报告发现，在数十起移民和海关执法局（ICE）被拘留者在羁押期间死亡的案例中，其医疗护理“超出了安全限度”。
The reports found medical care that "deviated beyond safe limits" in dozens of cases where ICE detainees died in custody.
美国移民和海关执法局（ICE）曾短暂在其官网上发布，随后又删除了内部审查报告。这些报告指出，在数十名死于移民拘留中心的人员案例中，其接受的医疗护理存在不足。
U.S. Immigration and Customs Enforcement (ICE) briefly published, then deleted, internal reviews from its website finding inadequate medical care in the cases of dozens of people who died in immigration detention centers.
这些内部报告审查了2019年9月至2026年1月期间ICE拘留中心发生的33起死亡事件。在得出最终结论的31份死亡审查报告中，有27份认定护理“未能在执业安全限度内提供”或“超出了安全限度”。其中三份报告指出，这些缺陷可能直接或间接导致了死亡。
The internal reports reviewed 33 deaths in ICE detention centers between September 2019 and January 2026. Of the 31 mortality reviews that reached a conclusion, 27 found that care was "not provided within the safe limits of practice" or "deviated beyond safe limits." Three of those reports say those deficiencies may have directly or indirectly contributed to deaths.
《拦截者》（The Intercept）报道称，这些审查报告于9月25日上传至ICE的公共记录库，但在一名代表《拦截者》提起《信息自由法》诉讼的律师发现这些报告后，它们似乎在四天后被撤下。
The Intercept reported that the reviews were posted on ICE's public records library on September 25, but they appeared to have been taken offline four days later, after an attorney representing The Intercept in a Freedom of Information Act lawsuit discovered them.
政府问责组织“盐盒计划”（Project Salt Box）在报告从ICE网站被清除之前下载了这些文件，并将其发布在该组织的GitHub代码仓库中。
Project Salt Box, a government accountability group, downloaded the reports before they were scrubbed from ICE's website and published them to the organization's GitHub repository.
这些报告记录了跨越不同设施、不同年份和不同总统任期的反复出现的失职行为：工作人员忽视被拘留者的求医呼叫，或仅通过电话处理；药物被中断供应；在医疗紧急情况下，工作人员未能实施心肺复苏等救命措施，或操作不当。
The reports document recurring failures across facilities, years, and presidential administrations: Staff ignored detainees' sick calls or handled them by phone, medications were cut off, and staff failed to perform lifesaving measures like CPR during medical emergencies or performed them incorrectly.
这些报道也与美国国土安全部（DHS）多次公开声明相矛盾，该部门声称移民和海关执法局（ICE）的设施符合全国拘留标准。过去两年间，国土安全部公共事务办公室多次向《理性》杂志（Reason）发送声明，声称“ICE的拘留标准高于大多数关押美国公民的美国监狱”，并且“对于许多非法移民来说，这是他们一生中接受过的最好的医疗保健”。
The reports also contradict repeated public statements by the Department of Homeland Security (DHS) that ICE facilities meet national detention standards. The DHS Office of Public Affairs has sent Reason numerous statements over the past two years claiming that "ICE has higher detention standards than most U.S. prisons that hold actual U.S. citizens" and that "for many illegal aliens this is the best healthcare they have received their entire lives."
国土安全部部长马克韦恩·穆林周三在新闻发布会上表示：“我们不是在提供假日酒店（Holiday Inn）式的待遇。这些人违反了法律。”然而，自特朗普政府去年启动大规模驱逐行动以来，越来越多的证据表明，由于过度拥挤和疏忽，全国各拘留中心本已低下的标准已经崩溃。《理性》杂志获得的法医报告显示，有两名被拘留者分别死于严重的牙齿感染和新冠肺炎肺炎。
"We're not providing Holiday Inns," DHS Secretary Markwayne Mullin said at a press conference Wednesday. "These people broke the law." Yet since the Trump administration's mass deportation campaign began last year, evidence keeps mounting that the already subpar standards at detention centers across the country have collapsed due to overcrowding and negligence. Medical examiner reports obtained by Reason showed two cases where detainees died from a severe tooth infection and COVID-19 pneumonia, respectively.
《旧金山纪事报》四月发表的一项调查认定，至少有17起案件显示，“ICE拘留中的人员在医护人员延迟或未能提供可能挽救其生命的关键治疗后死亡”。科罗拉多州的一处拘留中心发生了结核病疫情，亚利桑那州另一处拘留中心则爆发了麻疹疫情。内部审计和民权组织的外部调查均报告称，全国最大的拘留中心——位于德克萨斯州的一个拥有5000张床位的帐篷营地——存在非人道条件。
A San Francisco Chronicle investigation published in April identified at least 17 cases where "people in ICE custody died after medical staff delayed or failed to provide critical care that might have saved their lives." There was a tuberculosis outbreak in a Colorado detention center and a measles outbreak at another detention center in Arizona. Internal audits and external investigations by civil rights groups have reported inhumane conditions in the largest detention center in the nation, a 5,000-bed tent camp in Texas.
自杀事件激增。与此同时，上个月发布的吹哨人照片和监察长报告揭露了佛罗里达州多个拘留中心存在严重过度拥挤、医疗和卫生条件不足以及食品安全违规等问题。
Suicides have spiked. Meanwhile, whistleblower photos and Inspector General reports released last month revealed severe overcrowding, insufficient medical care and hygiene, and food safety violations at several Florida detention centers.
