“Stigma Is Not Persecution” – The Second Circuit’s Clarification of Medical-Disability Claims in Removal Proceedings

1. Introduction

In Dukuray Jawara v. Bondi, No. 22-6552-ag (2d Cir. May 13, 2025), the United States Court of Appeals for the Second Circuit confronted a removal case whose centerpiece was a claimant’s epilepsy diagnosis and the social stigma allegedly attendant to that condition in The Gambia and Spain. Mahammad Dukuray Jawara, a Gambian-born, Spanish citizen living in the United States since 2009, sought asylum, withholding of removal, and protection under the Convention Against Torture (“CAT”). He proceeded pro se before the court.

The litigation raised three core issues:

Whether epilepsy, diagnosed years after arrival, constituted an “extraordinary circumstance” excusing a nine-year delay in filing for asylum.
Whether verbal harassment, one physical assault in Spain, and feared stigma in The Gambia met the high bar for “past persecution” or a “clear probability” of future persecution necessary for withholding of removal.
Whether inadequate medical resources or social hostility toward epilepsy amounted to torture “by or with the consent or acquiescence” of Gambian officials under CAT.

2. Summary of the Judgment

The court DISMISSED the petition as to asylum for lack of jurisdiction and DENIED it as to withholding of removal and CAT relief, holding:

Asylum: Untimely. Epilepsy did not qualify as an extraordinary or changed circumstance excusing the statutory one-year filing deadline, and the petitioner alleged no reviewable legal error.
Withholding of removal (Spain): Harassment, racial slurs, and a single assault by private actors fell short of past persecution, and country reports did not demonstrate a “pattern or practice” of persecution of Black Muslims.
Withholding of removal (The Gambia): Fear of social stigma and speculative denial of medical care did not establish that persecution was “more likely than not.”
CAT: Alleged harms stemmed from poverty and limited resources, not governmental intent to inflict severe pain or suffering; thus, no torture “with consent or acquiescence” of officials.

3. Analysis

3.1 Precedents Cited and Their Influence

Mendez v. Holder, 566 F.3d 316 (2d Cir. 2009) & Barco-Sandoval v. Gonzales, 516 F.3d 35 (2d Cir. 2007) – establish that the court may review timeliness findings only if the petitioner raises a genuine legal or constitutional error. Because Jawara merely reargued facts, the Second Circuit lacked jurisdiction over the asylum denial.
Ivanishvili v. DOJ, 433 F.3d 332 (2d Cir. 2006) – defines “persecution” as an “extreme concept” surpassing “mere harassment.” The panel leaned heavily on this case to find that racial insults and one bar-fight assault in Spain did not rise to persecution.
KC v. Garland, 108 F.4th 130 (2d Cir. 2024) – reiterated that non-life-threatening violence may constitute persecution, but only when severity and repetition exceed harassment. The decision guided the court’s threshold analysis.
Jian Xing Huang v. INS, 421 F.3d 125 (2d Cir. 2005) – warned that fears unsupported by “solid evidence” are speculative. The panel applied this principle to gambling-on-stigma arguments regarding epilepsy in The Gambia.
Pierre v. Gonzales, 502 F.3d 109 (2d Cir. 2007) – recognized that inadequate prison conditions caused by neglect, rather than intent, do not constitute torture. By analogy, inadequate medical care in The Gambia was not state-sponsored torture.

3.2 Legal Reasoning

Timeliness of Asylum (8 U.S.C. § 1158(a)(2)(B)&(D)). The court stressed two prongs: (i) an extraordinary or changed circumstance; and (ii) filing within a “reasonable period.” Even accepting epilepsy as extraordinary, waiting three additional years after first consulting counsel was not reasonable.
Past Persecution Threshold. The panel aggregated all incidents and found severity lacking. A single non-life-threatening assault plus verbal abuse equals “harassment,” not persecution.
Future Persecution and “Pattern or Practice.” Evidence must show systemic or pervasive mistreatment rising to persecution levels. Reports of discrimination in Spain and cultural stigma in The Gambia did not compel that conclusion.
CAT Standard (8 C.F.R. § 1208.18). Torture requires intent or acquiescence of a public official. Scarcity of hospitals or medication demonstrates neglect and poverty, not purposeful torture.

3.3 Potential Impact

Although technically a non-precedential “summary order,” the opinion adds persuasive authority in three arenas:

Medical-Disability Claims: Litigants invoking chronic illnesses such as epilepsy must present concrete evidence of targeted hostility, denial of treatment, or government complicity. Mere social stigma is insufficient.
Timeliness Exceptions: An extraordinary circumstance is not enough; applicants must file promptly. The decision underscores that multi-year delays will almost always be fatal.
Pattern-or-Practice Framework: For European Union member states in particular, generalized bias reports will rarely suffice absent data demonstrating systemic violence or governmental indifference.

4. Complex Concepts Simplified

Asylum vs. Withholding of Removal: • Asylum is discretionary and requires filing within one year unless exceptions apply.
• Withholding is mandatory if the applicant shows a “clear probability” of persecution (≈ ≥ 50 % chance).
Extraordinary Circumstances: Events beyond the applicant’s control that plausibly prevented timely filing (e.g., serious illness, death of counsel). Still, the application must follow within a “reasonable period.”
Persecution: Serious harm (physical, economic, or otherwise) rising above verbal abuse or isolated incidents. Must be tied to a protected ground (race, religion, nationality, political opinion, or social group).
Pattern or Practice: Widespread, systemic, or pervasive persecution of a group — more than random or sporadic acts.
CAT’s “Consent or Acquiescence”: The state must intend or at least turn a blind eye to severe pain or suffering inflicted for a prohibited purpose. Neglect or poor infrastructure alone does not equal torture.

5. Conclusion

Dukuray Jawara v. Bondi reaffirms the Second Circuit’s stringent evidentiary standards in humanitarian protection cases. The court emphasized that:

Serious illness post-entry does not automatically excuse years-long delay in seeking asylum.
Racial insults, isolated assaults, and speculative fears — absent corroborative evidence of systemic oppression — do not meet the persecution threshold.
CAT relief is reserved for harm involving state intent or acquiescence; societal stigma and resource shortages fall short.

While labeled a “summary order,” the decision provides a clear roadmap for adjudicating future disability-based persecution claims: stigma is not enough, proof of targeted, severe harm is essential. Consequently, applicants and counsel must marshal robust, up-to-date, country-specific evidence and act diligently once extraordinary circumstances arise.