EL PASO, Texas (AP) — Serious medical and mental health emergencies have been routine at the nation’s largest U.S. Immigration and Customs Enforcement detention facility since its opening, according to records obtained by The Associated Press.

Data and recordings from more than a hundred 911 calls at Camp East Montana in El Paso, Texas, along with interviews and court filings, offer a disturbing portrait of overcrowding, medical neglect, malnutrition and emotional distress.

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