was conducting a review. It also had notified the Department of Homeland Security's inspector general, responsible for oversight of the department, as well as Congress and the Mexican government.

"This loss of life is tragic," Andrew Meehan, a Customs and Border Protection spokesman, said in the news release. "Our condolences go out to the family and loved ones. [The agency] remains committed to ensuring the safe and humane treatment of those within the care of our custody."

As of last month, when NBC News published a review of audits and other government reports, at least 22 people had died in American detention centers over the previous two years.

In the same period, the Homeland Security Department's Office of Inspector General issued numerous warnings about improper care at detention centers maintained by Immigration and Customs Enforcement, which receives migrants once they are processed at border facilities. A report released in December 2017 identified "problems that undermine the protection of detainees' rights, their humane treatment, and the provision of a safe and healthy environment." Earlier that year, the oversight office found that Immigration and Customs Enforcement agents were not always recording and promptly reporting instances in which detainees had been separated because of mental-health problems.

The December deaths of Jakelin Caal, 7, and Felipe Gomez Alonzo, 8, came as the numbers of families seeking entry to the United States broke records. Holding cells filled up as Trump promised an end to a policy he calls "catch and release."

Meanwhile, facilities designed for single men proved inadequate for a more diverse population of migrants and asylum seekers, illustrated by a rash of illnesses at the end of last year. Homeland Security Secretary Kirstjen Nielsen said the immigration system had reached a "breaking point," advising those planning border crossings to desist. But advocates for migrants warn that new barriers will only shift journeys to more remote and dangerous locations.

The budget compromise reached by lawmakers last week includes $415 million for humanitarian needs at the border, including medical care and transportation. That figure is significantly lower than the $800 million sought by Nielsen.

A Section on 02/20/2019

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