FILE - In this March 21, 2019 file photo, Nicaragua's President Daniel Ortega speaks during the inauguration ceremony of a highway overpass in Managua, Nicaragua. After not appearing in public for 34 days, Ortega spoke to the nation on Wednesday, April 15, 2020, and said that the country is fighting patiently against the new coronavirus pandemic. (AP Photo/Alfredo Zuniga, File)

FILE - In this March 21, 2019 file photo, Nicaragua's President Daniel Ortega speaks during the inauguration ceremony of a highway overpass in Managua, Nicaragua. After not appearing in public for 34 days, Ortega spoke to the nation on Wednesday, April 15, 2020, and said that the country is fighting patiently against the new coronavirus pandemic. (AP Photo/Alfredo Zuniga, File)

MANAGUA, Nicaragua (AP) — Nicaraguan President Daniel Ortega re-appeared Wednesday after 34 days in which he was not seen in public.

Ortega made a televised address to the nation in which he said Nicaragua had suffered only one death from the coronavirus pandemic and that the country’s three confirmed cases were “imported.”

There had been concerns about the health of the 74-year-old former guerrilla leader, but he appeared well and was not using a mask during his speech.

Ortega has refused to adopt the social-distancing and lock-down measures used in other countries, and has in fact encouraged Nicaraguans to participate in mass gatherings.

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Nicaraguans “haven’t stopped working, because if this country stops working, it dies,” Ortega said. The government did extend Holy Week school vacations to two weeks; classes are scheduled to resume April 20.

Ortega did not comment on how many tests have been carried. Experts suspect there are many undetected cases.

Ortega used the address to criticize the United States, saying it was holding Nicaraguan migrants in poor conditions and couldn’t even provide health care to its own citizens.

“The biggest power on Earth isn’t able to provide for its own citizens in cities in the United States,” he said. “There is a lack of beds and medical equipment, because health care isn’t available to the people, to the poor” in developed nations.

Ortega said the pandemic was “a sign from God” against militarism and hegemony.

“These transnational forces that just want to take control of the planet, that is a sin,” Ortega said. “And the Lord is sending us this signal.”

In a statement Wednesday, the rights group Amnesty International said “the government of President Daniel Ortega is flagrantly ignoring the recommendations of international human rights organizations regarding the COVID-19 pandemic, putting at risk the health and lives of thousands of people in Nicaragua.”

“It’s surprising that, after preventing and suppressing any form of social protest for the past two years, it (the government) is now promoting mass marches and gatherings, exposing the population to the pandemic,” said Erika Guevara-Rosas, Americas director at Amnesty International.