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The CIA has found that most cases of the mysterious ailment known as Havana syndrome are unlikely to have been caused by Russia or another foreign adversary, agency officials have said, in a conclusion that has angered victims.

The majority of the 1,000 cases reported to the government can be explained by environmental causes, undiagnosed medical conditions or stress, rather than a sustained global campaign by a foreign power, CIA officials said, describing the interim findings of a comprehensive study.

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