PHOENIX β Six months after the first case of COVID-19 was confirmed in Arizona, the disease is well on its way to becoming the third-leading cause of death in the state this year, following cancer and heart disease, according to state data.
If COVID-19 deaths continue at the current pace, that would put the disease squarely between cancer, which killed 12,097 Arizonans in 2018, and accidents, which killed 4,211 people that year, the most recent for which state mortality numbers are available.
A health department official cautioned against reading too much into the numbers at this time, however, noting that the cause of death will not be official until analysts can review death certificates, something that is not likely to happen until late 2021.
βFinal death certificate information can take weeks or months to collect, depending upon the complexity of each case and whether testing or autopsy is required through the medical examiner,β said Holly Poynter, the department spokeswoman, adding that final counts βtend to be lower than the counts producedβ by daily reporting.
But other health experts in the state said the disease could βeasilyβ become one of the biggest killers in the state this year.
βI think itβs definitely within the realm of possibility β of course thatβs not a guarantee because there are things that we can do policy-wise to lower the fatality rate,β said Joe Gerald, an associate professor in public health policy and management at the University of Arizona.
The daily Arizona Department of Health Services numbers for COVID-19 indicate the disease would become the third-leading cause of death compared with other causes over six months whether 2018 statistics are used or an average of death reports for the 10-year period from 2008-2018.
COVID-19 appears to have already eclipsed opioid deaths, which was the headline-grabbing epidemic of recent years. The health department reports that 6,500 people have died of apparent opioid overdoses since June 15, 2017, a rate of less than 2,200 deaths a year on average.
Ping Yang, an epidemiologist at the Mayo Clinic, agreed with Poynter that it may be too soon to declare COVID-19 a leading cause of death, simply because the question of sorting out mortality rates can get a little complicated.
Chronic lower-respiratory diseases, for example, would likely not include COVID-19 deaths because the disease is not a chronic illness, but complications caused by the coronavirus could drive up the mortality rate for respiratory illnesses, she explained via email. Chronic lower-respiratory diseases were the third-leading cause of death in Arizona for the 2008-2018 period.
But Will Humble, executive director of the Arizona Public Health Association, said there is no denying that mortality rates as a whole have already been greatly affected by the coronavirus. He said June and July are usually lower months for deaths, but not so this year.
βThe gross death numbers donβt lie, itβs just total mortality,β Humble said. βAnd you canβt totally say every single one of those is COVID-19, but you can see a big jump in June and July is going to be a much bigger jump.β
But Poynter said that, whatever the final analysis, the number of deaths is a reminder that the disease needs to be taken seriously by everyone. That means wearing a mask, washing hands frequently, staying home when you feel sick and maintaining a 6-foot distance from others when possible, among other measures.
βWe are currently seeing increased deaths due to COVID-19, which corresponds to higher case counts in early summer,β she said in an email.
βIt is an important reminder that COVID-19 is widespread in Arizona, and the best way to protect yourself and your community from COVID-19 is to take everyday preventative measures at all times and in all places.β
Photos: Monsoon Storm Washes out Border Wall Construction
U.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedU.S./Mexico border in the San Pedro River National Conservation Area
UpdatedFuture of border wall about to be handed over to voters
UpdatedWhen voters cast their ballots in the Nov. 3 presidential election, they will choose between two strikingly different plans for the border wall in Arizona and border security in general.
On one hand, the Trump administration plans to spend $15 billion to build hundreds of miles of 30-foot-tall wall along the U.S.-Mexico border, which includes filling gaps in the wall already standing in Arizona. On the other hand, Joe Biden plans to stop building the wall and focus instead on beefing up screening technology at ports of entry and building surveillance towers in remote areas.
The border wall played a central role in President Trumpβs campaign in 2016, and he continues to tout the wall at rallies across the country. He tells crowds, βItβs like magicβ and is βworking beyond our wildest expectations.β In response they chant: βBuild that wall!β
While Trump claims Biden and other Democrats want open borders, Biden accuses Trump of being obsessed with a wall he says βdoes nothing to keep Americans safeβ and wonβt stop smugglers from digging tunnels or flying drones across the border.
