u. s. government

NEW YORK — No quick dispatching of disease investigators. No televised news conference to inform the public. No timely health alerts to doctors.

In the midst of a hantavirus outbreak that involves Americans and is making headlines around the world, the U.S. government’s top public health agency, the Centers for Disease Control and Prevention, has been uncharacteristically missing in action, according to a number of experts.

To President Trump, “we seem to have things under very good control,” as he told reporters Friday evening.

To experts, the situation aboard a cruise ship has not spiraled because, unlike COVID-19 or measles or the flu, hantavirus does not spread easily. It has been health experts in other countries, not the United States, who have been dealing primarily with the outbreak in the last week.

“The CDC is not even a player,” said Lawrence Gostin, an international public health expert at Georgetown University. “I’ve never seen that before.”

Not until late Friday did CDC actions accelerate.

Health officials confirmed the deployment of a team to Spain’s Canary Islands, where the ship was expected to arrive early Sunday local time, to meet the Americans onboard. They said a second team will go to Offutt Air Force Base in Nebraska as part of a plan to evacuate U.S. passengers from the ship to a University of Nebraska quarantine center for evaluation and monitoring. Also, the CDC issued its first health alert to U.S. doctors, advising them of the possibility of imported cases.

At their first briefing, held Saturday by telephone only for invited reporters, officials pledged to be transparent in updating the public but said the media could not cite the speakers by name under rules set by aides to Health Secretary Robert F. Kennedy Jr. They did not directly answer a question about whether the U.S. passengers could leave the university medical facility when they wanted.

The CDC’s diminished role in this outbreak is an indicator the agency is no longer the force in international health or the protector of domestic health that it once was, some experts said.

The hantavirus outbreak is “a sentinel event” that speaks to “how well the country is prepared for a disease threat. And right now, I’m very sorry to say that we are not prepared,” said Dr. Jeanne Marrazzo, chief executive officer of the Infectious Diseases Society of America.

How the outbreak unfolded

Early last month, a 70-year-old Dutch man developed a feverish illness on a cruise ship traveling from Argentina to Antarctica and some islands in the South Atlantic. He died less than a week later. More people became sick, including the man’s wife and a German woman who both died.

Hantavirus was first identified as a cause of sickness of one of the cases on May 2. The World Health Organization swung into action and by Monday was calling it an outbreak. About two dozen Americans were on the ship, including about seven who disembarked last month and 17 who remained on board.

It’s WHO taking center stage

For decades, the CDC partnered with the WHO in such situations. The CDC acted as a mainstay of any international investigation, providing staff and expertise to help unravel any outbreak mystery, develop ways to control it and communicate to the public what they should know and how they should worry.

Such actions were a large reason why the CDC developed a reputation as the world’s premier public health agency.

But this time, the WHO has been center stage. It made the risk assessment that has told people the outbreak is not a pandemic threat.

“I don’t think this is a giant threat to the United States,” said Jennifer Nuzzo, director of Brown University’s Pandemic Center. But how this situation has played out “just shows how empty and vapid the CDC is right now,” she said.

Tumult under Trump

The current situation comes after 16 tumultuous months during which the Trump administration withdrew from the WHO, has restricted CDC scientists from talking to international counterparts at times and embarked on a plan to build its own international public health network through one-on-one agreements with individual countries.

The administration has laid off thousands of CDC scientists and public health professionals, including members of the agency’s ship sanitation program.

As this was playing out, Kennedy said he was working to “restore the CDC’s focus on infectious disease, invest in innovation, and rebuild trust through integrity and transparency.”

Waiting to hear from the CDC

The CDC has not been completely silent on hantavirus.

The agency on Wednesday issued a short statement that said the risk to the American public is “extremely low,” and described the U.S. government as “the world’s leader in global health security.”

Said Nuzzo: “Not only was that not helpful, it actually does damage because a core principle of public health communications is humility.”

The CDC’s acting director, Dr. Jay Bhattacharya, posted a message on social media that the agency was lending its expertise in coordinating with other federal agencies and international authorities. Arizona officials this week said they learned from the CDC that one of the Americans who left the ship — a person with no symptoms and not considered contagious — had already returned to the state. WHO officials said the CDC has been sharing technical information.

The CDC also is “monitoring the health status and preparing medical support for all of the American passengers on the cruise,” Bhattacharya wrote.

But federal health officials have mostly been tight-lipped, declining interview requests.

COVID-19 comparison

In interviews this week, some experts made a comparison with a 2020 incident involving the Diamond Princess, a cruise ship docked in Japan that became the setting of one of the first large COVID-19 outbreaks outside China.

The CDC sent personnel to the port, helped evacuate American passengers, ran quarantines, shared genetic data on the virus, coordinated with the WHO and Japan, held public briefings and rapidly published reports “that became the world’s reference data on cruise ship COVID transmission,” said Dr. Tom Frieden, a former CDC director.

Some aspects of the international response to the Diamond Princess were criticized, and it did not halt the outbreak or stop COVID-19’s spread across the world. But some experts say it was not for the CDC’s lack of trying.

“The CDC was right on top of it, very visible, very active in trying to manage and contain it,” Gostin said, while the agency’s work now is delayed and subdued.

