美国移民和海关执法局（ICE）曾短暂在其网站上发布，随后又删除了内部审查报告。这些报告发现，在数十名死于移民拘留中心的人员案件中，其接受的医疗护理存在严重不足。
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拘留中心内发生的33起死亡事件。在得出明确结论的31份死亡审查报告中，有27份认定相关护理“未能在安全执业范围内提供”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，但在一名代表依据《信息自由法》提起诉讼的律师发现这些文件后，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 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网站被清除前下载了这些文件，并将其发布在该组织的GitHub代码仓库中。这些报告记录了跨越不同设施、不同年份以及不同总统任期的反复出现的失职行为：工作人员无视被拘留者的医疗请求，或仅通过电话处理；药物供应被切断；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。
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 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.
这些报道也与国土安全部（DHS）此前一再公开声称“移民和海关执法局（ICE）的设施符合国家拘留标准”的说法相矛盾。在过去的两年里，国土安全部公共事务办公室曾向《理性》杂志发送过多份声明，声称“与关押美国公民的多数美国监狱相比，ICE拥有更高的拘留标准”，并且“对许多非法外国人来说，这是他们一生中获得的最好的医疗服务”。
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."
国土安全部长马克韦恩·穆林（Markwayne Mullin）周三在一次新闻发布会上表示：“我们提供的不是假日酒店。这些人触犯了法律。”然而，自从特朗普政府去年的大规模驱逐行动开始以来，越来越多的证据表明，由于过度拥挤和疏忽，全国各地拘留中心本已不高的标准已经彻底崩溃。获得的法医报告显示了两个案例，其中被扣留人员分别死于严重的牙齿感染和新冠肺炎。
"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 showed two cases where detainees died from a severe tooth infection COVID-19 pneumonia respectively.
今年4月发表的一项《旧金山纪事报》调查确认了至少17起案例，“在这些案例中，被关押在ICE的人在医护人员延迟提供或未能提供可能挽救其生命的关键治疗后死亡”。科罗拉多州的一个拘留中心爆发了结核病，亚利桑那州的另一个拘留中心爆发了麻疹。民权集团进行的内部审计和外部调查报告称，全美最大的拘留中心——位于德克萨斯州的一个拥有5000张床位的帐篷营地——存在不人道的生活条件。
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.
与此同时，自杀事件激增。上个月发布的内部举报人照片和督察长报告显示，佛罗里达州的几个拘留中心存在严重拥挤、医疗和卫生条件不足以及违反食品安全的问题。
Suicides have spiked Meanwhile, whistleblower photos Inspector General reports released last month revealed severe overcrowding, insufficient medical care and hygiene, and food safety violations at several Florida detention centers.
最新发布的死亡审查报告证实了多起医疗疏忽事件的细节。例如，44岁的海地籍女性玛丽·安热·布莱兹（Marie Ange Blaise）于2025年4月在佛罗里达州庞帕诺海滩（Pompano Beach）的一家私人运营的拘留设施——布劳沃德过渡中心（Broward Transitional Center，简称BTC）因心脏病发作去世。该中心与美国移民与海关执法局（ICE）有合同合作关系。
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.
根据关于布莱兹死亡情况的内部报告，死亡审查委员会（Mortality Review Committee，简称MRC）认定BTC未能为布莱兹提供符合医疗标准的护理。报告指出：在布莱兹晕倒后，1）BTC的医护人员违反了基本的生命支持（BLS）操作规程；2）尽管布莱兹已经没有脉搏，医护人员仍未立即实施心肺复苏术（CPR）；3）医护人员也未将她的生命体征记录在紧急救援的相关文件中。
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." 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."
这份死亡审查报告与ICE发布的公开声明相矛盾。ICE的声明称医护人员立即呼叫了急救服务（EMS），并“立即开始实施心肺复苏术”，并“持续进行抢救直到急救人员赶到”。目击布莱兹晕倒的被拘留者向人权组织反映，医护人员的反应非常迟缓，守卫们在他们呼救时也置之不理。
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，但守卫们根本不理我们，”一位不愿公开姓名的前BTC被拘留者（化名“罗莎”）告诉调查人员，“最后才有一名警员慢慢走过来，看了她一眼后便离开了。过了八分钟，医护人员才赶到；又过了十五到二十分钟，救援队伍才到来。那时她已经无法动弹了。”布莱兹的儿子向县调查人员透露，母亲在去世前通过电话告诉他，医护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.
另一项内部审查补充披露了伊斯梅尔·阿亚拉-乌里韦案的细节。调查发现，阿亚拉-乌里韦因臀部一处未经治疗的脓肿引发脓毒性休克，在一家医院死亡。三天前，阿亚拉-乌里韦曾向加利福尼亚州圣贝纳迪诺县阿德兰托移民和海关执法局（ICE）处理中心的一名护士投诉，称左臀疼痛剧烈。然而，在一名医生通过电话与他交谈后，他只被处方了非处方止痛药、痔疮药膏和泻药。
Another internal review adds details to the case of Ismael Ayala-Uribe. The 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.
ICE死亡率审查委员会发现，阿亚拉-乌里韦所接受的医疗照护“偏离了安全执业范围”。具体而言，医护人员没有对他所投诉的部位进行目视检查，在对他进行评估期间也没有报告异常生命体征。工作人员还未能给他用药，也未执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，阿亚拉-乌里韦去世前一天，警卫因他看起来病情不佳，要求医护人员查看他的情况，但医护人员直到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，我感到宽慰，”阿亚拉-乌里韦的弟弟何塞·阿亚拉在新报告发布后说道。“看到他们意识到了自己犯了哪些错误，并表示需要采取行动。”国土安全部没有立即回应置评请求。
"In a way, I'm relieved," Jose Ayala, Ayala-Uribe's younger brother, told 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.