Teachers are unable to get paychecks. Tax and customs systems are paralysed. Health officials are unable to access medical records or track the spread of Covid-19. A country's president declares war against foreign hackers saying they want to overthrow the Government. 

For two months now, Costa Rica has been reeling from unprecedented ransomware attacks disrupting everyday life in the Central American nation. It's a situation raising questions about the United States' role in protecting friendly nations from cyberattacks when Russian-based criminal gangs are targeting less developed countries in ways that could have major global repercussions. 

"Today it's Costa Rica. Tomorrow it could be the Panama Canal," said Belisario Contreras, former manager of the cybersecurity programme at the Organization of American States, referring to a major Central American shipping lane that carries a large amount of US import and export traffic. 

Last year, cybercriminals launched ransomware attacks in the US that forced the shutdown of an oil pipeline that supplies the East Coast, halted production of the world's largest meat-processing company and compromised a major software company that has thousands of customers around the world. 

The Biden administration responded with a whole-of-government action that included diplomatic, law enforcement and intelligence efforts designed to put pressure on ransomware operators. 

Since then, ransomware gangs have shied away from "big-game" targets in the US in pursuit of victims unlikely to provoke a strong response by that nation. 

"They're still prolific, they're making enormous amounts of money, but they're just not in the news every day," Eleanor Fairford, a deputy director at the UK's National Cyber Security Centre, said at a recent US conference on ransomware. 

Tracking trends of ransomware attacks, in which criminals encrypt victims' data and demand payment to return them to normal, is difficult. NCC Group, a UK cybersecurity firm that tracks ransomware attacks, said the number of ransomware incidents per month so far this year has been higher than in 2021. The company noted that the ransomware group CL0P, which has aggressively targeted schools and healthcare organisations, returned to work after effectively shutting down for several months. 

But Rob Joyce, director of cybersecurity at the National Security Agency, has said publicly there's been a decrease in the number of ransomware attacks since Russia's invasion of Ukraine due to heightened concerns around cyberattacks and new sanctions that make it harder for Russian-based criminals to move money. 

The ransomware gang known as Conti launched the first attack against the Costa Rican Government in April and has demanded a US$20 million ($31.7m) payout, prompting the newly installed President Chaves Robles to declare a state of emergency as the tax and customs offices, utilities and other services were taken offline. 

"We're at war and this is not an exaggeration," he said. 

Later, a second attack - attributed to a group known as Hive - knocked out the public health service and other systems. Information about individual prescriptions are offline and some workers have gone weeks without their paycheck. It's caused significant hardship for people like 33-year-old teacher Alvaro Fallas. 

"I live with my parents and brother and they are depending on me," he said. 

In Peru, Conti has also attacked the country's intelligence agency. The gang's darkweb extortion site posts purportedly stolen documents with the agency's information, like one document marked "secret" that details coca-eradication efforts. 

Experts believe developing countries like Costa Rica and Peru will remain particularly ripe targets. These countries have invested in digitising their economy and systems but their defences aren't as sophisticated as wealthier nations'. 

Costa Rica has been a longtime stable force in a region often known for upheaval. It has a long-established democratic tradition and well-run government services. 

Paul Rosenzweig, a former top DHS official and cyber consultant who is now a legal resident of Costa Rica, said the country presents a test case for what exactly the US Government owes its friendly and allied Governments that fall victim to disruptive ransomware attacks. While an attack on a foreign country may not have any direct impact on US interests, the federal government still has a strong interest in limiting the ways in which ransomware criminals can disrupt the global digital economy, he said. 

"Costa Rica is a perfectly good example because it's the first," Rosenzweig said. "Nobody has seen a Government under assault before." 

So far, the Biden administration has said little publicly about the situation in Costa Rica. The US has provided some technical assistance through its Cybersecurity and Infrastructure Security Agency, via an information-sharing programme with nations around the world. And the State Department has offered a reward for the arrest of members of Conti. 

Eric Goldstein, executive assistant director for cybersecurity at CISA, said Costa Rica has a computer emergency response team that had an established relationship with counterparts in the US before the incidents. But his agency is expanding its international presence by establishing its first overseas attache position in the UK. It plans others in as-yet-unspecified locations. 

"If we think about our role, CISA and the US Government, it is intrinsically of course to protect American organisations. But we know intuitively that the same threat actors are using the same vulnerabilities to target victims around the world," he said. 

Conti is one of the more prolific ransomware gangs currently operating and has hit over 1000 targets and received more than US$150m in payouts in the last two years, per FBI estimates. 

At the start of the invasion of Ukraine, some of Conti's members pledged on the group's darkweb site to "use all our possible resources to strike back at the critical infrastructures of an enemy" if Russia was attacked. Shortly afterward, sensitive chat logs that appear to belong to the gang were leaked online, some of which appeared to show ties between the gang and the Russian Government. 

Some cyber threat researchers say Conti may be in the middle of a rebranding, and its attack on Costa Rica may be a publicity stunt to provide a plausible story for the group's demise. Ransomware groups that receive lots of media attention often disappear, only for their members to pop back up later operating under a new name. 

On its darkweb site, Conti has denied that's the case and continues to post victims' files. The gang's most recent targets include a city parks department in Illinois, a manufacturing company in Oklahoma and a food distributor in Chile. 

-AP writer Javier Córdoba contributed from San Jose, Costa Rica.