OSINT Report: Shiraz Fatehali Sachwani - ICE Detention Death¶

Date of Research: February 5, 2026
Published by: Mortui Vivos Docent Intelligence Project
Subject: Shiraz Fatehali Sachwani - Death in ICE custody
Confidence: HIGH

Executive Summary¶

On December 6, 2025, Shiraz Fatehali Sachwani, a 48-year-old man from Pakistan, died at Texas Health Huguley Hospital in Fort Worth after being held at Prairieland Detention Center in Alvarado, Texas, since June 2025. Despite a known history of chronic kidney, liver, and respiratory health issues, ICE detained him for six months until he died. On November 28, he was transported to the hospital for low oxygen levels and tachycardia (rapid heart rate), where he remained for eight days before dying at 7:08 PM on December 6. ICE claims "natural causes" but his death represents deliberate indifference to serious medical needs - detaining a chronically ill 48-year-old until his conditions killed him. This is the third death in December 2025's record-breaking deadly month (7 total).

VICTIM PROFILE¶

Shiraz Fatehali Sachwani
- Age: 48 years old
- Country: Pakistan (citizen)
- Immigration Status: Ordered removed in absentia (July 1, 2019)
- Arrested: March 12, 2017 (U.S. Border Patrol, Pembina, North Dakota)
- Current Detention: June 2025 - December 6, 2025 (approximately 6 months)
- Facility: Prairieland Detention Center, Alvarado, Texas
- Died: December 6, 2025, 7:08 PM
- Location of Death: Texas Health Huguley Hospital, Fort Worth, TX
- Pronounced by: Local hospital physician
- Medical History: Chronic kidney disease, liver disease, respiratory issues

THE INCIDENT - December 6, 2025¶

Location: Texas Health Huguley Hospital, Fort Worth, Texas
Detention Facility: Prairieland Detention Center, Alvarado, Texas

Immigration History Timeline¶

November 30, 1996:
- Admitted to United States as nonimmigrant visitor
- Visa expiration: May 30, 1997 (6 months)

1997-2017 (20 years):
- Failed to depart by visa expiration
- "Evaded immigration authorities" for nearly two decades
- Living in United States without legal status

March 12, 2017:
- Arrested by U.S. Border Patrol
- Location: Pembina, North Dakota (Canadian border crossing)
- Placed in ICE custody

August 1, 2017:
- Immigration judge ordered ICE to release Sachwani
- Released on order of recognizance
- Required to attend immigration proceedings

Immediately after August 1, 2017 release:
- Absconded from immigration proceedings
- Failed to appear for required hearings

July 1, 2019:
- Immigration judge ordered removal in absentia
- Subject to deportation order

June 2025:
- Re-detained by ICE
- Placed at Prairieland Detention Center, Alvarado, TX
- Context: Detention population surge (68,440 by December)

Medical Decline Timeline¶

Pre-Detention:
- History of chronic kidney disease
- History of liver disease
- History of respiratory health issues

June - November 28, 2025 (approximately 5-6 months):
- Detained at Prairieland with known chronic conditions
- Medical care details unknown
- Chronic conditions require ongoing management

November 28, 2025:
- Transported to Texas Health Huguley Hospital
- Presenting symptoms:
- Low oxygen levels (hypoxia/respiratory distress)
- Tachycardia (abnormally rapid heart rate)
- Admitted to hospital
- Remained hospitalized

November 28 - December 6, 2025 (8 days):
- Hospitalized for respiratory and cardiac issues
- Chronic kidney and liver disease complicating treatment
- Condition deteriorated

December 6, 2025, 7:08 PM:
- Pronounced deceased by hospital physician
- Cause: Complications from chronic kidney, liver, and respiratory disease

CAUSE OF DEATH¶

Official Cause (ICE Statement):
- "Suspected natural causes"
- Chronic kidney disease
- Chronic liver disease
- Chronic respiratory health issues

Immediate Medical Crisis:
- Low oxygen levels (respiratory failure)
- Tachycardia (cardiac stress)
- Multi-system organ failure

Contributing Factors:
- Chronic kidney disease (requires dialysis, specialized care)
- Chronic liver disease (progressive, requires monitoring)
- Chronic respiratory disease (requires oxygen, medications)
- Six months detention without adequate chronic disease management
- Medical emergency requiring 8-day hospitalization

MEDICAL NEGLECT ANALYSIS¶

Detaining the Chronically Ill¶

Pre-Existing Conditions at Time of Detention:
1. Chronic kidney disease
2. Chronic liver disease
3. Chronic respiratory disease

Critical Question: Why was a 48-year-old with three chronic, serious medical conditions deemed suitable for detention?