Biden told reporters in early August, βThere will not be another foot of wall constructed in my administration.β Instead, he would put his efforts toward βmaking sure we use high-tech capacity to deal with it at the ports of entry; thatβs where all the bad stuff is happening.β He has not said he would tear down the wall, but he likely would face intense pressure to do so if he is elected.
For voters in Wisconsin, Virginia and other states far from the U.S.-Mexico border, the presidential candidatesβ comments may amount to little more than political rhetoric that prompts either cheers or groans, depending on the listenerβs political perspective.
For Southern Arizona residents, the vote on Nov. 3 will determine the future of the border wall and set the tone for how federal agencies spend billions of taxpayer dollars to address drug smuggling and illegal border crossings for at least the next four years.
To analyze whatβs at stake, the Arizona Daily Star spoke with border residents and Customs and Border Protection officials, reviewed court records and CBP statistics, and made two dozen trips to border wall projects since construction started in the summer of 2019.
Wall raises no shortage of opinions
Standing next to the wall, you have to crane your head back to see the top of it. The wall is made of steel poles, known as bollards, that extend 30 feet up from the ground. Each bollard is 6 inches wide and filled with concrete and rebar. To allow Border Patrol agents to see into Mexico, the bollards are separated from one another by 4 inches of space.
A wide steel plate is fitted to the top of the wall to make it more difficult to climb over. To deter tunnel digging, the concrete foundation of the wall extends 6 to 10 feet into the ground. Lighting and sensors help agents detect activity near the wall, and new roads will help them respond faster.
Most of the 190 miles of wall built so far in Arizona replace head-high vehicle barriers or fencing that stands 10 feet to 18 feet tall. When construction is completed, Arizona will have more than 230 miles of wall, at a cost of roughly $4.5 billion.
As the election nears, there is no shortage of opinions about the wall among residents of border towns, despite the wall taking a backseat to the coronavirus and other issues in the election season.
βBuild the Wall and Crime will Fall,β proclaimed an electronic billboard near Wellton, a small town near Yuma about 25 miles north of where contractors built the 30-foot-tall wall behind a much shorter metal-mesh fence. In Tucson, yard signs demand βNo Border Wall,β and Tohono Oβodham protesters carried banners calling for βNo Wall on Oβodham Landβ after briefly stopping wall construction southwest of Tucson last month.
The Star regularly receives calls and emails from readers who support or oppose the border wall, including a SaddleBrooke resident who said completing the wall canβt come soon enough, along with fully funding the Border Patrol. A Tucson resident called the wall a blight on the landscape paid for with money stolen from the military. An Oro Valley resident said he was pleased to have the wall in place and that open borders were bad for America.
Brad Finn, a Vietnam veteran who has lived next to the border near the San Pedro River in Cochise County since the late 1990s, said the border fence installed a decade ago βkeeps us safe,β but he worried the new wall would block wildlife migrations.
βIβm not sure how the Mexican jaguars are going to get through, unless they get a key to the gate,β Finn said as he stood on a dusty road and watched a crane replace an 18-foot-tall wall panel with a 30-foot-tall panel.
The vehicle barriers being replaced closer to the San Pedro River let animals, and humans, easily cross the border. The new wall projects in the area will connect with fencing in Douglas and Naco to create a roughly 75-mile long barrier that will be virtually impossible for deer, bear, bobcats, mountain lions or any animal larger than a jackrabbit to cross.
βIt isnβt like it was 20 years ago,β Finn said. Back then, only about four Border Patrol agents worked in the area each night, trying to catch large groups of people looking for work or hauling marijuana loads. Now, itβs closer to 40 agents each night looking for small groups in camouflage.
Standing in a hangar on Davis-Monthan Air Force Base surrounded by Customs and Border Psrotection helicopters and surveillance planes, Border Patrol Chief Rodney Scott said the new wall will prove effective.
βAny place weβve ever installed border wall, itβs actually improved the ability of every individual agent to cover more border, to secure more border in their shift than they could without it,β Scott said.
