Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Paragraph: The Food and Drug Administration approved Medtronic’s CoreValve system based on U.S. clinical trials in which it was shown to be safe and effective while demonstrating low rates of stroke and valve leakage, the company said. CoreValve, in which the replacement valve is threaded into place through an artery using a catheter, spares patients chest-cracking surgery. The system has been available since 2007 in Europe, where it is not uncommon for medical devices to win approval several years ahead of the United States. Claim: U.S. FDA approves Medtronic heart valve replacement system.
Medtronic Inc’s non-invasive systems for replacing diseased heart valves won U.S. approval for use in patients deemed too frail to endure traditional open heart surgery, the U.S. medical device maker said on Friday.

Paragraph: Rwanda briefly closed its border with Congo over the virus outbreak in the city of more than 2 million as the painstaking work of finding, tracking and vaccinating people who had contact with the man — and the contacts of those contacts — began. The man died on Wednesday after spending several days at home with his large family while showing symptoms. Congo’s presidency said the entire family was at “high risk” and in quarantine. The Ebola coordinator for North Kivu province, Dr. Aruna Abedi, confirmed the wife’s case to The Associated Press hours after that of the child. “We’re seeing the first active transmission chain in Goma and expect more to come,” the International Rescue Committee’s Ebola response director, Andre Heller, warned in a statement. This outbreak has killed more than 1,800 people, nearly a third of them children. It is now the second-deadliest Ebola outbreak in history, and last month the World Health Organization declared it a rare global emergency. Rwanda’s state minister for foreign affairs, Olivier Nduhungirehe, confirmed the border closure, a day after WHO officials praised African nations for keeping their borders open. Last week Saudi Arabia stopped issuing visas to people from Congo, citing the Ebola outbreak, shortly before the annual hajj pilgrimage there this month. Congo’s presidency condemned Rwanda’s decision, and Congolese at the busy frontier expressed frustration. “I can’t understand why they don’t just test us instead of closing these borders,” said Angel Murhula, who works in Rwanda. Several hours later Congo’s presidency said the border had reopened. A Rwanda health ministry statement called the events a “traffic slowdown” as surveillance for Ebola was reinforced. The ministry advised against unnecessary travel to the Goma area. WHO has recommended against travel restrictions amid the outbreak but says the risk of regional spread is “very high.” Any border closure is likely to push people to avoid official crossings equipped with hand-washing stations and where people are checked for signs of fever or other Ebola symptoms. In June, three people who crossed on an unguarded footpath into Uganda died there before their family members were taken back to Congo for treatment. The death Wednesday in Goma “in such a dense population center underscores the very real risk of further disease transmission, perhaps beyond the country’s borders,” United Nations agencies said in a joint statement marking a year of the outbreak. The man in his 40s was a miner returning from an area of northeastern Ituri province, Mongwalu, where no Ebola cases in this outbreak have been recorded, WHO said. He was exposed to the virus along the roughly 300-mile-long (490-kilometer) route from the city of Komanda to Goma as he took motor taxis over a number of days through the densely populated region at the heart of the outbreak. The man arrived in Goma on July 13 and started showing symptoms on July 22. He was isolated at an Ebola treatment center on Tuesday. He had spent five days being treated at home before going to a health facility, where Ebola was suspected. Symptoms can start to occur between two and 21 days from infection, health experts say. “He may not even have been aware of the exposure that he had,” WHO emergencies chief Dr. Michael Ryan said Wednesday. Symptoms such as fever can be confused with malaria, which is endemic in the region. Congo’s new Ebola response coordinator, Jean-Jacques Muyembe, has said there appears to be no link between the case and a previous one in Goma announced two and a half weeks ago. That case was a 46-year-old preacher who managed to pass through three health checkpoints on the way from Butembo, one of the communities hardest hit by this outbreak. The declaration of a global health emergency — the fifth in history —came days after that first Goma case. It has brought a surge of millions of dollars in new pledges by international donors, but some health workers say a new approach is needed to combat misunderstandings in a part of Congo that had never experienced Ebola before. Health workers responding to the outbreak have been attacked, even killed, in a region where rebel groups are active and the population is wary of outsiders. There is no licensed treatment for Ebola, which is spread by close contact with bodily fluids of those infected, and survival can depend on seeking treatment as quickly as possible. And yet many people in the region don’t believe that the virus is real, health workers have said. This outbreak is second only to the 2014-16 Ebola outbreak in West Africa that left more than 11,300 people dead. ___ Ssuuna reported from Kigali, Rwanda. Associated Press writer Al-Hadji Kudra Maliro contributed. ___ Follow Africa news at https://twitter.com/AP_Africa Claim: 1-year-old daughter, wife of Congo’s Goma victim have Ebola.