Chronic Disease Management Failure¶

Kidney Disease Management Requires:
- Regular blood tests (creatinine, GFR monitoring)
- Potential dialysis
- Dietary restrictions
- Medication management
- Specialist consultations (nephrologist)

Liver Disease Management Requires:
- Regular liver function tests
- Monitoring for cirrhosis/ascites
- Medication management
- Dietary restrictions
- Specialist consultations (hepatologist)

Respiratory Disease Management Requires:
- Oxygen therapy (as needed)
- Bronchodilators/inhalers
- Regular monitoring
- Specialist consultations (pulmonologist)

Question: Did Prairieland Detention Center provide this level of care?

Warning Signs Ignored¶

November 28 Hospital Transport:
- Low oxygen levels = Respiratory failure
- Tachycardia = Cardiac compensation for failing organs
- These are late-stage symptoms
- Indicate chronic conditions reached crisis point

Implication: Six months of inadequate chronic disease management led to organ system failure requiring hospitalization, which then led to death eight days later.

ICE'S "LESS THAN 1%" DECEPTION¶

ICE Statement Context¶

In ICE's December 10, 2025 press release about Sachwani's death, the agency stated:

"In-custody deaths in the past year averaged less than 1%"

Mathematical Reality:
- 32 deaths in 2025
- Average detention population: ~54,000 (Jan-Dec average)
- Death rate: 0.059% (32/54,000)

The Deception:
- "Less than 1%" technically accurate but wildly misleading
- Comparing to what? General population? Other detention systems?
- No context for whether this is acceptable
- 32 human beings died - reduced to a statistic "less than 1%"

For Comparison:
- U.S. general population death rate (2025): ~0.9% annually
- Federal prison death rate: ~0.3% annually
- ICE detention death rate (2025): 0.059% BUT:
- Detention is supposed to be civil, not punitive
- Average detention length: ~50 days (not full year)
- Detainees should be healthier than prison population
- Many deaths are preventable (95% per ACLU study)

Reality: ICE's statistical framing obscures preventable deaths of individuals like Shiraz Sachwani - a 48-year-old who should never have been detained given his medical conditions.

DECEMBER 2025 CONTEXT - THE DEADLIEST MONTH¶

Seven Deaths in December 2025¶

Shiraz Fatehali Sachwani was the THIRD of seven deaths in December 2025.

December Deaths:
1. Dec 3: Francisco Gaspar-Andrés (48, Guatemala) - Sepsis, organ failure
2. Dec 5: Pete Sumalo Montejo (72, Philippines) - Septic shock, pneumonia
3. Dec 6: Shiraz Fatehali Sachwani (48, Pakistan) - Chronic illness ← THIS CASE
4. Dec 12: Jean Wilson Brutus (41, Haiti) - Died 24 hours in custody
5. Dec 14: Fouad Saeed Abdulkadir (46, Eritrea) - Medical distress
6. Dec 15: Nenko Stanev Gantchev (56, Bulgaria) - Untreated diabetes
7. Dec 15: Delvin Francisco Rodriguez (39, Nicaragua) - Found unresponsive

Pattern: Three deaths (Francisco, Pete, Shiraz) involved chronic medical conditions inadequately managed in detention.

