AP News in Brief at 6:04 a.m. EDT

New York residents urged to avoid travel as virus spreads

BEIJING (AP) — Health authorities urged millions of residents of the New York City region to avoid non-essential travel due to surging coronavirus infections there as deaths in the United States and Europe rose and countries including Russia and Vietnam tightened travel and business restrictions.

The travel advisory late Saturday came after the number of confirmed American deaths passed 2,000, more than double the level two days earlier. It applies to the 8.6 million people of New York City, the hardest-hit U.S. municipality, and others in the states of New York, New Jersey and Connecticut. The advisory cited “extensive community transmission” in the area and urged residents to avoid travel for 14 days.

Worldwide infections surpassed 660,000 mark, with more than 30,000 deaths as new cases, according to a tally by Johns Hopkins University.

The United States leads the world with more than 120,000 reported cases. Five other countries have higher death tolls: Italy, Spain, China, Iran and France. Italy has more than 10,000 deaths, the most of any country.

The disease has spread to major U.S. cities including Detroit, New Orleans and Chicago and into rural America, where hotspots erupted in Midwestern towns and Rocky Mountain ski havens.

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The Latest: Australia announces more coronavirus measures

The Latest on the coronavirus pandemic. The new coronavirus causes mild or moderate symptoms for most people. For some, especially older adults and people with existing health problems, it can cause more severe illness or death.

TOP OF THE HOUR:

— Boris Johnson urges Brits to following the rules

— Rescue flights fly foreign trekkers and Nepali guides out of Mount Everest area

— Countries scramble to evacuate their citizens from Bali

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Trump: No quarantine, but travel advisory for NY, CT and NJ

NORFOLK, Va. (AP) — President Donald Trump backed away from calling for a quarantine for coronavirus hotspots in New York, New Jersey and Connecticut, instead directing Saturday night that a “strong Travel Advisory” be issued to stem the spread of the outbreak.

Vice President Mike Pence tweeted that the CDC was urging residents of the three states “to refrain from non-essential travel for the next 14 days.”

The notion of a quarantine had been advocated by governors, including Republican Gov. Ron DeSantis of Florida, who sought to halt travelers from the heavily affected areas to their states. But it drew swift criticism from the leaders of the states in question, who warned it would spark panic in a populace already suffering under the virus.

Trump announced he reached the decision after consulting with the White House task force leading the federal response and the governors of the three states. He said he had directed the Centers for Disease Control and Prevention "to issue a strong Travel Advisory, to be administered by the Governors, in consultation with the Federal Government.”

He added: “A quarantine will not be necessary.”

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Rhode Island door knocks in search of fleeing New Yorkers

WESTERLY, RI (AP) — The Rhode Island National Guard started going door to door on Saturday in coastal areas to inform any New Yorkers who may have come to the state that they must self-quarantine for 14 days while Gov. Gina Raimondo expanded the mandatory self-quarantine to anyone visiting the state.

Raimondo also ordered residents to stay at home, with exceptions for getting food, medicines or going to the doctor, and ordered nonessential retail businesses to close Monday until April 13 to help stop the spread of the coronavirus. She also directed realtors and hotel operators to include new requirements that any out-of-state residents must quarantine for 14 days in their purchase agreements.

State Police set up a checkpoint on I-95 in Hope Valley on Friday where drivers with New York license plates must stop and provide contact information and were told to self-quarantine for two weeks, WPRI.com reported.

If New Yorkers don't comply, they face fines and jail time, Raimondo said, adding that that's not the goal.

“I want to be crystal clear about this: If you're coming to Rhode Island from New York you are ordered into quarantine. The reason for that is because more than half of the cases of coronavirus in America are in New York," Raimondo said, adding that it's not meant to be discriminatory.

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Iran's president says economy is a factor in virus response

TEHRAN, Iran (AP) — Iran's president on Sunday lashed out at criticism of its lagging response to the worst coronavirus outbreak in the Middle East as a “political war,” saying he had to weigh protecting the economy while tackling the pandemic.

Hassan Rouhani said the government had to consider the effect of mass quarantine efforts on Iran's beleaguered economy, which is under heavy U.S. sanctions. It's a dilemma playing out across the globe, as leaders struggle to strike a balance between containing the pandemic and preventing their economies from crashing.

“Health is a principle for us, but the production and security of society is also a principle for us," Rouhani said at a Cabinet meeting. “We must put these principles together to reach a final decision."

“This is not the time to gather followers,” he added. “This is not a time for political war.”

Even before the pandemic, Rouhani was under fire for the unraveling of the 2015 nuclear deal he concluded with the United States and other world powers. President Donald Trump withdrew the U.S. from the agreement and has imposed crippling sanctions on Iran that prevent it from selling oil on international markets.

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Locked up: No masks, sanitizer as virus spreads behind bars

Something was wrong. The chow hall line at New York’s Rikers Island jail had halted. For three hours, the men stood and waited, without food, until a correctional officer quietly delivered the news: A civilian chef was among those who tested positive for the coronavirus.

“We was like, ‘What? The cook?’” said Corey Young, who spoke to The Associated Press last week by phone from Rikers. He and others wondered if the chef had sneezed on trays or into the food. Some men later floated the idea of a hunger strike to protest.

