US officials "haven't seen" North Korean leader Kim Jong-un recently and are watching reports about his health "closely", US Secretary of State Mike Pompeo has said.
He also expressed concern that the hermit state could be hit either by the coronavirus outbreak or a famine.
Mr Kim, 36, last appeared in state media on 12 April, triggering speculation that he was seriously ill.
But officials in South Korea later said such reports were not true.
There have also been suggestions that North Korea's "supreme leader" may be staying at the sea resort of Wonsan to protect himself from possible exposure to coronavirus.
The secretive state shut its borders in late January due to the pandemic.
What did Mike Pompeo say?
Asked on Wednesday by Fox News to comment on the recent reports on Mr Kim's health, Mr Pompeo said: "We haven't seen him. We don't have any information to report today, we're watching it closely.
"There is a real risk that there will be a famine, a food shortage, inside of North Korea too," he added.
"We're watching each of those things closely, as they have a real impact on our mission set, which to ultimately denuclearise North Korea," the secretary of state said.
In the 1990s, a devastating famine is believed to have killed hundreds of thousands of North Koreans.
On Monday, President Donald Trump said he had a "very good idea" about Mr Kim's condition, but added that "I can't talk about it".
"I just wish him well," he added.
Mr Trump has met Mr Kim three times since 2018 - but the denuclearisation talks have stalled in recent months.
When did speculation start?
Kim Jong-un recently failed to appear for the celebration of his grandfather's birthday on 15 April. This is one of the biggest events of the year, marking the birth of the nation's founder.
Kim Jong-un has never missed this event - and it seemed very unlikely that he would simply choose not to turn up.
Inevitably, his absence prompted speculation and rumour, none of which is easy to substantiate.
Kim Jong-un last appeared in state media on 12 April "inspecting a pursuit assault plane group" in a handout that is undated. As ever, the images portrayed him as relaxed and at ease.
He chaired a key political meeting the day before, from state media despatches. But he has not been seen since.
The claim about Mr Kim Jong-un's ill health first surfaced in a report for a website run by North Korean defectors earlier this month.
An anonymous source told the Daily NK that they understood he had been struggling with cardiovascular problems since last August "but it worsened after repeated visits to Mount Paektu".
This led to a chain of reporting by international media on a single-sourced story.
News agencies then began to run with that claim, and it was all they had until some reports emerged that intelligence agencies in South Korea and the US were monitoring the claim.
But then came a more sensational headline in US media that the North Korean leader was in a critical condition after heart surgery.
However, a statement from the South Korean government, and sources at Chinese intelligence - speaking to the Reuters news agency - said this was not true.
Latest Stories
-
Queenmother calls on President-elect Mahama to appoint more women in his government
34 minutes -
Atletico Madrid beat Barcelona to go top of La Liga
52 minutes -
Usyk breaks Fury’s heart with points win in rematch
54 minutes -
Ghana-Russia Centre to run Russian language courses in Ghana
6 hours -
The Hidden Costs of Hunger: How food insecurity undermines mental and physical health in the U.S.
7 hours -
18plus4NDC marks 3rd anniversary with victory celebration in Accra
10 hours -
CREMA workshop highlights collaborative efforts to sustain Akata Lagoon
10 hours -
2024/25 Ghana League: Heart of Lions remain top with win over Basake Holy Stars
11 hours -
Black Queens: Nora Hauptle shares cryptic WAFCON preparation message amid future uncertainty
11 hours -
Re-declaration of parliamentary results affront to our democracy – Joyce Bawah
11 hours -
GPL 2024/25: Vision FC score late to deny Young Apostles third home win
12 hours -
Enhancing community initiatives for coastal resilience: Insights from Keta Lagoon Complex Ramsar Site Workshop
12 hours -
Family Health University College earns a Presidential Charter
12 hours -
GPL 2024/25: Bibiani GoldStars beat Nsoatreman to keep title race alive
12 hours -
GPL 2024/25 Bechem United keep title hopes alive with narrow win over FC Samartex
12 hours