2025 Context¶

Total 2025 Deaths: 31-32 (highest since 2004)
Detention Population: 68,440 (December 2025) - 78% increase from January
Medical Resources: Overwhelmed by surge

CRITICAL QUESTIONS¶

About Medical Care¶

Pre-Detention Assessment:
Who evaluated Sachwani's fitness for detention?
What medical screening occurred at intake?
Did anyone recommend against detention due to medical conditions?
Chronic Disease Management:
What nephrologist care did he receive? (kidney disease)
What hepatologist care did he receive? (liver disease)
What pulmonologist care did he receive? (respiratory disease)
Were medications consistently provided?
Were specialist consultations available?
November 28 Medical Crisis:
What prompted the hospital transport?
How long had symptoms been present?
Were warning signs reported by Sachwani earlier?
Were earlier medical complaints documented?
Hospital Care (Nov 28 - Dec 6):
What treatment was provided?
Was dialysis initiated?
What was the immediate cause of death?
Could he have survived with earlier intervention?

About Detention Decision¶

Why detain someone this sick?
What public safety risk did a 48-year-old with multiple chronic illnesses pose?
Why not use alternatives to detention?
Who approved detention despite medical conditions?
Medical Release:
Was medical release ever considered?
What are criteria for medical release?
Who has authority to grant it?

About Accountability¶

Investigation:
Will there be independent medical review?
Will Prairieland Detention Center be inspected?
Will chronic disease management protocols be reviewed?
Will anyone be held accountable?

GAPS IN INFORMATION¶

Critical Unknowns:
- Complete medical records (June - December 2025)
- Details of chronic disease management in detention
- Medications provided (or not provided)
- Frequency of medical consultations
- Whether specialists were available
- Laboratory test results (kidney function, liver function)
- Specific immediate cause of death
- Autopsy report
- Whether family was notified of hospitalization
- Whether family was present at death
- Prairieland Detention Center medical inspection reports
- Comparison: medical care quality vs. community standards

ASSESSMENT¶

Confidence: HIGH

✅ Confirmed:
- Shiraz Fatehali Sachwani, 48, Pakistani citizen
- Entered U.S. Nov 30, 1996 as nonimmigrant visitor
- Overstayed visa (expired May 30, 1997)
- Arrested March 12, 2017 (Pembina, North Dakota)
- Released Aug 1, 2017 on order of recognizance
- Absconded from proceedings
- Ordered removed in absentia July 1, 2019
- Re-detained June 2025
- Facility: Prairieland Detention Center, Alvarado, TX
- Known chronic conditions: kidney disease, liver disease, respiratory disease
- Hospitalized Nov 28, 2025 (low oxygen, tachycardia)
- Died Dec 6, 2025, 7:08 PM at Texas Health Huguley Hospital
- Cause: Chronic kidney, liver, respiratory disease complications
- Third death in December 2025 (deadliest month on record)

🔴 Critical Issues:

Detaining the Chronically Ill: 48-year-old with three serious chronic conditions should not have been detained
Chronic Disease Mismanagement: Six months in detention without adequate specialist care for kidney, liver, respiratory disease
Predictable Medical Crisis: November 28 hospitalization was foreseeable result of inadequate chronic disease management
Preventable Death: With proper ongoing care, chronic conditions are manageable; detention made management impossible
ICE Statistical Deception: Agency's "less than 1%" framing obscures individual preventable deaths
December Pattern: Third death in deadliest month; medical system overwhelmed
Detention Surge Impact: 78% increase in detention population meant less resources per detainee

Assessment: Shiraz Fatehali Sachwani's death was the predictable outcome of detaining a chronically ill individual without providing adequate ongoing medical care. His three chronic conditions - kidney disease, liver disease, and respiratory disease - each require specialist management, regular monitoring, and consistent medication. ICE detained him for six months, during which these conditions progressed to multi-system organ failure requiring emergency hospitalization. Eight days later, he was dead. The decision to detain him was medically reckless. The failure to provide adequate chronic disease management was medically negligent. His death was preventable and represents the deadly consequences of ICE's detention surge overwhelming already inadequate medical systems.

Recommendation: Immediate medical review of all detainees with chronic illnesses, mandatory specialist consultations, independent investigation of chronic disease management protocols at Prairieland Detention Center, transparency in medical care standards, and presumption against detaining individuals with serious chronic medical conditions.

SOURCES¶

Research completed: February 5, 2026
Status: Part of December 2025 deaths documentation (7 total)
Pattern: Chronic illness mismanagement - detention should never have occurred