Christian Mejia thought he had a shot at getting out of immigration detention in rural Louisiana after he'd found a lawyer to help him seek asylum.

Then he was quarantined.

In early January, a mumps outbreak at the privately-run Pine Prairie Immigration and Customs Enforcement (ICE) Processing Center put Mejia and hundreds of other detainees on lockdown.

'When there is just one person who is sick, everybody pays,' Mejia, 19, said in a phone interview from the Pine Prairie center describing weeks without visits and access to the library and dining hall.

Pine Prairie ICE Processing Center in Pine Prairie, Louisiana, was the site of a mumps outbreak this January leaving detainees such as Christian Mejia, 19, in quarantine

Managing outbreaks like the one at Pine Prairie is complicated by the fact immigrant detainees often are transferred around the country and infected people don't necessarily show symptoms of viral diseases even when they are contagious

His attorney wasn't allowed in, but his immigration court case continued anyway - over a video conference line. On Feb. 12, the judge ordered Mejia deported back to Honduras.

The number of people amassed in immigration detention under the Trump administration has reached record highs, raising concerns among migrant advocates about disease outbreaks and resulting quarantines that limit access to legal services.

As of March 6, more than 50,000 migrants were in detention, according to ICE data.

Internal emails reviewed by Reuters reveal the complications of managing outbreaks like the one at Pine Prairie, since immigrant detainees often are transferred around the country and infected people don't necessarily show symptoms of viral diseases even when they are contagious.

ICE health officials have been notified of 236 confirmed or probable cases of mumps among detainees in 51 facilities in the past 12 months, compared to no cases detected between January 2016 and February 2018.

The first cases at Pine Prairie were detected in January in four migrants who had been recently transferred from the Tallahatchie County Correctional Facility in Tutwiler, Mississippi

Tallahatchie County Regional Correctional Facility in 2004. Tallahatchie, run by private detention company CoreCivic, has had five confirmed cases of mumps and 18 cases of chicken pox since January

Last year, 423 detainees were determined to have influenza and 461 to have chicken pox. All three diseases are largely preventable by vaccine.

As of March 7, a total of 2,287 detainees were quarantined around the country, an ICE official who spoke on condition of anonymity told Reuters.

Ten Democratic members of Congress sent a letter on February 28 to ICE acting director Ronald Vitiello seeking more information about viral diseases at immigration detention centers in Colorado, Arizona and Texas. Lawmakers did not mention the Pine Prairie outbreak.

Pablo Paez, a spokesman for The GEO Group, the private prison operator that runs Pine Prairie under government contract, said its medical professionals follow standards set by ICE and health authorities.

He said medical care provided to detainees allows the company 'to detect, treat and follow appropriate medical protocols to manage an infectious outbreak.'

Emergency and Tallahatchie County Correctional Facility personnel outside the gates on July 21, 2004. Tallahatchie houses hundreds of migrants recently apprehended along the U.S.- Mexico border

UNPRECEDENTED NUMBERS

The first cases at Pine Prairie were detected in January in four migrants who had been recently transferred from the Tallahatchie County Correctional Facility in Mississippi, according to internal emails.

Tallahatchie, run by private detention company CoreCivic, has had five confirmed cases of mumps and 18 cases of chicken pox since January, according to company spokeswoman Amanda Gilchrist.

She said no one who was diagnosed was transferred out of the facility while the disease was active.

Tallahatchie houses hundreds of migrants recently apprehended along the U.S.- Mexico border, ICE offcials said.

People in a caravan of migrants departing from El Salvador en route to the United States wait to board a bus, in San Salvador, El Salvador, February 28, 2019

People in a caravan of migrants departing from El Salvador en route to the United States are interrogated by a police officer at a bus terminal, in San Salvador, El Salvador

On Tuesday, Customs and Border Protection Commissioner Kevin McAleenan told reporters that changing demographics on the southwest border, with more immigrants from Central America traveling long distances, overwhelmed border officials and raised health concerns.

'We are seeing migrants arrive with illnesses and medical conditions in unprecedented numbers,' McAleenan said at a press conference.

However, vaccination rates in the countries of El Salvador, Guatemala and Honduras are above 90 percent, according to the Centers for Disease Control and Prevention.

ICE detainees come from countries all over the world, with varying degrees of vaccination coverage.

Central American migrants heading to the United States with a second caravan arrive at Ciudad Hidalgo, after crossing the border from Guatemala, in southern Mexico on January 17, 2019

HIGH PROFILE REMOVAL

At Pine Prairie, staff members were at times at odds with the warden about how to manage the mumps outbreak, internal emails show.

The warden decided not to quarantine 40 new arrivals from Tallahatchie in February despite concerns raised by the medical staff, one email showed.

The warden, Indalecio Ramos, who referred questions about the outbreak to ICE and The GEO Group, argued that quarantining the transfers would keep them from attending their court hearings, the facility's health service administrator wrote in a Feb. 7 email.

In a Feb. 21 email, ICE requested that medical staff members at Pine Prairie clear a detainee quarantined for chicken pox and mumps for travel, calling him a 'high profile removal scheduled for deport.'

Central American migrants heading to the United States arrive in southern Mexico on January 17, 2019. Vaccination rates in the countries of El Salvador, Guatemala and Honduras are above 90 percent, according to the CDC

In an email to staff later that day, warden Ramos wrote that medical staff had wanted to exclude the detainee from transfer, but 'ICE wants him to travel out of the country anyway ... Please ensure he leaves.'

The ICE spokesman said that travel is restricted for people who are known to be contagious but those exposed to diseases who are asymptomatic can travel.

Since January, the 1,094-bed Pine Prairie facility has had 18 detainees with confirmed or probable cases of mumps compared to no cases in 2018, according to ICE.

As of mid-February, 288 people were under quarantine at Pine Prairie. Mejia said his quarantine ended on Feb. 25.

Detention centers in other states also have seen a rise in outbreaks.

People walk in a caravan of migrants departing from El Salvador en route to the United States, in San Salvador, El Salvador

Migrants departing from El Salvador en route to the United States. According to a claim by Customs and Border Protection Commissioner Kevin McAleenan, sick migrants are arriving at the border in 'unprecedented numbers.'

There have been 186 mumps cases in immigration detention facilities in Texas since October, the largest outbreak in centers there in recent years, said Lara Anton, the press officer for the Texas Department of State Health Services.

In Colorado, at the Aurora Contract Detention Facility near Denver, run by The GEO Group, 357 people have been quarantined following eight confirmed and five suspected cases of mumps detected since February, as well as six cases of chicken pox diagnosed since the beginning of January, said Dr. Bernadette Albanese from the Tri County Health Department in Colorado.

Civil rights attorney Danielle Jefferis said court hearings for quarantined immigrants at Aurora were largely canceled.

At Pine Prairie on Feb. 12, Mejia said he felt confused and hopeless during his video hearing, with no attorney by his side.

After Mejia's lawyers complained, attorneys were allowed to visit quarantined detainees on Feb. 13 - one day too late for Mejia.

While he is appealing his case, his lawyers say he could be deported at any time.