“I don't want to eat nothing that comes from the state,” Young said. “They are not going to take care of us properly here.”

Health experts say prisons and jails are considered a potential epicenter for America’s coronavirus pandemic. They are little cities hidden behind tall fences where many people share cells, sit elbow-to-elbow at dining areas and are herded through halls to the yard or prison industry jobs.

They say it’s nearly impossible to keep 6 feet away from anyone, adding to tensions. Medical services behind bars have long been substandard and even hand sanitizer is considered contraband in some facilities because of its alcohol content.

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Counties without coronavirus are mostly rural, poor

SANTA FE, N.M. (AP) — As the coronavirus rages across the United States, mainly in large urban areas, more than a third of U.S. counties have yet to report a single positive test result for COVID-19 infections, an analysis by The Associated Press shows.

Data compiled by John Hopkins University shows that 1,297 counties have no confirmed cases of COVID-19 out of 3,142 counties nationwide. Of the counties without positive tests, 85% are in rural areas — from predominantly white communities in Appalachia and the Great Plains to majority Hispanic and Native American stretches of the American Southwest — that generally have less everyday contact between people that can help transmit the virus.

At the same time, counties with zero positive tests for COVID-19 have a higher median age and higher proportion of people older than 60 — the most vulnerable to severe effects of the virus — and far fewer intensive care beds should they fall sick. Median household income is lower too, potentially limiting health care options.

The demographics of these counties hold major implications as the Trump administration develops guidelines to rate counties by risk of the virus spreading, empowering local officials to revise social distancing orders that have sent much of the U.S. economy into freefall. President Donald Trump has targeted a return to a semblance of normalcy for the economy by Easter Sunday, April 12.

Experts in infectious disease see an opportunity in slowing the spread of coronavirus in remote areas of the country that benefit from “natural” social distancing and isolation, if initial cases are detected and quarantined aggressively. That can buy rural health care networks time to provide robust care and reduce mortality.

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In Egypt, transgender activist fights battle on many fronts

CAIRO (AP) — Malak el-Kashif left home on her birthday seven years ago. Walking into an uncertain future, she was underdressed for the weather and armed with little— except for some makeup, a few women’s accessories and 50 Egyptian pounds (at the time about six American dollars).

“I was afraid but I didn’t hesitate,” she said. “There weren’t any other solutions.”

That night, el-Kashif was a 13-year-old boy named Abdel-Rahman. She has since emerged as perhaps Egypt’s most outspoken transgender woman activist.

It’s a label that in a largely conservative and patriarchal society has meant battling a war on multiple fronts.

“When you declare you are different, you should get ready for war. A big war,” she said. “The society will stomp on you and treat you like you are the enemy.”

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Germany's Merkel shines in virus crisis even as power wanes

BERLIN (AP) — In her first address to the nation on the coronavirus pandemic, German Chancellor Angela Merkel calmly appealed to citizens' reason and discipline to slow the spread of the virus, acknowledging as a woman who grew up in communist East Germany how difficult it is to give up freedoms, yet as a trained scientist emphasizing that the facts don't lie.

Then, wearing the same blue pantsuit from the televised address, the 65-year-old popped into her local supermarket to pick up food, wine and toilet paper to take back to her Berlin apartment. For her, it was a regular shopping stop, but photos snapped by someone at the grocery store were shared worldwide as a reassuring sign of calm leadership amid a global crisis.

With the coronavirus outbreak, Merkel is reasserting her traditional strengths and putting her stamp firmly on domestic policy after two years in which her star seemed to be fading, with attention focused on constant bickering in her governing coalition and her own party's troubled efforts to find a successor.

Merkel has run Germany for more than 14 years and has over a decade's experience of managing crises. She reassured her compatriots in the 2008 financial crisis that their savings were safe, led a hard-nosed but domestically popular response to the eurozone debt crisis, and then took an initially welcoming — but divisive — approach to an influx of migrants in 2015.

In the twilight of her chancellorship, she faces her biggest crisis yet — a fact underlined by her decision last week to make her first television address to the nation other than her annual New Year's message.

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Off to the cafe: Sweden is outlier in virus restrictions

STOCKHOLM (AP) — The streets of Stockholm are quiet but not deserted. People still sit at outdoor cafes in the center of Sweden's capital. Vendors still sell flowers. Teenagers still chat in groups in parks. Some still greet each other with hugs and handshakes.

After a long, dark Scandinavian winter, the coronavirus pandemic is not keeping Swedes at home even while citizens in many parts of the world are sheltering in place and won't find shops or restaurants open on the few occasions they are permitted to venture out.

Swedish authorities have advised the public to practice social distancing and to work from home, if possible, and urged those over age 70 to self-isolate as a precaution. Yet compared to the lockdowns imposed elsewhere in the world, the government's response to the virus allows a liberal amount of personal freedom.

Standing at bars has been banned in Sweden, but restaurant customers can still be served at tables instead of having to take food to go. High schools and universities are closed, but preschools and primary schools are still running classes in person.

“Sweden is an outlier on the European scene, at least,” said Johan Giesecke, the country's former chief epidemiologist and now adviser to the Swedish Health Agency, a government body. “And I think that's good.”