Many civil liberties organizations have raised concerns that substandard medical care in United States Immigration and Customs Enforcement (ICE) detention facilities have led to preventable deaths. The 2018 Department of Homeland Security Appropriations Bill required ICE to make public all reports regarding in-custody deaths within 90 days beginning in Fiscal Year (FY) 2018. Accordingly, ICE has released death reports following each in-custody death since April of 2018. This study describes characteristics of deaths among individuals in ICE detention following the FY2018 mandate.
Data was extracted from death reports published by ICE following the FY2018 mandate. Causes of death were categorized as suicide or medical, and medical deaths as COVID-19-related or not. Characteristics were compared between medical and suicide deaths, and among medical deaths between COVID-19-related and non-COVID-19-related deaths. Additionally, death rates per person-year and per 100,000 admissions were calculated for FY2018, 2019, and 2020 using methods from prior work evaluating deaths among detained immigrants in the United States.
Since April 2018, 35 individuals have died in ICE detention. The death rate per 100,000 admissions in ICE detention was 2.303 in FY2018, 1.499 in FY2019, and 10.833 in FY2020. Suicide by hanging was identified as the cause of death in 9 (25.7%), and medical causes in the remaining 26 (74.3%). Among 26 deaths attributable to medical causes, 8 (30.8%) were attributed to COVID-19, representing 72.7% of 11 deaths occurring since April 2020.
The death rate among individuals in ICE detention is increasing amidst the COVID-19 pandemic. Potentially preventable causes of death including COVID-19 and suicide contribute to at least half of recent deaths. Findings suggest that individuals detained by ICE may benefit from improved psychiatric care and prevention measures to combat suicide, as well as increased infection control efforts to reduce mortality associated with COVID-19.
Citation: Sophie Terp, Sameer Ahmed, Elizabeth Burner, Madeline Ross, Molly Grassini, Briah Fischer, Parveen Parmar. Deaths in Immigration and Customs Enforcement (ICE) detention: FY2018–2020[J]. AIMS Public Health, 2021, 8(1): 81-89. doi: 10.3934/publichealth.2021006
Many civil liberties organizations have raised concerns that substandard medical care in United States Immigration and Customs Enforcement (ICE) detention facilities have led to preventable deaths. The 2018 Department of Homeland Security Appropriations Bill required ICE to make public all reports regarding in-custody deaths within 90 days beginning in Fiscal Year (FY) 2018. Accordingly, ICE has released death reports following each in-custody death since April of 2018. This study describes characteristics of deaths among individuals in ICE detention following the FY2018 mandate.
Data was extracted from death reports published by ICE following the FY2018 mandate. Causes of death were categorized as suicide or medical, and medical deaths as COVID-19-related or not. Characteristics were compared between medical and suicide deaths, and among medical deaths between COVID-19-related and non-COVID-19-related deaths. Additionally, death rates per person-year and per 100,000 admissions were calculated for FY2018, 2019, and 2020 using methods from prior work evaluating deaths among detained immigrants in the United States.
Since April 2018, 35 individuals have died in ICE detention. The death rate per 100,000 admissions in ICE detention was 2.303 in FY2018, 1.499 in FY2019, and 10.833 in FY2020. Suicide by hanging was identified as the cause of death in 9 (25.7%), and medical causes in the remaining 26 (74.3%). Among 26 deaths attributable to medical causes, 8 (30.8%) were attributed to COVID-19, representing 72.7% of 11 deaths occurring since April 2020.
The death rate among individuals in ICE detention is increasing amidst the COVID-19 pandemic. Potentially preventable causes of death including COVID-19 and suicide contribute to at least half of recent deaths. Findings suggest that individuals detained by ICE may benefit from improved psychiatric care and prevention measures to combat suicide, as well as increased infection control efforts to reduce mortality associated with COVID-19.
