WASHINGTON — Mysterious episodes that induced mind accidents in spies, diplomats, troopers and different U.S. personnel abroad beginning 5 years in the past now quantity greater than 130 folks, way over beforehand identified, in accordance to present and former officers.

The variety of circumstances throughout the C.I.A., the State Department, the Defense Department and elsewhere spurred broad concern within the Biden administration. The preliminary publicly confirmed circumstances had been concentrated in China and Cuba and numbered about 60, not together with a bunch of injured C.I.A. officers whose whole is just not public.

The new whole provides circumstances from Europe and elsewhere in Asia and displays efforts by the administration to extra completely assessment different incidents amid concern over a spate of them in latest months.

Since December, a minimum of three C.I.A. officers have reported critical well being results from episodes abroad. One occurred throughout the previous two weeks, and all have required the officers to endure outpatient remedy at Walter Reed National Military Medical Center or different services.

And in a single case in 2019 that has not beforehand been reported, a navy officer serving abroad pulled his car into an intersection, then was overcome by nausea and complications, in accordance to 4 present and former officers briefed on the occasions. His 2-year-old son, sitting within the again seat, started crying. After the officer pulled away from the intersection, his nausea stopped, and the kid stopped crying.

Both obtained medical consideration from the federal government, although it isn’t clear whether or not they suffered long-term debilitating results. Officials suspect the officer could have been focused. The episode upset officers in each the Trump and Biden administrations, prompting them to examine additional.

The Biden administration has not decided who or what’s chargeable for the episodes or whether or not they represent assaults. Though some Pentagon officers consider Russia’s navy intelligence company, the G.R.U., is probably behind the case of the 2-year-old, and proof has emerged that factors to Russia in different circumstances, the intelligence companies haven’t concluded any trigger or whether or not a international energy is concerned.

“As of now, we have no definitive information about the cause of these incidents, and it is premature and irresponsible to speculate,” mentioned Amanda J. Schoch, the spokeswoman for the Office of the Director of National Intelligence.

Moscow has repeatedly denied any involvement.

While no navy personnel have been injured in fight zones, a number of had been damage in Europe and Asia, in accordance to former officers.

Some suffered long-term mind accidents together with debilitating complications. The episodes, in accordance to the National Security Council, contain personnel experiencing “sensory phenomena,” resembling sound, stress or warmth, together with or adopted by bodily signs, resembling sudden-onset vertigo, nausea, and head or neck ache.

This article is predicated on interviews with 20 present and former officers throughout a number of authorities companies who’ve labored on the problem or have been briefed on the episodes, lots of which stay categorised.

The Biden administration is making an attempt to strike a cautious stability between displaying officers that they’re taking the problem critically and making an attempt to hold panic from spreading, both inside the federal government or among the many public. The National Security Council has begun an intelligence assessment, geared toward discovering whether or not extra unreported incidents match the sample, a spokeswoman mentioned.

“We are bringing the U.S. government’s resources to bear to get to the bottom of this,” mentioned Emily J. Horne, a spokeswoman for the council.

The C.I.A. has shaped a brand new focusing on cell to strive to collect details about the episodes, how they occurred and who’s accountable. The cell goals to function with the same rigor and depth to the group expanded by the company someday after the Sept. 11 assaults to hunt Osama bin Laden. The White House has additionally labored to standardize reporting of incidents and enhance medical remedy for victims.

In a report released in December, the National Academy of Sciences mentioned a microwave weapon most likely induced the accidents. Some officers consider a microwave or directed-energy system is the probably trigger.

The severity of the mind accidents has ranged extensively. But some victims have persistent, probably irreversible signs and ache, suggesting probably everlasting mind harm. Physicians at Walter Reed have warned authorities officers that some victims are in danger for suicide.

The United States has investigated episodes each within the nation and abroad, however the overwhelming majority have been abroad, in accordance to the National Security Council, and a few reported domestically are possible to be aftershocks brought on by earlier incidents abroad, in accordance to present and former officers.