Rather than an impenetrable barrier, the new wall intimidates some people from trying to cross the border and slows down those who take the risk, Scott said.
βIt stopped most older people and most younger kids. When they walk up and they see a 30-foot-high wall, it stops them,β Scott said. βIt doesnβt always stop the 22-year-old. It doesnβt always stop the super-agile. But you know what? Now itβs one (person),β instead of large groups crossing together.
Melissa Owen, who lives on a ranch near Sasabe where new wall is going up, said she supports border security, but the new wall is a βmonstrosityβ that is unpopular with her neighbors.
βAnyone who actually knows the situation here knows that heightened security at ports of entry, where most illegal substances come into the U.S., a sensible program of surveillance technology, and a sane and equitable immigration policy are the best answers to the βcrisis on the border,ββ Owen said.
During the last year of wall construction, far fewer families and children were stopped while crossing the border in remote areas, according to CBP statistics. That trend began before wall construction started in Arizona, due largely to Trump administration policies cracking down on asylum seekers and the Mexican government stopping asylum seekers from reaching the U.S. border.
Border Patrol agents are catching more single adults trying repeatedly to cross the border, including 8,000 in September when 170 miles of wall had been built in Arizona. CBP officials say this is the result of pandemic-related policies that involve quickly expelling Mexican migrants, who then turn around and try repeatedly to cross the border.
As for drugs, most hard drugs like meth, fentanyl and heroin are smuggled through ports of entry rather than through the desert where the wall is being built, as has been the case for decades, CBP statistics show. Marijuana, far and away the most common drug smuggled through the desert, plummeted in the last decade as the legal marijuana industry expanded in Arizona and other states.
The stakes
Arizona has been at the center of the Trump administrationβs wall-building efforts since construction started last summer, due in part to the accessibility of federal land along Arizonaβs border with Mexico.
The wall now crosses the San Pedro River in Cochise County, much to the disappointment of bird-watchers and nature enthusiasts who enjoy one of the last free-flowing rivers in the Southwest. Contractors are plowing through mountainsides a few miles west of the river on the Coronado National Memorial, as well as in Guadalupe Canyon in the countyβs southeastern corner and the mountains west of Nogales. The wall runs along most of Organ Pipe Cactus National Monument and the Cabeza Prieta National Wildlife Refuge southwest of Tucson.
Near Yuma, only a few areas remain without a new wall, most notably a stretch along the Colorado River that the Cocopah Indian Tribe considers sacred. Near Tucson, the wall will run along most of the border except for a few mountains, the San Rafael Valley east of Nogales, 62 miles on the Tohono Oβodham Nation, and urban areas like Nogales and Douglas.
The head of Customs and Border Protection, Mark Morgan, told the Star on Wednesday that officials are considering building more wall in Arizona, including a second layer of wall in urban areas and in the βopen gapβ on the Tohono Oβodham Nation.
βWherever we donβt have a wall system, thatβs where the cartels are exploiting. Weβre already seeing that on the Tohono Oβodham Nation,β Morgan said.
βWeβre going to continue to have ongoing dialogue with the leaders of the Tohono Oβodham Nation to come up with a viable solution there,β Morgan said.
Tribal officials have opposed the idea of replacing head-high vehicle barriers on the reservation with new wall, saying last week that the wall was βdestroying our environment, desecrating sacred places, and physically separating our people.β
Tohono Oβodham Nation Chairman Ned Norris Jr. said Morgan was βeither misinformedβ or βpurposely misleading the publicβ about dialogue between CBP and the Tohono Oβodham Nation.
