The Mercury News Weekend

Tents, stench, smoke: Health risks are gripping migrant camp

- By Nomaan Merchant The Associated Press

MATAMOROS, MEXICO » A smoke-filled stench fills a refugee camp just a short walk from the U. S.-Mexican border, rising from ever- burning fires and piles of human waste. Parents and children live in a sea of tents and tarps, some patched together with garbage bags. Others sleep outside in temperatur­es that recently dropped to freezing.

Justina, an asylum seeker who fled political persecutio­n in Nicaragua, is struggling to keep her 8-monthold daughter healthy inside the damaged tent they share. The baby, Samantha, developed pneumonia and recently was released from a hospital with a dwindling supply of antibiotic­s.

“I face cold, hunger and everything because I don’t have resources, and my daughter doesn’t, either,” said Justina, who didn’t want her last name used out of fear for her safety.

The camp is an outgrowth of President Donald Trump’s administra­tion’s Remain in Mexico policy, which has sent more than 55,000 migrants, including Justina and Samantha, south of the border to wait and pursue their asylum cases.

A humanitari­an crisis is worsening each day at the camp across the border from Brownsvill­e, Texas, where a large American flag flapping in the wind is visible from more than 700 tents. As many as 2,000 immigrants are waiting for U. S. court hearings amid deteriorat­ing medical and sanitary conditions.

Safe drinking water is scarce. People regularly line up for half an hour to fill milk jugs and buckets with water. Some people bathe and wash their clothes in the Rio Grande, known to be contaminat­ed with E. coli and other bacteria. They rely on donors who bring meals, or they pull fish from the river and fry them over wood fires.

Near the wooden toilets, the air smells like feces. Flies buzz around toilet paper discarded on the ground. A volunteer uses a shovel to remove waste that has pooled in front of a set of toilets.

The conditions show the health risks associated with the Remain in Mexico policy — which many have criticized for sending migrants to dangerous border towns — and how nonprofit groups are struggling to provide health care and other basic services without more support from the U.S. or Mexican government­s.

Doctors Without Borders says that in three weeks in October, it did 178 consultati­ons at the camp in Matamoros for conditions that included diarrhea, hypertensi­on, diabetes, psychiatri­c conditions and asthma. More than half the patients were younger than 15.

Remain in Mexico has helped the U.S. government push down migration numbers at the southern border, a key priority for Trump. His administra­tion said Thursday that migrant apprehensi­ons at the U. S.

Mexican border had fallen for a fifth straight month.

Mark Morgan, acting commission­er of U. S. Customs and Border Protection, credited Trump administra­tion programs like Remain in Mexico, officially known as the Migrant Protection Protocols, saying they had “been a game changer.”

“MPP has absolutely been successful” from a law enforcemen­t perspectiv­e, Morgan said.

When the U.S. and Mexico announced the program in December, Mexico agreed to provide work permits and other assistance to migrants forced to wait for U.S. court dates.

Last month, the U. S. Department of Homeland Security said it “understand­s” that migrants “are provided access to humanitari­an care and assistance, food and housing, work permits and education.”

The agency says the U. S. has provided more than $17 million in grants for shelters and other housing options.

But there is dire need in Matamoros, where more than 11,000 people had been sent back through Oct. 1, according to official numbers obtained by The Associated Press.

Many migrants receive medical care at a sidewalk clinic run by Global Response Management, a small nonprofit that works in combat and disaster zones. Asylum seekers help at the clinic, including two f luent English speakers who help translate — one from Cuba, the other from Venezuela.

Helen Perry, a nurse practition­er and Global Response Management’s operations director, saw a dozen patients one recent weekday as people lined up under a tarp shielding them from the sun.

A woman from southern Mexico says she had lingering neck pain from being attacked. A 3-year-old child from El Salvador had a fever and sore throat. A dehydrated 4-year- old drank Pedialyte as Perry examined his father’s toothache, using the light from her iPhone to look at the back of his mouth.

Perry then turned to a man from Cuba who was complainin­g of sharp pains in his chest that spread to his jaw and left elbow. She listened to his chest with a stethoscop­e, then used an ultrasound wand attached to her phone to observe the chambers of his heart. It appeared he was having a mild heart attack.

She sent the man off with volunteers to find a cab to take him to the hospital. A Red Cross ambulance arrived 15 minutes after he left. He was released from the hospital the next day.

“Speaking from having seen other humanitari­an crises in the world, this is one of the worst situations that I’ve seen,” Perry said. “It is only going to get worse, and it is going to get worse rapidly.”

Justina and her baby, Samantha, are living it. Shortly after they entered the U. S. in September to seek asylum, they were taken to a Border Patrol station that migrants refer to as the “hielera,” or icebox.

Samantha got a fever and a cough. Eventually, she developed pneumonia.

Justina said agents took them to a hospital, where Samantha was treated and given antibiotic­s. When her health stabilized, they were returned to Mexico.

“They treated me very well inside there,” she said. “But when she came here, sincerely — when they deported me here — that’s when she got worse.”

Eventually, a few people in the camp helped the two take the bus to a Matamoros hospital, where the baby again developed a respirator­y infection. Samantha was hospitaliz­ed for about a week before being released with antibiotic­s again.

Their next court hearing is not until January.

“I don’t want anything to happen to my daughter,” Justina said last week as she held Samantha. “The truth is we face a lot of danger here.”

 ?? ERIC GAY — THE ASSOCIATED PRESS ?? Migrants see a health care worker as they receive medical care at a sidewalk clinic at a refugee camp in Matamoros, Mexico, on Tuesday.
ERIC GAY — THE ASSOCIATED PRESS Migrants see a health care worker as they receive medical care at a sidewalk clinic at a refugee camp in Matamoros, Mexico, on Tuesday.

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