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Detention facilities in the southern US hold a large percentage of individuals detained in the US and have amassed numerous reports of medical mismanagement. The purpose of this study was to evaluate expert declarations of individuals residing in these facilities to assess the appropriateness of medical care provided. We analyzed 38 medical expert declarations from individuals in detention from 2020 to 2021. A thematic analysis was conducted to explore the management of medical conditions. Major themes include inadequate workup, management and treatment of medical conditions, psychiatric conditions, and medical symptoms. Subthemes identified include incorrect workup, failure to refer to a specialist, incorrect medications and/or treatments, missed or incorrect diagnoses, and exacerbation of chronic conditions. This study supports growing evidence of medical mismanagement and neglect of individuals while in immigration detention. Enhanced oversight and accountability around medical care in these facilities is critical to ensure the quality of medical care delivered meets the standard of care.

In 2014, the arrest and detention of thousands of desperate young migrants at the southwest border of the United States exposed the U.S. government's shadowy juvenile detention system, which had escaped public scrutiny for years. This book tells the story of six Central American and Mexican children who are driven from their homes by violence and deprivation, and who embark alone, risking their lives, on the perilous journey north. They suffer coercive arrests at the U.S. border, then land in detention, only to be caught up in the battle to obtain legal status. Whose Child Am I? looks inside a vast, labyrinthine system by documenting in detail the experiences of these youths, beginning with their arrest by immigration authorities, their subsequent placement in federal detention, followed by their appearance in deportation proceedings and release from custody, and, finally, ending with their struggle to build new lives in the United States. This book shows how the U.S. government got into the business of detaining children and what we can learn from this troubled history.

The U.S. immigration system has not escaped the challenges presented by the COVID-19 pandemic. Concerns have been raised about policy changes, enforcement actions, immigrant detention, and deportation practices during the outbreak. In response, dozens of lawsuits have been brought against the government on behalf of undocumented immigrants and detainees, ranging from the conditions of ICE detention facilities to the public charge rule. While most cases continue to move through the federal court system, a number of district court judges have already ruled in favor of the plaintiffs. This paper focuses on three particular areas of immigration policy and practice during COVID: ICE enforcement actions, immigrant detention, and deportations. We summarize the current state of extant data and evidence on each of these and examine questions that remain for further research.

Numerous lakes formed in the area where the Huai River and the Grand Canal converged during the historical period, and it played a substantial role in the evolution of the regional environment. Gaoyou Lake is a vital detention reservoir in the lower reaches of the Huai River. Variations in hydrology and basin-wide environmental changes were analyzed based on pollen assemblages, grain size data, and lithology from sediment cores collected at Gaoyou Lake. This study focused on variations in the hydrodynamic processes of Gaoyou Lake that were responses to changes in climate, regio- nal hydrological events, and human activity. The high percentages of pollen from terrestrial herbs and results of prin- cipal component analysis suggested that the environment of eastern China was arid from AD 900 to 1300 and that this corresponded to the dry conditions of the Medieval Climate Anomaly. The subsequent period between AD 1300 and 1650 was more humid, as revealed by an increase in aquatic pollen and a decrease in grain size. A rise in xerophytic herb taxa (particularly Artemisia and Chenopodioideae) indicated that the climate became arid again from AD 1650 to 1850, during the Little Ice Age. The modern period (AD 1850 onwards) was characterized by another increase in moisture, as reflected by a decrease in herb pollen and grain sizes. The shifts in the course of the Yellow River in AD 1194 and AD 1855 were recorded by abrupt changes in lithology, sediment characteristics, and the percentages of alien pollen taxa. Intense human impacts were demonstrated by cereal-type pollen and an increase in pollen of other cultivated plants such as Cruciferae and Poaceae. This study provides a foundation for further analysis of the dynamic mechanisms between lake development, climate change, and the effects of significant river changes.

Chemical precipitation in wastewater stabilization ponds – in Scandinavia called fellings dams – has been in operation for more than 50 years. Slaked lime and aluminium salts are the most common chemicals used for precipitation. Long and narrow forms of the ponds and a detention time of at least 5 days have shown, even at a low water temperature and below an ice cover, to produce an average effluent quality of 70 mg CODCr/l, 0.2 mg Tot-P/l, 20 mg Tot-N/l (CODCr: chemical oxygen demand; Tot-P: total phosphorus; Tot-N: total nitrogen) and low levels of pathogenic bacteria. The systems use low amounts of energy and no wastewater is by-passed at the plants. Fellings dams have recently been tried to support overloaded wastewater collection systems.

This is the untold history of the United States Border Patrol from its beginnings in 1924 as a small peripheral outfit to its emergence as a large professional police force. To tell this story, Kelly Lytle Hernández dug through a gold mine of lost and unseen records stored in garages, closets, an abandoned factory, and in U.S. and Mexican archives. Focusing on the daily challenges of policing the borderlands and bringing to light unexpected partners and forgotten dynamics,Migra!reveals how the U.S. Border Patrol translated the mandate for comprehensive migration control into a project of policing Mexicans in the U.S.-Mexico borderlands.

The lack of transparency in immigration detention in the United States has contributed to serious concerns about the fate of immigrants who are detained in the United States and require medical care. In particular, deficiencies in initial screening, chronic disease management (including referral to outside care), and pain management of detainees have been identified by numerous governmental and nongovernmental groups. We have identified a number of detainee deaths and poor medical outcomes that are related to substandard medical care and suggest system-wide problems in US Immigration and Customs Enforcement (ICE) health care. This article provides an overview of the current ICE health care system, presents four cases of detainee deaths and independent reporting of similar systemic problems, and recommends several specific changes to the ICE health care system.

Immigration detention is the fastest-growing form of incarceration in the U.S. Numerous reports by advocacy groups and detainees themselves have alleged substandard medical care for detainees. We have undertaken an analysis of the health plan that regulates reimbursement of much of detainee health care. We conclude that this plan may place detainees at risk of receiving inadequate care, particularly if they have chronic medical problems or would benefit from routine health screening exams. We present several concrete measures that could immediately improve the level of medical care afforded to this vulnerable population.