Instead of working with nearly all of the world’s nations through the WHO, the Trump administration has pursued bilateral health agreements with individual nations for information sharing, public health support, and what it describes as “the introduction of innovative American technologies.” Roughly 30 agreements are currently in place.

That’s not sufficient, Gostin said. “You can’t possibly cover a global health crisis by doing one-on-one deals with countries here and there,” he said.

Stobbe writes for the Associated Press. AP writers Ali Swenson in New York, Darlene Superville in Washington and Susan Montoya Bryan in Albuquerque contributed to this report.

WASHINGTON — The Trump administration is in discussions to potentially send more than 1,000 Afghans who assisted America’s war effort and relatives of U.S. service members stuck in Qatar to a third country, the U.S. government and some advocates said. Congo is an option, the advocates said.

Shawn VanDiver, a Navy veteran who heads a coalition that supports Afghan resettlement efforts called #AfghanEvac, said Wednesday that U.S. officials informed him and other groups of discussions between the United States and Congo about taking the Afghan refugees who have been in limbo at a U.S. base in Doha for the last year.

The 1,100 refugees at Camp As-Sayliyah include Afghans who served as interpreters and with Special Operations Forces as well as the immediate families of more than 150 active-duty U.S. military members.

The State Department said Wednesday that it is working to identify options to “voluntarily” resettle the refugees in a third country, but it did not confirm which nations were being discussed.

An alternative provided to the refugees, VanDiver said, is to return to Afghanistan, where they face likely reprisal or even death at the hands of the Taliban for working alongside the U.S. during the two-decade war.

“You cannot call a choice voluntary when the two options are Congo and the Taliban, civil war or an oppressor who wants to kill you,” VanDiver said at a virtual news conference. “That is not a choice. That is a confession extracted under duress.”

The discussions — which were reported earlier by the New York Times — come more than a year after President Trump paused his predecessor’s Afghan resettlement program as part of a series of executive orders cracking down on immigration.

That policy left thousands of refugees who fled war and persecution, and had gone through a sometimes years-long vetting process to start new lives in America, stranded at places worldwide, including the base in Qatar.

From one war-torn country to another

Negotiations between the U.S. and several other countries, including Botswana and Malaysia, started months ago, according to an executive at a refugee resettlement agency who was briefed by U.S. officials. The executive, who spoke on condition of anonymity to share private negotiations, said that Botswana was seen by many refugee advocates as the most promising option but that talks between senior U.S. officials and the country’s leadership fell through. In early April, the executive was briefed that Congo was now the main option being discussed.

A person familiar with the matter who was not authorized to comment publicly and spoke on condition of anonymity said they had heard from State Department personnel that the U.S. was looking at sending the Afghans at the base in Qatar to countries in sub-Saharan Africa. The person said the Afghans were told Wednesday that there was no final deal on where to send them.

The base in Doha “was always intended as a transit platform. It was never designed to hold families for months or years, which is the situation that people are currently in,” said Jon Finer, who was deputy national security advisor to then-President Biden. “What I want to emphasize is that this was intended to honor a wartime commitment.”

Finer and other former U.S. officials and refugee advocates warned of the risk of resettling Afghans in Congo, a country that U.N. officials say is facing “one of the most acute humanitarian emergencies in the world.”

The African country has been battered by decades-long fighting between government forces and Rwanda-backed rebels in its eastern region.

Congolese authorities did not immediately respond to AP’s request for comment on the discussions, which did not come as a surprise to some there. Congo is one of at least eight African nations that were paid millions in controversial deals with the Trump administration to receive migrants deported from the U.S. to countries other than their own.

Like most other African nations involved in the deportation program, Congo is also among the worst-hit by the Trump administration’s policies on aid and trade. At least 70% of the country’s humanitarian aid came from the U.S. before Trump’s second term, and aid workers say American aid cuts have led to avoidable deaths in the conflict-hit region.

Sean Jamshidi — an Afghan American who served in the U.S. military, including a stint in Congo — said he was deeply concerned about his brother possibly being sent from the Doha base to the war-torn country.

“I saw the security situation and what it looked like there. I saw the displacement camps. … I stood in places where the United Nations has counted the dead,” Jamshidi said. “I’m telling you, as someone who has been in uniform, the Democratic Republic of the Congo is not a place you send vetted Afghan allies and their children to live.”

Refugees are in the dark as they await their fate

Negina Khalili, a former prosecutor in Afghanistan who fled during the 2021 U.S. withdrawal, has been waiting to hear about the resettlement status of her father, brother and stepmother since they arrived at the Doha base in January 2025. That was just days before Trump suspended the refugee program soon after he returned to the White House.

Khalili told the Associated Press on Wednesday that she spoke to her family about reports that they could be sent to Congo.

“They are not giving them any information or updates regarding which countries they will go to,” she said. “They were so stressed and worried about it and said that Congo is not a safe place either. They don’t know if it’s a temporary location for them there or a permanent location. They are worried.”

She said U.S. officials at the camp have been suggesting to refugees that they go back to Afghanistan and offering them money to do so.

Amiri, Santana and Asadu write for the Associated Press. Amiri reported from New York and Asadu from Abuja, Nigeria. AP writer Matthew Lee contributed to this report.