America's border security head warned on Wednesday that officials were overwhelmed by the "enormous flow" of families crossing from Mexico, appealing for federal health care funding after the second child in a month died in custody.
U.S. Customs and Border Protection Commissioner Kevin McAleenan said the agency was unable to cope with the thousands of arrivals, as most facilities were built decades ago for men arriving alone.
"We need help from Congress. We need to budget for medical care and mental healthcare for children in our facilities," he said.
Eight-year-old Felipe Gomez, who collapsed after running a fever, was among almost 25,000 migrant children in U.S. custody, according to McAleenan – the greatest number ever recorded.
A migrant, part of a convoy of thousands of Central Americans trying to reach the United States, looks from the bus window after leaving a camp in Tijuana, Mexico, December 26, 2018. /VCG Photo
"That's an enormous flow, that's very different from what we've seen before," he said, adding that the onset of the flu season was putting further pressure on health care services.
The Department of Homeland Security (DHS) said 60 percent of the population crossing the border are children or family units, a relatively recent surge that the system has not been designed to cope with.
"Many of our facilities, especially in the very remote areas, were designed and built for apprehension, detention and transportation of this specific group of population, single adult male," it said in a statement.
DHS officials said all children in border control custody would be given a thorough medical screening, reaffirming McAleenan's commitment to "secondary medical checks" with a focus on those under 10.
Dangerous journey
Guatemala has called for an investigation into the boy's death, which came just three weeks after a seven-year-old Guatemalan girl died in similar circumstances.
Felipe was detained with his 47-year-old father at a crossing in El Paso, Texas on December 18 and had been transferred to a New Mexico medical center showing signs of sickness on Monday.
Staff diagnosed him with a cold but later discovered a fever. He was discharged midday, with prescriptions for ibuprofen and the antibiotic amoxicillin.
Migrants from Central America trying to reach the United States, walk next to the border fence as they prepare to cross it illegally, Tijuana, Mexico, December 26, 2018. /VCG Photo
The boy was later sent back to the hospital suffering from nausea and vomiting. He died shortly before midnight on December 24.
The CBP said it had not established the cause of death but would "ensure an independent and thorough review of the circumstances."
Opposition Democrats reacted to Felipe's death by accusing Trump – who has made hardline immigration policies a central plank of his presidency – of demonizing migrants for political gain.
The boy's death came on the same day that Jakelin Caal, the Guatemalan girl who died in US custody, was buried.
Her body arrived on Sunday in San Antonio Secortez, the remote village where her family – members of the indigenous Q'eqchi' Maya people – live without electricity and other basic services.
"This girl left home happy searching for a dream, but unfortunately died on the way," community leader Alberto Pop said.
(Cover photo: A group of Central American migrants traveling to the United States are seen outside a temporary shelter in downtown Tijuana, Baja California state, Mexico, December 26, 2018. /VCG Photo)