Manny Fernandez and Zolan Kanno-Youngs

<h1>HOUSTON — Border Patrol officials temporarily stopped processing apprehended migrants at the agency’s largest detention center, in the South Texas city of McAllen, after nearly three dozen detainees there became ill with the flu.</h1>

The halt was ordered late Tuesday, a day after the death of a 16-year-old Guatemalan boy who was sick with the flu and had been in custody at the center. The McAllen facility resumed full operations Wednesday afternoon.

On Tuesday, medical staff at the facility — known as the Centralized Processing Center or Ursula, from its address on Ursula Avenue — identified 32 migrants with high fevers and flu-related symptoms. Officials decided to temporarily suspend all intake procedures for migrants to “avoid the spread of illness,” the Border Patrol’s parent agency, Customs and Border Protection, said in a statement.

Migrants apprehended in the area were processed at other locations while intake was suspended in McAllen, officials said. A Border Patrol official told reporters Wednesday afternoon that the 32 ill detainees had been transferred out of the McAllen center to nearby facilities for further tests.

The flu outbreak and the disruptions it caused raised new questions and controversy over the conditions and the medical care in Border Patrol facilities, as the agency scrambles to handle a surge of migrants arriving from Guatemala, Honduras and El Salvador.

The 16-year-old boy, Carlos Gregorio Hernandez Vasquez, was found dead Monday morning. He was the fifth migrant child to die in federal custody in recent months. A sixth child, a 2-year-old boy, died May 14 after he and his mother were released from custody and after he spent weeks at a children’s hospital in El Paso.

Carlos was sick with influenza, but the cause of death is not yet known.

He was an unaccompanied minor, and had entered the United States on May 13 near Hidalgo, Texas. According to a Customs and Border Protection official who spoke to reporters on the condition of anonymity, Carlos received an initial medical screening that day and showed no signs of illness, and then was transferred to the Centralized Processing Center, the main hub for processing migrants apprehended in the Rio Grande Valley region.

On Sunday morning, the official said, Carlos told agents he was not feeling well, and a nurse practitioner determined that he had influenza and recommended that he receive doses of Tamiflu.

Carlos was later transferred to a Border Patrol station in Weslaco, about 20 miles away, where he could be separated from other detainees. He was found dead at the Weslaco station about an hour after a welfare check, the official said.

The agency said it has begun an investigation into his death.

The tally of migrant children who have died in federal custody since late 2018 increased to five from four Wednesday evening, after officials confirmed that a 10-year-old girl from El Salvador died in September 2018 in the custody of the Department of Health and Human Services’ Office of Refugee Resettlement.

The unidentified girl, whose death was first reported by CBS News, was a “medically fragile child” with a history of heart problems, according to a statement from Health and Human Services. She underwent surgery in San Antonio, but complications left her in a comatose state, the statement said. She was later transferred to Omaha, Nebraska, to be closer to her family, and died there on Sept. 29, 2018.

Of the children who died in custody in recent months, she was the only one from El Salvador. The other four were from Guatemala. The sixth child who died after being released from custody was also from Guatemala.

After Carlos’ death, officials at the Centralized Processing Center spent Tuesday checking detainees’ temperatures, and identified 32 adults and children who appeared to have influenza. Officials declined to say whether the 32 had been exposed to Carlos, saying the agency was still investigating. But they said the ill migrants were given additional medicine, and some were sent to a hospital and later released back into federal custody.

Officials have struggled to house and care for a flood of Central American families, most of whom turn themselves in after crossing the border illegally. Hundreds of migrant families are apprehended daily, and even hourly in some border regions. Agents in South Texas apprehended more than 400 migrants in several groups one recent morning.

In the busiest Border Patrol sector — the Rio Grande Valley Sector, which includes McAllen — the holding capacity of the agency’s facilities is 3,363 detained migrants, but more than 8,000 were in custody last week.

The Border Patrol opened a temporary tent city in Donna, a town near McAllen, and have built four more tent structures outside two Border Patrol stations in South Texas.

