Forced to eat the day's only meal "like a dog," with their hands shackled behind their back. Detained for days with nothing but shoes for a pillow and no other bedding ‒ just cold, concrete floors and constant fluorescent lighting. Medical care that denied a man with diabetes insulin for a week and may have contributed to at leastone death. A Human Rights Watch report says three Miami immigrant detention facilities have subjected people to conditions so inhumane they have become, at times, life-threatening. Many ICE detention facilities are becoming overcrowded and conditions are deteriorating,according to the July 21 report. The report, which drew from the testimonials of 17 detainees, examined conditions since PresidentDonald Trumptook office in January. Investigators say conditions at theKrome North Processing Center,Federal Detention Center and Broward Transitional Center flout international law on holding people in immigrant detention and federal government standards. The conditions for people held in the detention facilities "are not the way that any legitimate, functioning government should treat people within its custody," report author and editor Alison Leal Parker, deputy director of the Human Rights Watch's US Program, said. While the facilities have had issuespredating thisadministration, Parker said Trump administration officials have been unwilling to uphold standards to properly treat immigrant detainees. The conditions indicate the system is "overwhelmed, overcrowded and chaotic," she said. Tricia McLaughlin, assistant secretary for public affairs at the Department of Homeland Security, said claims of subprime conditions at Immigration and Customs Enforcement detention centers are "FALSE." "All detainees are provided with proper meals, medical treatment, and have opportunities to communicate with their family members and lawyers," McLaughlin said in an emailed statement. "Ensuring the safety, security, and well-being of individuals in our custody is a top priority at ICE. ICE has higher detention standards than most U.S. prisons that hold actual U.S. citizens." Southern, Republican-led states have emerged as key partners in the Trump administration's immigration crackdown.Florida stood up a tent citycalled "Alligator Alcatraz." Georgia is expanding its largest ICE detention center. AndLouisiana is hostingthe most dedicated ICE facilities outside Texas. Entrepreneur Harpinder Singh Chauhan, 56, spent time at all three facilities during nearly four months as a detainee, beginning in February. The British national, who first entered the country on an E-2 investor visa in 2016, opened small businesses in Florida. One of them failed ‒ a franchise of Dickey's Barbecue Pit,which also bankrupted many other franchisees. He and his wife were seeking permanent residency through a valid EB-5 visa petition when their business collapsed. While Chauhan was never convicted of crimes, he was ordered to pay restitution to Florida for tax issues, court records show. In February, he was turned over to ICE after a routine probation check-in. At the Krome facility, he spent days in cold, crowded processing cells without beds or showers. He said he was denied medical care, including insulin for his diabetes and an inhaler for his asthma. He used his shoes as a pillow. During a tuberculosis outbreak, he said the facility had no soap. Instead, staff made detainees use shampoo to wash their hands. Detainees jokingly said everyone had "Krome's disease," a play on Chrohn's disease, a chronic gastrointestinal illness, Chauhan recalled. Detainees were beaten for protesting their treatment, and one man was hogtied, the report said. Officials also used solitary confinement as punishment, according to women who spoke to Human Rights Watch. In June, detainees at Krome signaled "SOS" to news cameras from the yard over conditions. The report said women were placed at Krome, a privately operated men's facility, where they were crowded in small holding cells without gender-appropriate care or privacy.USA TODAY reportedon similar conditions inside Krome, where one man died ‒ an incident Human Rights Watch suspectsmay have been linked to medical neglect. Akima, a private Alaska Native Corporation that operates Krome, didn't respond to USA TODAY's request for comment. But in response to a Human Rights Watch letter summarizing findings and questions, the company said it couldn't comment publicly on the specifics of its "engagement" with the government, according to the report. Midway through his detention, on April 15, Chauhan was placed inside a crowded Federal Detention Center holding cell awaiting transfer without a meal for the day. Styrofoam food containers sat full for hours on other side of the federal prison's bars. In the evening, he and others finally received food. But with their hands shackled at their waist, they were forced to eat by putting their faces to bite into potatoes rolling around, rice and dry chicken, he said. "You've got to kind of prop it up with your knees and then eat out of it like a dog," Chauhan said. Another 21-year-old detainee interviewed by Human Rights Watch also described being forced to eat like an animal. The 25 to 30 men forced to eat this way were transferred from the facility several hours later, Chauhan said. Less than a week later, at Broward, Chauhan collapsed in the heat awaiting dinner and was taken to a hospital, with no information given to his family. He had not had his insulin for nearly a week. A 44-year-old Haitian woman,Marie Ange Blaise, died at the facility in April, following a medical emergency that was not treated urgently, according to Human Rights Watch and advocates. "We strongly believe her death could have been prevented," Guerline Jozef, director of the nonprofit Haitian Bridge Alliance told USA TODAY at the time. "We will continue to demand accountability and protection for people in ICE custody." GEO Group, which operates Broward, denied the report's allegations, including questions about Chauhan's account. The facility has around-the-clock access to medical care, as well as access to visitations, libraries, translation services and amenities, Christopher Ferreira, a spokesperson for the company, said in a statement. Support services are monitored by ICE, including on-site personnel, and other organizations within DHS. Chauhan was ordered deported and boarded a flight back to the United Kingdom on June 5. His family, including two adult children, stayed in Florida to close what remains of their businesses. Now living outside London, Chauhan said he plans to keep paying his Florida debt. Even though his family is ready to leave, he hopes to one day return to America. "Every nation goes through a dark time," he said. "I feel this is just a test." Lauren Villagran contributed to this report. Eduardo Cuevas is based in New York City. Reach him by email atemcuevas1@usatoday.comor on Signal at emcuevas.01. This article originally appeared on USA TODAY:Report blasts immigration detention conditions under Trump
