Border Patrol wouldn’t review the medical file of a girl with a heart condition before she died

Anadith Tanay Reyes Alvarez, whose parents are Honduran, was born in Panama with congenital heart disease. She received surgery three years ago that her mother, Mabel Alvarez Benedicks, characterized as successful duringA day before she died, Anadith showed a fever of 104.9 degrees Fahrenheit , the CBP report said.

Still, the report relied on interviews with Border Patrol agents and contracted medical personnel to raise a host of new and troubling questions about what went wrong during the girl's nine days in custody, which far exceeded the agency's own limit of 72 hours.Investigators gave no explanation for decisions that medical staff made and appeared to be at a loss for words.

“Despite the girl’s condition, her mother’s concerns, and the series of treatments required to manage her condition, contracted medical personnel did not transfer her to a hospital for higher-level care,” the Office of Professional Responsibility said. Troy Miller, CBP's acting commissioner, said the initial investigation “provides important new information on this tragic death" and he reaffirmed recent measures including a review of all “medically fragile” cases in custody to ensure they are out of custody as soon as possible. Average time in custody has dropped by more than half for families in two weeks, he said.

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