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                                                                                                 U.S. NEWS Saturday 30 March 2019
            Autopsy: Migrant child who died in U.S. custody had infection



            By NOMAAN MERCHANT           little  system  was  shutting  to apprehend and care for
            Associated Press             down."                       them. The agency expand-
            HOUSTON (AP) — A 7-year-     Dr.  Matthew  Gartland,  a  ed  medical  screenings  for
            old  girl  from  Guatemala  pediatrician  and  member  all children after the death
            died  of  a  bacterial  infec-  of  the  advocacy  group  of  a  second  child,  Felipe
            tion while detained by the  Physicians    for   Human  Gomez Alonzo.
            U.S.  Border  Patrol,  accord-  Rights,  said  that  while  it  The  Border  Patrol  said  this
            ing to an autopsy released  was  difficult  to  determine  week that it would release
            Friday, in a case that drew  whether  more  rapid  treat-  families  immediately  in-
            worldwide attention to the  ment  would  have  saved  stead  of  referring  them
            plight of migrant families at  Jakelin's life, "what we can  to  processing,  a  step  the
            the southern U.S. border.    say  is  immigrant  children  agency said was necessary
            Jakelin  Caal  Maquin  died  should receive timely care,  to  relieve  overcrowding  in
            Dec. 8, just over a day af-  including emergency care,  its facilities.
            ter  she  was  apprehended  by pediatricians."            CBP  declined  Friday  to
            by  Border  Patrol  agents  Jakelin  was  not  hospital-  comment  on  the  autopsy
            with her father after enter-  ized until 12 hours after she  report. Commissioner Kevin
            ing the U.S. illegally. Jakelin  and her father were appre-  McAleenan previously said
            was one of two children to  hended, according to U.S.  in  a  statement  that  the      In this Dec. 15, 2018, file photo, Annunciation House director
            die in Border Patrol custody  Customs  and  Border  Pro-  agents who were involved     Ruben Garcia answers questions from the media after reading
            in December, raising ques-   tection.                     "are  deeply  affected  and   a statement from the family of Jakelin Caal Maquin, pictured at
                                                                                                   left, during a press briefing at Casa Vides in downtown El Paso,
            tions  about  the  agency's  CBP  said  Jakelin  and  her  empathize  with  the  father   Texas.
            ability to care for families.  her  father,  Nery  Gilberto  over the loss of his daugh-                                       Associated Press
            The  report  from  the  medi-  Caal Cuz, were in a group  ter."
            cal  examiner  in  El  Paso,  of  163  migrants  who  were  "We  cannot  stress  enough  in  crowded  transportation,  eas  without  food,  water
            Texas, says traces of strep-  apprehended  at  about  the  dangers  posed  by  or  in  the  natural  elements  and  other  supplies,"  McA-
            tococcus  bacteria  were  9:15  p.m.  Dec.  6  in  a  re-  traveling  long  distances,  through  remote  desert  ar-  leenan said.q
            found  in  Jakelin's  lungs,  mote part of New Mexico.
            adrenal  gland,  liver,  and  The  father  signed  an  Eng-
            spleen.  The  autopsy  says  lish-language  form  stating
            she  faced  a  "rapidly  pro-  Jakelin was in good health,
            gressive  infection"  that  led  CBP said, but it remains un-
            to sepsis and the failure of  clear  whether  he  under-
            multiple organs.             stood what the form said.
            The  medical  examiner  did  Jakelin  and  her  father
            not  determine  which  form  boarded  a  bus  at  about
            of  streptococcus  bacteria  4:30  a.m.  Dec.  7  from  the
            Jakelin contracted.          Antelope  Wells  port  of  en-
            "It's  a  death  that  could  try for the Lordsburg station.
            have  been  preventable,"  According to a CBP state-
            said  Dr.  Colleen  Kraft,  a  ment,  Jakelin's  father  re-
            past president of the Ameri-  ported  just  before  the  bus
            can Academy of Pediatrics  left at 5 a.m. that she was
            who  spoke  to  The  Associ-  vomiting.
            ated  Press  after  reviewing  The bus arrived in Lordsburg
            the report.                  about  90  minutes  later,
            Kraft  said  the  type  of  in-  CBP said. By then, Jakelin's
            fection  Jakelin  had  would  temperature  had  reached
            have  likely  caused  initial  105.7  degrees  Fahrenheit
            symptoms  that  a  medical  (40.9  degrees  Celsius).  An
            professional  would  have  emergency  medical  tech-
            caught,  like  an  elevated  nician had to revive her.
            heartbeat, respiratory rate,  She was flown to a hospital
            or problems with blood cir-  in  El  Paso,  where  she  died
            culation.                    the next day .
            "She  should  have  been  CBP  says  large  groups  of
            taken  to  the  hospital  right  migrants  are  increasingly
            away,"  Kraft  said,  adding  heading  to  remote  areas
            that  "you  had  somebody  of the border such as rural
            who didn't know to look for  New  Mexico,  where  it  has
            those  subtle  signs  that  her  very limited facilities or staff
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