Port of Entry

CBP needs better oversight and policy to adequately safeguard migrants experiencing medical emergencies or illnesses along the southwest border.  According to CBP’s policies, once an individual is in custody, CBP agents and officers are required to conduct health interviews, and “regular and frequent” “welfare checks” to identify individuals who may be experiencing serious medical conditions.  However, CBP could not always demonstrate staff conducted required medical screenings or consistent welfare checks for all 98 individuals whose medical cases we reviewed.  This occurred because CBP did not provide sufficient oversight and clear policies and procedures, or ensure officers and agents were adequately trained to implement medical support policies.  As a result, CBP may not identify individuals experiencing medical emergencies or provide appropriate care in a timely manner.  CBP concurred with all three of our recommendations, which when implemented, should improve medical attention and procedures for migrants at the southwest border. 

We determined that U.S. Customs and Border Protection’s (CBP) training approach and execution do not fully support the canine teams’ mission to detect smuggling of illegal narcotics, agriculture products, and humans at and between ports of entry.  In total, we made four recommendations that, if implemented, should help CBP improve oversight of its Canine Program, formalize and implement a realignment plan for the training academy, provide proper training capabilities, and update and standardize program guidance.  CBP concurred with all our recommendations. 

U.S. Customs and Border Protection (CBP) plays a critical role in the Nation’s efforts to interdict dangerous substances and prohibited items at U.S. ports of entry and keep these materials from harming the American public. An important part of CBP’s mission is preventing foreign countries from importing illegal drugs such as opioids into the U.S. CBP is experiencing a rise in seizures of synthetic opioids such as fentanyl that upon exposure can kill in minutes.  CBP’s Office of Field Operations (OFO) Fines Penalties and Forfeitures Division stores, manages, and disposes seized property, including illicit drugs such as fentanyl.  During our ongoing audit of CBP’s storage of seized drugs at permanent drug vaults we visited, we determined that CBP does not adequately protect its staff from the dangers of powerful synthetic opioids.  Specifically, CBP has not always made medications designed to treat narcotic overdose available in case of accidental exposure.  This occurred because CBP lacks an official policy requiring standard workplace practices for handling fentanyl and safeguarding personnel against exposure.  In addition, CBP does not require mandatory training for its staff to provide an understanding of the hazards of fentanyl and methods to combat accidental exposure.  As a result, CBP staff is at increased risk of injury or death in case of exposure.  We made one recommendation to help CBP provide its components with guidance, knowledge, and tools to handle and reverse overdoses from fentanyl and other opioids.

CBP facilities we visited appeared to be operating in compliance with the 2015 National Standards on Transport, Escort, Detention, and Search.  With the exception of inconsistent cleanliness of the hold rooms, we observed that unaccompanied alien children had access to toilets and sinks, drinking water, beverages (including milk and juice drinks), as well as snacks and food.  Unaccompanied alien children had access to hygiene items and clean bedding at all facilities we visited.  We did not encounter issues with temperatures or ventilation, access to emergency medical care, inadequate supervision, or access to telephones.  We also observed that CBP Office of Field Operations (OFO) ports of entry had offices and storage spaces redesigned into hold rooms to be able to detain more unaccompanied alien children, family units, and other border crossers referred for processing. We made no recommendations in this report.