βThere is no ongoing dialogue, nor has CBP ever had required consultations with the Nation regarding the ongoing destruction of sacred Oβodham sites along the border,β Norris said. βCBP has never offered a wall proposal to the Nation and has repeatedly stated in meetings when asked that they have no plans to build a wall on the Nationβs lands.β
βThe Nation continues to expend extraordinary resources to protect the U.S. border, and has already agreed to viable solutions such as vehicle barriers, Integrated Fixed Towers, and other measures,β Norris said. βThe Nationβs position on a fortified wall is clear and we agree that consultations on this issue need to start immediately.β
The reservation has long been a site of illegal border crossings and drug smuggling, federal court records in Tucson show. Those records also show Oβodham police working with federal agents on task forces and busts made with the help of sensors and cameras on the reservation and Border Patrol checkpoints that ring the reservation.
With regard to building a second layer of wall in urban areas, Morgan did not cite any plans for specific cities in Arizona. A second layer of wall already is going up along about 1 mile of the border in downtown Naco, but no plans have emerged for Nogales or Douglas.
A border fence has run through downtown Nogales for several decades, evolving from chain-link fence to Vietnam War-era landing mats and now the current version made of 18-foot-tall bollards built nearly a decade ago. Camera towers run by CBP are positioned on either side of the downtown port of entry.
βHonestly, I think thatβs overkill,β Nogales Mayor Arturo Garino said of the possibility of building a second layer of wall. βI canβt see a 30-foot wall going through downtown Nogales.β
Garino said he supports border security and pointed out that Nogales police and Santa Cruz County sheriffβs deputies regularly work with the Border Patrol to combat cross-border crime.
If CBP were to decide to build a second layer of wall in downtown Nogales, it likely would block off the road that runs along the border fence, which is the main access point for several neighborhoods, he said.
βAs a city, we would have to have a serious conversation with CBP,β Garino said.
The wall in election season
Despite the importance of the wall to border communities, it has faded somewhat in the presidential election as other issues took center stage.
The wall is a mainstay at Trump rallies, but it usually only takes up a minute or two of hourlong speeches. Trump told crowds in Nevada, Wisconsin, Ohio, and elsewhere that the wall is working, it will be finished soon, and Democrats want open borders.
Biden talks about it even less. His views on the wall and border security are described in detail on the campaign website, but most of his public comments on the wall came during an interview with the National Association of Hispanic Journalists and the National Association of Black Journalists in early August.
Neither campaign answered questions from the Star about the wall in Arizona. Instead, they provided general background information and referred the Star to their campaign websites.
βIt seems to feature less prominently in this campaign than it did in the 2016 campaign,β said Jessica Bolter, a policy analyst at the Migration Policy Institute, a nonpartisan think tank in Washington, D.C.
Public concern about immigration also has been dwarfed by the coronavirus pandemic and the poor state of the economy, she said. The Trump campaign also sees βinternal threats to dwell on,β she said, such as protests that Trump opposes.
At the same time, the administration has sped up border wall construction, she said. More than half of the 360 miles of wall built during the Trump administration were built since April.
If Trump is elected, Bolter expects he will continue building nearly 740 miles of border wall. If Biden wins, she expects he will adopt the βmainstream Democratic positionβ on border security and invest in technology.
Biden said he would stop wall construction, but he has not been clear about whether he would cancel wall contracts or just not award any new ones.
Given the high visibility of the wall, βI suspect that this is something that Biden will try to deliver on pretty quickly,β Bolter said.
Cal Glover, a member of the People Helping People group that advocates against the militarization of the border in Arivaca, just north of where about 40 miles of wall are being built, said he is voting for Biden, but βIβm not happy about it.β Biden may not build more wall, but he has not said he would tear it down, Glover said.
βItβs not going to make it worse, but itβs not going to help,β Glover said of a possible Biden presidency.
The Army Corps of Engineers, which manages wall contracts, did not clarify what type of costs taxpayers should expect if Biden were to cancel ongoing wall projects.
βWe cannot speculate on the impacts of terminating border wall construction contracts,β the Corps said in response to an inquiry from the Star.
Federal regulations allow the government to βexercise its right to terminate the contract for its convenience,β the statement from the Corps said. However, βthe contractor is entitled to submit a request for termination settlement costs.β
Measuring success
While Trump says the wall helped βachieve the most secure border in history,β Biden calls it a poor use of resources when most contraband is smuggled through legal ports of entry.