| [1] | Miller RN (2017) Refugees, detained immigrants deserve access to quality care American Medical Association (AMA). |
| [2] | Takei C, Small M, Wu C, et al. (2016) Fatal Neglect: How ICE Ignores Deaths in Detention American Civil Liberties Union; Detention Watch Network; and Heartland Alliance's National Immigrant Justice Center. |
| [3] | OIG (2019) Concerns about ICE Detainee Treatment and Care at Four Detention Facilities Office of the Inspector General of the Department of Homeland Security. |
| [4] | Sacchetti M (2018) ICE detainee hanged himself after being taken off suicide watch Washington Post. |
| [5] |
Meyer JP, Franco-Paredes C, Parmar P, et al. (2020) COVID-19 and the coming epidemic in US immigration detention centres. Lancet Infect Dis 20: 646-648. doi: 10.1016/S1473-3099(20)30295-4
|
| [6] | Saadi A, De Trinidad Young ME, Patler C, et al. (2020) Understanding US Immigration Detention: Reaffirming Rights and Addressing Social-Structural Determinants of Health. Health Hum Rights 22: 187-197. |
| [7] |
Granski M, Keller A, Venters H (2015) Death Rates among Detained Immigrants in the United States. Int J Environ Res Public Health 12: 14414-14419. doi: 10.3390/ijerph121114414
|
| [8] | Provisions A, Customs US, Protection B Department of Homeland Security Appropriations Bill (2019) .Available from: https://republicans-appropriations.house.gov/sites/republicans.appropriations.house.gov/files/migrated/UploadedFiles/HRPT-114-HR-FY2017-HSecurity.pdf. |
| [9] | Detainee Death Reporting U.S. Immigration and Customs Enforcement (2020) .Available from: https://www.ice.gov/detainee-death-reporting. |
| [10] | Deaths at Adult Detention Centers American Immigration Lawyers Association (AILA) (2020) .Available from: https://www.aila.org/infonet/deaths-at-adult-detention-centers. |
| [11] | News Releases U.S. Immigration and Customs Enforcement (ICE) Website: U.S. Immigration and Customs Enforcement (ICE) (2020) .Available from: https://www.ice.gov/news/all. |
| [12] | U.S. Immigration and Customs Enforcement U.S. Immigration and Customs Enforcement Fiscal Year 2019 Enforcement and Removal Operations Report (2019) .Available from: https://www.ice.gov/sites/default/files/documents/Document/2019/eroReportFY2019.pdf. |
| [13] | ICE Detention Data, EOFY2020. U.S. Immigration and Customs Enforcement. Detention Management Available from: https://www.ice.gov/detention-management. |
| [14] |
Mehta NK, Elo IT, Engelman M, et al. (2016) Life expectancy among US-born and foreign-born older adults in the United States: estimates from linked Social Security and Medicare data. Demography 53: 1109-1134. doi: 10.1007/s13524-016-0488-4
|
| [15] | Schiriro D Immigration Detention Overview and Recommendation. United States Department of Homeland Security Immigration and Customs Enforcement (2009) .Available from: https://www.ice.gov/doclib/about/offices/odpp/pdf/ice-detention-rpt.pdf. |
| [16] | Butera E, Obser K Prison for Survivors: The Detention of Women Seeking Asylum in the United States. Women's Refugee Commission (2017) .Available from: https://s33660.pcdn.co/wp-content/uploads/2020/04/Prison-for-Survivors-REPORT-FINAL.pdf. |
| [17] | Centers for Disease Control and Prevention Older adults are at greater risk of requiring hospitalization or dying if diagnosed with COVID-19 (2020) .Available from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html. |
| [18] | Centers for Disease Control and Prevention Evidence used to update the list of underlying medical conditions that increase a person's risk of severe illness from COVID-19 (2020) .Available from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/evidence-table.html. |
| [19] | Oliver SE (2020) The Advisory Committee on Immunization Practices' Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine—United States, December 2020. MMWR Morb Mortal Wkly Rep 69. |
| [20] | Sunderji A, Mena KN, Winickoff J, et al. (2020) Influenza Vaccination and Migration at the US Southern Border American Public Health Association. |
| [21] | FOIA Library. U.S. Immigration and Customs Enforcement (ICE) Website: U.S. Immigration and Customs Enforcement (ICE) Available from: https://www.ice.gov/foia/library. |
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Sophie Terp, Sameer Ahmed, Elizabeth Burner, Madeline Ross, Molly Grassini, Briah Fischer, Parveen Parmar. Deaths in Immigration and Customs Enforcement (ICE) detention: FY2018–2020[J]. AIMS Public Health, 2021, 8(1): 81-89. doi: 10.3934/publichealth.2021006
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