Inside the Cell Where a Sick 16-Year-Old Boy Died in Border Patrol Care

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Inside the Cell Where a Sick 16-Year-Old Boy Died in Border Patrol Care
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Video obtained by ProPublica shows the Border Patrol held a sick teen in a concrete cell without proper medical attention and did not discover his body until his cellmate alerted guards. The video …

that documents the 16-year-old’s last hours, and it shows that Border Patrol agents and health care workers at the Weslaco holding facility missed increasingly obvious signs that his condition was perilous.

The video makes clear that CBP, the Border Patrol’s parent agency, inaccurately described how Carlos’ body was discovered. Contrary to the agency’s press release, it was Carlos’ cellmate who found him, not agents doing an early morning check. On the video, the cellmate can be seen waking up and groggily walking to the toilet, where Carlos was lying in a pool of blood on the floor. He gestures for help at the cell door.

A CBP spokesman declined to respond to a series of questions about Carlos’ death, citing an ongoing internal investigation. “While we cannot discuss specific information or details of this investigation, we can tell you that the Department of Homeland Security and this agency are looking into all aspects of this case to ensure all procedures were followed,” CBP spokesperson Matt Leas said.

Carlos’ death prompted changes to require Border Patrol agents to enter the cells of ailing detainees at regular intervals to check on them and take temperatures, according to a source familiar with the fallout. Carlos, the second youngest of eight children, was a standout student at the village school. He was captain of the soccer team and excelled in playing instruments the school had bought by selling raffle tickets. “He played percussion and the bombo and the lyre and the trumpet,” said Jose Morales Pereira, who was Carlos’ teacher. “He always said, ‘Professor, let’s teach everyone else.’ He was my leader.

Starting late last year, smugglers ran express buses up through Mexico to meet demand. A family member said Carlos and his sister traveled by bus for much of their journey. At the Rio Grande on May 13, they wore life vests and crowded onto a rubber raft with a half-dozen others. An investigation by the Homeland Security inspector general found severe overcrowding at the Weslaco Border Patrol station in June, soon after the death of Carlos.

Border Patrol centers were designed to temporarily hold migrants and were not set up for long-term detention, which typically includes medical staff to treat detainees who become ill. The agency had a handful of emergency medical technicians assigned to the centers. In late 2018, it had only 20 medical staffers working under contract along the 2,000-mile Mexican border to monitor the health needs of 50,000 apprehended migrants a month.

The prospect of flu outbreaks was a growing concern. The CBP had rejected a recommendation from the Centers for Disease Control and Prevention that it vaccinate migrants, saying such a program was impractical and complex. Amid the crowding, Border Patrol agents, trained in law enforcement, had reluctantly stepped into care-taking roles.

“Flu can progress rapidly, but it’s not like a heart attack. Even when fast, it worsens over a period of hours. There should have been signs that indicated he needed to go to the hospital,” Sharfstein said. The video of Cell 199 provided to ProPublica by Weslaco police is split into two parts, the first showing more than 33 minutes beginning about 1:13 a.m. and the second showing 1 hour and 11 minutes beginning about 5:48 a.m. Weslaco Police Chief Joel Rivera said that’s how Border Patrol provided the video to his investigators. The investigation ended after the coroner and police found no foul play in Carlos’ death.

Carlos returns to the cement bench opposite his cellmate about six minutes into the video and shifts uncomfortably. He moves out of the camera’s view for a couple of minutes, apparently sitting or standing next to the cell’s large window. Garza couldn’t be reached for comment and CBP officials wouldn’t answer questions about the extent of the welfare checks. The pathologist who performed the autopsy, Dr. Norma Jean Farley, said in an interview that she had been told the agent looked through the window but didn’t go inside Cell 199. She said it wouldn’t be unusual for a feverish child to seek comfort by laying on a cool floor.

The Border Patrol press release describing these events said “He was found un-responsive this morning during a welfare check.”The autopsy report did not address how long Carlos had been dead before his cellmate found him. His body had already begun to stiffen when Martinez attempted to revive him. The process of rigor mortis can be accelerated by the flu.

The Trump administration asked Congress in January for $800 million to upgrade border facilities, but it approved about $414 million, including money for a new El Paso processing center to hold children and families, renovation funds for the McAllen processing center and about $192 million for “improved medical care, transportation, and consumables” for those in CBP custody, according to the joint statement issued when the bill was finalized. It soon became clear it wasn’t enough.

The fight for money became one of Sanders’ top priorities. By May, as Carlos prepared to head north, the Trump administration made the case for $4.5 billion in emergency aid, with $2.9 billion to cover a shortfall in the program for unaccompanied minors. Democrats supported the humanitarian funding but many objected to $1.1 billion for additional immigrant detention spending.

Farley said in an interview that the video showed that no one entered Carlos’ cell between 12:20 a.m., when he was fed, and around 6 a.m., when the cellmate knocked on the door to get an agent’s attention. “I’m finding what these people that tend to come there, they don’t tell them that they’re sick. And I don’t know if they’re afraid to tell them they’re sick because they’ll be quarantined. I don’t know what the issue is that they don’t. He finally did, but by the time he’s telling them that he’s sick, he’s more sick than he knows,” she said.

Carlos’ grief-stricken parents questioned how their son could have died in U.S. custody. His father, in an interview with Telemundo, wondered: “He left healthy. What happened to him?” Meanwhile, in Washington, moderate House Democrats joined Republicans in passing a bipartisan Senate bill sending $4.6 billion aid to the border on June 27. The impasse was broken a day after a heart-rending photograph went viral showing a drowned father and daughter lying face down on the banks of the Rio Grande.

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