From Dehydration to Fractures: Medical Issues Faced by People Crossing the United States: Mexico Border

Abstract

To quantify the number of Border Crossers seen at our hospitals, broken down by diagnoses and age. We used our electronic medical record to identify the number of patients in custody of the United States Border Patrol who were seen at Banner-University: South and University Campuses during the calendar year 2016. 734 patients were identified, and the electronic medical record was used to identify the primary diagnosis and age for each one. We then manually categorized them into groups of common diagnoses. We also compared the number of border crosser emergency department (ED) visits to overall ED visits. Of 734 patients, 77% were male, 60% were between 16 and 40 years of age, and 18% were under age 18 years. They made up 1.3% of ED visits to South Campus, but less than 0.1% to University Campus. The top categories were musculoskeletal trauma (n = 235, 32%), and dehydration and rhabdomyolysis (n = 95, 13%). The age range of border crossers brought to our EDs varies widely, as do their primary diagnoses, although trends can be seen. They make up a 1.3% of overall emergency department visits at South Campus hospital.

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References

  1. 1.

    Amnesty International. USA-Mexico: Trump’s border crackdown pushes refugees into dangerous limbo. 2017, https://www.amnesty.org/en/latest/news/2017/06/usa-mexico-trumps-border-crackdown-pushes-refugees-into-dangerous-limbo/. Accessed 21 Aug 2018.

  2. 2.

    Pima County Office of the Medical Examiner Annual Report 2017. 32. 2017.

  3. 3.

    https://www.humaneborders.org/wp-content/uploads/death_handout_2013_download.pdf/. Accessed 12 Aug 2018.

  4. 4.

    https://www.humaneborders.org/wp-content/uploads/poster-pdf/deathpostercumulative_2016_eoy_letter.pdf Accessed 12 Aug 2018.

  5. 5.

    Kelada A, Hill LL, Lindsay S, Slymen D, Fortlage D, Coimbra R. The U.S.-Mexico border: a time-trend analysis of border-crossing injuries. Am J Prev Med. 2010;38(5):548–50.

    Article  PubMed  Google Scholar 

  6. 6.

    Burk D, Pah A, Ruth J. Analysis of musculoskeletal injuries sustained in falls from the United States–Mexico border fence. Orthopedics 2017;40(3):432–5.

    Article  Google Scholar 

  7. 7.

    Wong C, Hsu W, Carr GE. Spectrum of critical illness in undocumented border crossers. The Arizona-Mexico border experience. Ann Am Thorac Soc. 2015;12(3):410–4.

    Article  PubMed  Google Scholar 

  8. 8.

    Agren D. Fearing rape, female migrants are taking birth control before crossing the border. Fox News. 2014. http://www.foxnews.com/world/2014/04/23/fearing-rape-female-migrants-are-taking-birth-control-before-crossing-border.html. Accessed 5 June 2017.

  9. 9.

    Gorman R. The women who know they’re going to be raped: female illegal immigrants taking birth control before they try to cross US border 2014. http://www.dailymail.co.uk/news/article-2612793/The-women-know-theyre-going-raped-Female-immigrants-sneaking-US-taking-birth-control-avoid-unwanted-pregnancies.html#ixzz4hfVeOeWa. Accessed 5 June 2017.

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Acknowledgements

The authors thank the contributions of Bethany Bruzzi MD, and Tracy Carroll PT, MPH.

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Correspondence to Jerome Koleski.

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The authors have no conflicts of interests.

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Koleski, J., Aldulaimi, S. & Moran, E. From Dehydration to Fractures: Medical Issues Faced by People Crossing the United States: Mexico Border. J Immigrant Minority Health 21, 1181–1184 (2019). https://doi.org/10.1007/s10903-018-0827-1

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Keywords

  • International migration
  • Border-crossings
  • Desert climate
  • Wounds and injuries