But a minimum of two episodes involving White House employees members, one in 2020 that affected a National Security Council official close to the Ellipse south of the White House and one other in 2019 involving a girl strolling her canine in Northern Virginia, haven’t any identified connection to an earlier abroad occasion. While many officers expressed skepticism that Russia or one other energy would conduct an assault within the United States, companies are investigating.

Congress has demanded extra from the C.I.A. In a closed-door assembly of the Senate Intelligence Committee final month, senators accused the C.I.A. of doing too little to examine the mysterious episodes and till just lately displaying skepticism about them, in accordance to folks briefed on the assembly.

During the Trump administration, some within the company mentioned there was little intelligence displaying a international energy was accountable and argued that it made little sense analytically for Russia or one other international intelligence service to make unprovoked assaults on Americans. Others doubted the reason for the mind accidents.

The new C.I.A. director, William J. Burns, has tried to transfer aggressively to enhance the company’s response, present and former officers mentioned. Mr. Burns has met with victims, visited docs who’ve handled injured company officers and briefed lawmakers.

He has additionally assigned his deputy, David Cohen, to oversee the investigation and the well being care response. Mr. Cohen will meet month-to-month with victims and can lead common briefings for Congress. The company has additionally doubled the variety of medical personnel conducting remedy and managing circumstances of injured officers.

In addition, the chief medical officer, who had been criticized by some former officers as too skeptical of the incidents and dismissive of some signs, introduced his retirement. He was changed with one other physician seen contained in the C.I.A. as extra targeted on affected person care.

The C.I.A. has additionally minimize the typical wait time for injured officers at Walter Reed. It was up to eight weeks on the finish of final 12 months and is now lower than two.

Displayed in Walter Reed is a portray by a C.I.A. officer injured in one of many abroad episodes. The portray is a black canvas, with a pink splatter. C.I.A. personnel being handled at Walter Reed have known as it “The Gunshot.”

“It signified his feeling that we all wished we had been shot, a visible injury, so that our colleagues would more readily believe us,” mentioned Marc Polymeropoulos, a former C.I.A. officer who was damage in Moscow in 2017.

The thriller first drew consideration when diplomats and C.I.A. officers working in Havana in 2016 had been sickened and reported feeling vertigo, nausea and complications. Similar episodes started occurring the following 12 months in Guangzhou, China. And final October, The New York Times reported that as early as 2017, another cohort of C.I.A. officers touring in quite a lot of nations, together with Russia, had mentioned they had been the possible victims of assaults and reported related signs.

Lawmakers and the Trump administration’s National Security Council grew more and more pissed off final 12 months with State Department’s and the C.I.A.’s dealing with of the incidents.

Robert C. O’Brien, President Donald J. Trump’s final nationwide safety adviser, and Matthew Pottinger, his deputy, had already begun working in early 2020 to redouble efforts by their aides to perceive the mysterious episodes and to get the Pentagon extra concerned.

But their employees members bumped into frustration getting the C.I.A., the State Department and different companies to share particulars about injured personnel, partially due to federal protections on well being knowledge. White House officers thought the investigation, wherein the C.I.A. had been the lead company, had run right into a useless finish.

The frustration culminated in a tense dialog Mr. Pottinger had with Vaughn Bishop, then the deputy C.I.A. director, and different officers in November. Mr. Pottinger urged the intelligence group to do extra to cooperate with the Pentagon and different companies. The subsequent month, the National Security Council convened a deputy-level assembly throughout companies to once more push for additional motion and a broader investigation.

Mr. Pottinger declined to remark.

The Biden administration has tried to additional enhance coordination, together with directing companies to every identify a coordinator to work on each figuring out the reason for the episodes and enhancing well being take care of the injured personnel. Even some Democrats who’ve been briefed on the incidents known as on the administration to be extra aggressive.

“I don’t believe that we as a government, in general, have acted quickly enough,” mentioned Representative Ruben Gallego, an Arizona Democrat and former Marine who heads the House Armed Services Subcommittee on Intelligence and Special Operations. “We really need to fully understand where this is coming from, what the targeting methods are and what we can do to stop them.”

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