Bidenβs view of drug smuggling is consistent with CBP statistics for Arizona, at least as far as hard drugs like meth and heroin are concerned. Morgan, the head of CBP, and Scott, the head of the Border Patrol, maintain the wall will be successful when viewed as part of a βmultilayered strategyβ that includes agents and technology.
In a decadeslong pattern, the vast majority of seizures of hard drugs occur at Arizonaβs ports of entry, rather than in remote areas where the new wall is going up, CBP statistics show.
Customs officers at Arizonaβs ports of entry intercepted 1,100 pounds of fentanyl in the first 11 months of fiscal 2020, five times as much as Border Patrol agents in the Tucson and Yuma sectors caught in the deserts and highways. Customs officers also caught five times as much heroin, seven times as much cocaine, and three times as much meth.
In Arizona, that pattern shifted slightly in the past year as Border Patrol agents saw more meth smuggled in backpacks through the desert. Federal officials told the Star that smugglers likely were trying to replace revenue lost from a sharp decline in marijuana smuggling in recent years. Seizures of marijuana by Border Patrol agents in Arizona dropped steadily from 1.25 million pounds in fiscal 2013 to 48,500 pounds in the first 11 months of fiscal 2020.
The Star asked Morgan whether the administration had a measure to show the public whether the wall was a success, such as a drop in illegal border crossings.
βWhen we have that multilayered strategy at effective levels in strategic locations, we will see that output: Seizures go down, illegal immigration goes down, assaults on agents go down,β Morgan said.
Success should be measured in terms of how CBP interacts with drug cartels to βshape their behavior and guide them where we want them to go,β Morgan said.
In terms of stopping people from crossing the border in Arizona, the effect of the wall is unclear so far.
Apprehensions of people crossing the border illegally, which is used as a proxy for total illegal crossings, in Arizona fell fairly steadily from 616,000 in fiscal 2000 to 51,500 in fiscal 2017. That period saw more Border Patrol agents stationed in Arizona and vehicle barriers, fencing, and surveillance towers installed along much of the border, as well as economic growth in Mexico that lessened the need to head to the United States.
For fiscal 2020, agents in Arizona reported nearly 75,000 apprehensions, including more than 54,000 single adults. That total was a sharp decrease from the previous fiscal year when agents made 132,000 apprehensions. Many of those apprehensions were of asylum-seeking families and children who generally sought out Border Patrol agents, rather than tried to evade them.
Last month, when 170 miles of new wall had gone up in Arizona, agents stopped more than 8,000 single adults, compared to about 1,100 members of families and unaccompanied children.
The wall will cut down on the number of migrants agents apprehend at any one time, Scott said, which will give agents more time to interview them and gather information about smuggling organizations.
Scott said he had seen people climb over the wall and cut through it, which βtakes about 20 minutes, depending on the tools.β But if they climb over the wall, they will be easier to catch than βsomebody that stood there and said βgoβ and sprinted north.β
If smugglers manage to cut through one of the bollards, βyou can squeeze one person through at a time,β rather than large groups that would rush through openings in metal panel fencing years ago.
A βperpetualβ emergency
One key difference between the Biden and Trump campaigns involves the emergency declaration that allowed Trump to pull $10 billion from the Defense Department to build the border wall.
The Biden campaign says his administration would βend the so-called National Emergency that siphons federal dollars from the Department of Defense to build a wall.β
President Trump signed the declaration in February 2019. The declaration came after a dispute with Democrats in Congress over wall funding led to a partial government shutdown.
Trumpβs rhetoric about the border wall often conjures up images of violent gang members, and the emergency declaration briefly cited the border as a βmajor entry point for criminals, gang members and illicit narcotics.β
But the formal justification for funding the wall, as well as the wallβs apparent effects, were aimed at stopping asylum-seeking families from crossing the border.
βIn particular, recent years have seen sharp increases in the number of family units entering and seeking entry to the United States and an inability to provide detention space for many of these aliens while their removal proceedings are pending,β the declaration read.