新发布的死亡审查报告证实了数起涉嫌医疗疏忽案件的细节，例如44岁的海地公民玛丽·安热·布莱斯（Marie Ange Blaise）于2025年4月因心脏病发作，死于布劳华过渡中心（BTC）——这是位于佛罗里达州庞帕诺比奇的一家私营收容所，与美国移民和海关执法局（ICE）签有合同。
The newly released mortality reviews confirm details of alleged medical neglect in several cases, such as that of Marie Ange Blaise, a 44-year-old Haitian national who died in April 2025 of a heart attack at Broward Transitional Center (BTC)—a privately run facility in Pompano Beach, Florida, that contracts with ICE.
根据关于布莱斯死因的内部报告，“死亡审查委员会（MRC）认定，BTC未在安全操作范围内为布莱斯女士提供医疗护理。”
According to the internal report on Blaise's death, "A mortality review committee (MRC) determined BTC did not provide Ms. BLAISE medical care within the safe limits of practice."
MRC发现，在布莱斯倒地后，“1）BTC医护人员背离了基本生命支持（BLS）规范；2）尽管布莱斯女士已无脉搏，医护人员仍未实施心肺复苏术（CPR）；3）医护人员在记录应急响应时，未包含布莱斯女士的生命体征。”
The MRC found that, after Blaise collapsed, "1) BTC health staff deviated from basic life support (BLS) protocols; 2) Health staff failed to initiate cardiopulmonary resuscitation (CPR), despite Ms. BLAISE's pulselessness; and 3) Health staff did not include Ms. BLAISE's vital signs with their documentation of the emergency response."
该死亡报告与ICE就布莱斯之死公布的公开报告相矛盾，公开报告声称工作人员呼叫了紧急医疗服务（EMS），并“立即开始心肺复苏”，“持续进行心肺复苏直到EMS人员抵达”。目睹布莱斯倒地的被扣押人员向一份人权报告透露，当时工作人员的响应也很慢，而且警卫最初在他们呼救时置之不理。
The mortality report contradicts the public report ICE published on Blaise's death, which claimed that staff called for emergency medical services (EMS) and "immediately began cardiopulmonary resuscitation" and "continued providing CPR until EMS personnel arrived." Detainees who witnessed Blaise collapse told a human rights report there was also a slow staff response, and guards initially ignored them when they yelled for help.
“我们开始大声呼救，但警卫不理我们，”一位仅被标识为“Rosa”的BTC前被扣押人员对报告作者说。“最后，一名警官慢吞吞地走过来，看了一眼却不出手干预，然后就走开了。在那之后，医疗人员花了八分钟才赶到，救援队又花了15或20分钟才来。到那时，她已经一动不动了。”布莱斯的儿子对一名县调查员表示，他母亲在去世当天与他通话时曾说，工作人员拒绝让她因胸痛去看医生。
"We started yelling for help, but the guards ignored us," a former BTC detainee identified only as "Rosa" told the authors. "Finally, one officer approached slowly, looked at her without intervening, and then walked away. After that, it took eight minutes for the medical provider to arrive, and then another 15 or 20 before the rescue team came. By then, she was not moving." Blaise's son told a county investigator that his mother said in a phone call with him on the day she died that staff refused to let her see a physician for chest pains.
另一次内部审查为伊斯梅尔·阿亚拉-乌里韦的案件补充了更多细节。《旧金山纪事报》的调查发现，阿亚拉-乌里韦因臀部一处未治疗的脓肿引发脓毒性休克，在医院死亡。三天前，阿亚拉-乌里韦曾向位于加利福尼亚州圣贝纳迪诺县阿德尔安托移民和海关执法局（ICE）处理中心的一名护士抱怨，称其左臀部感到剧烈刺痛。然而，在医生通过电话与阿亚拉-乌里韦沟通后，仅给他开了非处方止痛药、痔疮膏和泻药。
Another internal review adds details to the case of Ismael Ayala-Uribe. The San Francisco Chronicle's investigation found Ayala-Uribe died in a hospital from septic shock caused by an untreated abscess on one of his buttocks. Three days earlier, Ayala-Uribe had complained to a nurse at the Adelanto ICE Processing Center in San Bernardino County, California, about extremely sharp pain in his left buttock. However, after a doctor spoke to Ayala-Uribe over the phone, he was prescribed only over-the-counter pain medication, hemorrhoid ointment, and laxatives.
移民和海关执法局的死亡审查委员会认定，对阿亚拉-乌里韦的护理“超出了安全执业的界限”。具体而言，医务人员未对其抱怨的部位进行目视检查，且在评估过程中，工作人员也未报告其生命体征异常。此外，工作人员还未能执行医生开具的用药指令，也未进行医生要求的常规健康检查。
The ICE mortality review committee found that Ayala-Uribe's care "deviated beyond safe limits of practice." Specifically, medical staff didn't visually inspect the area he was complaining about, nor did staff report abnormal vital signs during his evaluations. Staff also failed to administer his medicine or perform the regular wellness checks that the physician ordered.
审查显示，在阿亚拉-乌里韦去世的前一天，看守人员因其面色不佳而要求医务人员查看他的情况，但医务人员直到13个多小时后才作出回应。
The review shows that the day before Ayala-Uribe died, guards requested that medical staff check on him due to his ill appearance, but medical staff didn't respond until more than 13 hours later.
“在某种程度上，我感到如释重负，”阿亚拉-乌里韦的弟弟何塞·阿亚拉在新报告发布后告诉《旧金山纪事报》。“看到他们承认了所犯的错误，并表示需要对此采取行动。”美国国土安全部未立即回应置评请求。
"In a way, I'm relieved," Jose Ayala, Ayala-Uribe's younger brother, told the San Francisco Chronicle after the new reports were released. "Seeing that they saw what mistakes were and saying they need to act on it." The DHS did not immediately respond to a request for comment.