Images of migrants sitting on the concrete pavement and grass outside Border Patrol buildings in recent days have outraged immigrant advocates and Democratic lawmakers. For months, they have complained that the conditions at the detention centers and tent cities are callous and unhealthy.

Many migrants are ill when they are apprehended, or become ill after being housed at Ursula. The McAllen detention center, which opened in 2014, is effectively a giant warehouse of corrugated steel, with groups of migrants held in chain-link cages. Migrants refer to it as “La Hielera” — the cooler or the icebox — because of its frigid temperatures. Border Patrol officials said ill migrants apprehended in the Rio Grande Valley Sector are frequently taken to local hospitals, with the sector averaging 20 hospital visits per day.

Christopher Cabrera, a vice president of the local union of Border Patrol agents in the Rio Grande Valley, spoke in an interview in April about the disease and illness in the building.

“The majority of our agents get sick,” said Cabrera, who has been a Border Patrol agent for 17 years. “Infectious disease is everywhere. There’s always scabies in there. Usually we have chickenpox. We have tuberculosis in there. You name it, it’s probably been through that building.”

Border Patrol officials have described the influx of migrants as a humanitarian crisis that is straining the agency’s resources and diverting it from its border security mission. In a statement May 17, Rodolfo Karisch, the Border Patrol’s chief patrol agent for the Rio Grande Valley Sector, called the creation of the four new tent structures at two Border Patrol facilities a “default solution.”

“This is the reality of what happens when we simply cannot handle the influx of migrants arriving,” Karisch said in the statement. “We are doing all we can to ensure a safe environment for all involved but it is crystal clear that we have a real emergency on the border; this is not sustainable.”

In Washington on Wednesday, the rising number of deaths of detained migrant children touched off a heated exchange between members of Congress and the acting secretary of homeland security, Kevin McAleenan.

At a House Homeland Security Committee hearing, Rep. Lauren Underwood, D-Ill., pressed McAleenan on the medical effects that family separations have on children, as well as the recent deaths of migrants in federal custody.

“I feel like, and the evidence is really clear, that this is intentional,” Underwood said. “It’s intentional. It’s a policy choice being made on purpose.”

“That’s an appalling accusation,” McAleenan replied. “And our men and women fight hard to protect people in our custody every day.”

The committee voted 9-7 to strike Underwood’s statement from the record.

The White House has requested $4.5 billion in emergency funds for the southwest border, including nearly $3 billion for the Department of Health and Human Services to care for unaccompanied minors. McAleenan said at the hearing that the funds would help prevent deaths of children in federal custody.

Detained migrant children are supposed to be transferred out of Border Patrol facilities and into shelters managed by the Department of Health and Human Services within three days. But Carlos was not assigned a shelter bed until six days after he had been detained.

“Do you know how disturbing it is when the largest law enforcement agency is not even following the law?” said Rep. Nanette Barragán, D-Calif.

Homeland security officials have said they must wait for Health and Human Services’ approval before transferring detained children to shelters.

Democrats have opposed granting the full amount of emergency funds requested for the border because it includes money for additional detention beds, which would be used to detain more immigrants. But in negotiations to secure more money for hurricane relief in Puerto Rico, Democrats have offered to allocate additional money for food and humanitarian assistance for migrants detained at the border.

This article originally appeared in <a id="b3ea0380-9b8c-4c28-b857-a9d9378757ac" href="https://www.nytimes.com/2019/05/22/us/flu-outbreak-border-detention-center.html">The New York Times</a>.

Flu Outbreak Prompts Largest Border Detention Center to Stop Processing Migrants

On Tuesday, medical staff at the facility — known as the Centralized Processing Center or Ursula, from its address on Ursula Avenue — identified 32 migrants with high fevers and flu-related symptoms.

Flu outbreak prompts largest border detention center to stop processing migrants

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Manny Fernandez and Zolan Kanno-Youngs

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Flu outbreak prompts largest border detention center to stop processing migrants