Due to the βgravity of the current emergency situation, it is necessary for the Armed Forces to provide additional support to address the crisis,β it read.
The Defense Department ended up funding most of the wall projects in Arizona, according to the Corps. Contracts for 88 miles of wall near Tucson, at a cost of $2.2 billion, went to Southwest Valley Constructors, a New Mexico-based affiliate of construction giant Kiewit.
Contracts for another 74 miles of wall in Arizona, at a cost of $1.8 billion, went to Fisher Sand and Gravel, a North Dakota-based firm with offices in Tempe. The first of those contracts resulted in a probe by the Defense Departmentβs inspector general after members of Congress objected to reports that Trump pressured officials to award contracts to Fisher. That probe is ongoing.
Another $425 million went to BFBC, an affiliate of Montana-based Barnard Construction Co., for 33 miles of wall near Yuma. A few other projects near Yuma were funded by congressional appropriations.
At the time of the emergency declaration, hundreds of thousands of families from Honduras, Guatemala, El Salvador and other countries were arriving at the U.S.-Mexico border to ask for asylum. The Trump administration implemented numerous policies aimed at keeping asylum seekers from entering the United States, such as forcing them to wait in Mexican border towns like Nogales, Sonora.
The premise of the Trump administrationβs approach to asylum seekers is that they are presenting fraudulent asylum claims, a point CBP officials emphasized at Davis-Monthan last week. Federal court records in Tucson and Yuma showed cases of using false identification documents or traveling with someone elseβs child, but they represented a tiny portion of the thousands of families who asked for asylum.
The Star spoke with asylum seekers last year at the former Benedictine Monastery in Tucson, where 20,000 asylum seekers were housed for a few days before they left to live with friends and families in other cities and await their immigration court hearings. Dozens of other families told the Star their stories after the Trump administration forced them to wait in Nogales, Sonora, for their chance to speak with U.S. officials.
Some families said they fled Mexican towns after local mafias murdered their relatives. Some left Honduras after gangs took over their neighborhoods and tried to recruit their children. Cubans told the Star about living under a dictatorship that repressed political speech and limited the amount of money they could make. Venezuelans said food was running out and electricity was unreliable due to corrupt government.
Since mid-2019, the number of families trying to cross the border has plummeted, but Morgan told the Star last week that the emergency is ongoing.
The Star asked Morgan if border residents should expect to live under a perpetual state of emergency, despite the rationale for the declaration disappearing.
βHereβs when the emergency ends, in my opinion: When we have Congress step up and pass meaningful legislation to end the crisis,β Morgan said. βTo once and for all send a message to anyone that is even anticipating illegally entering: You are not going to be allowed in and there will be consequences. Until we have statutory reform, I think weβre going to be in perpetual crisis.β
Federal judges are pushing back on the Trump administrationβs pulling of money from the Defense Department after Congress rejected his request. The administration is likely to appeal to the Supreme Court, which previously let stand the administrationβs funding decision.
The 9th U.S. Circuit Court of Appeals ruled in early October that the Trump administration overstepped its authority when it moved billions of dollars from the Defense Departmentβs construction fund to build the border wall. Those funds were used to build sections of wall in Yuma, California and Texas. The appeals court judges said the Trump administration failed to show how the wall projects were βnecessaryβ for the Defense Department.
The D.C. Circuit Court of Appeals ruled on Sept. 25 that the House of Representatives had standing in a lawsuit alleging the Trump administration violated the Houseβs constitutional power over funding federal activities.
βTo put it simply, the Appropriations Clause requires two keys to unlock the Treasury, and the House holds one of those keys. The Executive Branch has, in a word, snatched the Houseβs key out of its hands,β the D.C. judges wrote.
While those lawsuits play out and voters consider how to cast their ballot, Morgan warned that the coronavirus pandemic would lead to more waves of immigration from Mexico and Central American countries.
βWeβre seeing economic conditions in the Western Hemisphere worsen dramatically,β Morgan said βSo we have seen lately, as we anticipated because as economic conditions worsen, that drives illegal immigration. Weβre starting to see the numbers go up.β