(CNN)Officials said an autopsy found that a transgender woman died of complications from epilepsy in New York’s Rikers Island jail, exacerbating her family’s suspicion that jail conditions contributed to her death.
Her death renewed the conversation about the perils of cash bail, pretrial detention and other policies that civil rights groups say contribute to the criminalization of transgender women of color and other vulnerable communities.
Polanco was arrested on misdemeanor charges of assault and harassment, court records show. She was taken into custody because she missed court dates as part of an alternative to incarceration program stemming from prostitution charges, court records indicate.
The Office of Chief Medical Examiner (OCME) said in a statement Tuesday that the cause of death was sudden unexplained death in epilepsy due to a genetic mutation.
Genetic testing on the 27-year-old Bronx woman showed a biological mutation in a gene which was “the likely cause of her epilepsy,” Chief Medical Examiner Dr. Barbara Sampson said in a statement, adding that “variants in this gene are associated with seizures.”
“We hope that the OCME’s determination helps provide answers that Layleen’s family, friends, and the City deserve,” Deputy Commissioner of Public Information Peter Thorne said in statement.
“The broader investigation, which is being led by the Bronx DA and the Department of Investigation, is ongoing, and we are participating fully.”
The results did little to alleviate her family’s belief that her death could have been prevented had she been afforded proper care and accommodations for her medical condition, Shanies said.
In addition to the autopsy results, the family received records confirming that Polanco’s epilepsy was “well known” to the corrections department and that she had suffered multiple seizures while on Rikers Island, Shanies said.
The documents show a jail doctor approved Polanco’s placement in solitary confinement on May 30, Shanies said, which effectively became her “death warrant.”
“When an epileptic person has a seizure, they are at great risk of injury or death and unable to help themselves. They can fall, suffer trauma, or stop breathing, among other things. That is exactly how Layleen died. By leaving her locked in a cell, unmonitored, the jail created the risk of Layleen’s suffering a fatal seizure,” he told CNN.
“This is not a case of a mistake or a medical problem that slipped through the cracks. This was a thought-out decision to put a person in a situation where the risks of injury and death were obvious and known.”
The Department of Corrections denied Polanco was in solitary confinement or had restricted access to medical care or supervision.
She was placed in “a restrictive housing unit” at the Rose M. Singer Center on May 30 after she assaulted another person in custody, the corrections department said.
The department described the unit as a joint program with Correctional Health Services, whose staff performs daily rounds seven days a week. Residents have access to medical care 24 hours a day if they request to visit the clinic, which is the same level of access that women in general population have, the department said.
Residents also receive up to seven hours a day outside of their cell for programming, services and entertainment. They can also participate in group therapy and art therapy, the department said.
Correctional Health Services expressed condolences to Polanco’s family.
“As the OCME determined, Sudden Unexpected Death in Epilepsy or SUDEP is a tragic and unpredictable complication of epilepsy,” communications director Jennine Ventura said in a statement.
Polanco was a member of the House of Xtravaganza, a famed group in New York City’s drag ball scene. Days after her death, members of Polanco’s biological and extended family held a rally to demand justice.
The family’s lawyer said their quest for justice continues.
“As painful as these revelations are, they have fortified the family’s resolve to seek justice for Layleen,” Shanies said.