Docenas de detenidos denuncian negligencia médica en las instalaciones de Otay Mesa

Updated: CaliforniaToday San Diego County

A 77-year-old Iranian man with a rare, life-threatening liver disease was transferred to the Otay Mesa Detention Center in San Diego for what immigration officials called "better medical care." Instead, his daughter said in a court affidavit, staff placed him in isolation, where he banged on a locked door and screamed for help while struggling to breathe, with no one responding. Court records show he was moved to another cell but remained detained for weeks, despite letters from doctors and a consensus among medical staff at Otay Mesa and another facility that he should be released.

The man is among dozens of immigrants detained at Otay Mesa who described deteriorating health or inadequate medical care in court filings reviewed by inewsource. He and three others stated they were held in restricted, isolated cells for medical treatment.

Detainees who spent weeks or months—in one case, over a year—at the facility reported worsening health conditions in habeas corpus petitions, a federal legal tool used at record rates in recent months to challenge detention amid the Trump administration's immigration crackdown.

In an investigation, inewsource reviewed more than 500 habeas corpus petitions filed between January and March by detainees at Otay Mesa and an Imperial County detention center. Nearly 70 mentioned health problems or medical care at Otay Mesa specifically.

The petitions paint a picture of a facility struggling to care for patients, from those with basic ailments to those with serious diseases. Medical experts told inewsource that conditions that would otherwise be manageable can become life-threatening inside detention centers.

Katherine McKenzie, a professor at Yale School of Medicine and director of the Yale Center for Asylum Medicine, said detention centers are generally not well-equipped to handle complex medical cases. "Detention centers should not house people with chronic or acute illnesses," she said.

CoreCivic, the private prison company that runs Otay Mesa, and ICE both declined interview requests but provided statements. ICE said detainees receive medical, dental, and mental health services, including 24-hour emergency care, calling it "the best healthcare many aliens have ever received in their lives." CoreCivic spokesperson Brian Todd said the company follows federal detention guidelines and that the government closely monitors compliance.

"The safety, health, and well-being of the individuals in our care are our highest priority," he said. CoreCivic denies the existence of isolation at its facilities, stating that immigrants are placed in "medical housing units" for observation and treatment, which is distinct from disciplinary or administrative segregation.

Despite these claims, immigrant advocates have long raised concerns about conditions inside ICE facilities like Otay Mesa. Those concerns have intensified as deaths in immigration detention have reached a record high—50 during Trump's second term.

In April, more than 1,170 people were detained at Otay Mesa, most without criminal records. Independent oversight has been limited: San Diego County supervisors recently won a court case to ease federal restrictions on their access, and county health inspectors spent nearly eight hours on Friday evaluating conditions at the facility.

A report is expected in coming weeks.

The petitions detail a range of medical issues, including a 47-year-old Somali man who missed a scheduled hip replacement surgery; a 33-year-old Iranian man with severe neurological problems who received "minimal care" and was shackled during medical appointments; a man from Azerbaijan with acute gastrointestinal distress who lost 20 pounds during detention; a Mexican woman whose prescribed medication was confused with another detainee's laxative, causing a fall; and a 34-year-old Pakistani woman with asthma and anxiety who suffered panic attacks, head injuries, and a three-day hospitalization, writing, "I feel that if this continues while I remain here, I might die one day because I will stop breathing."

More than a dozen detainees reported chronic conditions like diabetes, Crohn's disease, and hepatitis C. Altaf Saadi, an assistant professor of neurology at Harvard Medical School who studies the health effects of immigration detention, said these facilities focus on acute care and private prison companies have incentives to cut costs, leading to understaffing, medication changes, and "grave consequences for patients with chronic diseases." A recent California Department of Justice report found that Otay Mesa and other ICE facilities in the state "did not meet ICE's own detention standards or ensure basic rights, safety, and well-being." A 2025 study co-authored by Saadi found that longer detention was linked to worse health outcomes, and a forthcoming study shows that interrupted care for chronic conditions leads to lasting psychological distress.

One case involved a 32-year-old Turkish man with rheumatoid arthritis who was detained while working as a driver. His sister said she tried to deliver his medication but was blocked.

A judge ordered a bond hearing, citing his "undisputed and documented medical conditions." Another case involved a 39-year-old Ecuadorian woman who was detained in November after nearly a decade in the U.S. with her now 9-year-old son.

She was forced to miss surgery for a uterine fibroid and said her son, who has severe autism and ADHD, told her, "I don't have enough fingers left to count the days I will be away."

ICE agents have broad discretion in deciding whom to detain, and can consider health. The 77-year-old Iranian man had lived in the U.S.

under supervision for over two decades, attending annual check-ins. He was fitted with an ankle monitor in November, which was removed because it interfered with monthly MRIs.

During his six-week detention, he lost 10 pounds and had high blood sugar. A CPAP machine sent to him lost essential parts.

Two doctors and a nurse practitioner wrote letters urging his release, with one warning that without specialized care his condition could worsen. A federal judge ordered his release in January, finding that ICE agents violated his due process rights, though the ruling was not based on his health.

The California DOJ's May report suggested the Iranian man's case is not isolated, noting that immigrants requiring higher levels of medical care remained in the facility's medical housing unit for months. Some detainees also described mental health impacts, including anxiety, depression, and sleep issues.

A 43-year-old Chinese woman wrote that she was "suffering" inside and begged the judge for help, saying, "I came to this country seeking refuge for what happened to me in my country. I never expected to suffer such inhuman treatment as these."

Source: inewsource.org

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