HARLINGEN, Texas — Border Patrol medical staff declined to review the file of an 8-year-old girl with a chronic heart condition and rare blood disorder before she appeared to have a seizure and died on her ninth day in custody, an internal investigation found.
U.S. Customs and Border Protection has said the child’s parents shared the medical history with authorities on May 10, a day after the family was taken into custody.
But a nurse practitioner declined to review documents about the girl the day she died, CBP’s Office of Professional Responsibility said in its initial statement Thursday on the May 17 death.
The nurse practitioner reported denying three or four requests from the girl’s mother for an ambulance.
Anadith Danay Reyes Alvarez, whose parents are Honduran, was born in Panama with congenital heart disease. She received surgery three years ago that her mother, Mabel Alvarez Benedicks, characterized as successful during a May 19 interview with The Associated Press.
A day before she died, Anadith showed a fever of 104.9 degrees Fahrenheit (40.5 degrees Celsius), the CBP report said.
A surveillance video system at the Harlingen, Texas, station was out of service since April 13, a violation of federal law that prevented evidence collection, according to the Office of Professional Responsibility, akin to a police department’s office of internal affairs. The system was flagged for repair but wasn’t fixed until May 23, six days after the girl died.
Still, the report relied on interviews with Border Patrol agents and contracted medical personnel to raise a host of new and troubling questions about what went wrong during the girl’s nine days in custody, which far exceeded the agency’s own limit of 72 hours.
Investigators gave no explanation for decisions that medical staff made and appeared to be at a loss for words.
“Despite the girl’s condition, her mother’s concerns, and the series of treatments required to manage her condition, contracted medical personnel did not transfer her to a hospital for higher-level care,” the Office of Professional Responsibility said.
Troy Miller, CBP’s acting commissioner, said the initial investigation “provides important new information on this tragic death” and he reaffirmed recent measures including a review of all “medically fragile” cases in custody to ensure they are out of custody as soon as possible. Average time in custody has dropped by more than half for families in two weeks, he said.
“(This death) was a deeply upsetting and unacceptable tragedy. We can — and we will — do better to ensure this never happens again,” Miller said.