The wife and 1-year-old daughter of the man who died of Ebola in Goma this week have tested positive for the disease, health officials confirmed Thursday, the first transmission of the virus inside the densely populated crossroads city on the border with Rwanda, a scenario that health experts have long feared.

Paragraph: That’s among the findings of the America’s Health Rankings Senior Report released in May by the United Health Foundation. The report ranks the 50 states by assessing data covering individual behavior, the environment and communities where seniors live, local health policy and clinical care. Minnesota took top honors for the second year in a row, ranking high for everything from the rate of annual dental visits, volunteerism, high percentage of quality nursing-home beds and low percentage of food insecurity. This year’s runners-up are Hawaii, New Hampshire, Vermont and Massachusetts. The researchers base their rankings on 34 measures of health. But here’s one you won’t find in the report: state compliance with the Affordable Care Act (ACA). While the health reform law isn’t mainly about seniors, it has one important feature that can boost the health of lower-income older people: the expansion of Medicaid. The ACA aims to expand health insurance coverage for low-income Americans through broadened Medicaid eligibility, with the federal government picking up 100 percent of the tab for the first three years (2014-2016) and no less than 90 percent after that. But when the U.S. Supreme Court affirmed the ACA’s legality in 2012, it made the Medicaid expansion optional, and 21 states have rejected the expansion for ideological or fiscal reasons. And guess what: Most of the states with the worst senior health report cards also rejected the Medicaid expansion. Nearly all Americans over age 65 are covered by Medicare. But the Medicaid expansion also is a key lever for improving senior health because it extends coverage to older people who haven’t yet become eligible for Medicare. That means otherwise uninsured low-income seniors are able to get medical care in the years leading up to age 65 - and they are healthier when they arrive at Medicare’s doorstep. Two studies from non-partisan reports verify this. The U.S. Government Accountability Office reported late last year that seniors who had continuous health insurance coverage in the six years before enrolling in Medicare used fewer and less costly medical services during their first six years in the program; in their first year of Medicare enrollment, they had 35 percent lower average total spending. The GAO study confirmed the findings of a 2009 study report by two researchers at the Harvard Medical School. That study looked at individuals who were continuously or intermittently uninsured between age 51 and 64; these patients cost Medicare an additional $1,000 per person due mainly to complications from cardiovascular disease, diabetes and delayed surgeries for arthritis. Fifty-two percent of Medicaid-rejecting states ranked in the study’s bottom third for senior health, including two very large states, Texas and Florida. Many of these states also can be found in a list of states with the highest rates of poverty among people over 65. What emerges is a north-south divide on senior health. “Many states that haven’t expanded Medicaid are in the South, and there’s a clear link between socioeconomic status and health status,” says Tricia Neuman, senior vice-president at the Henry J Kaiser Family Foundation and director of the foundation’s Medicare policy program. “Insurance may not be the only answer, but it certainly is helpful.”  The United Health Foundation - a non-profit funded by the insurer UnitedHealth Group - didn’t consider insurance coverage in its study, but it did consider poverty. Minnesota’s rate was 5.4 percent - well below the 9.3 percent national rate. Mississippi ranked dead last, with a 13.5 percent poverty rate. In states that rejected the Medicaid expansion, we are witnessing a victory of politics over compassion and morality. Jonathan Gruber, an economics professor at the Massachusetts Institute of Technology and a key architect of health reform in Massachusetts and under the ACA, summed it up in an interview with HealthInsurance.org earlier this year, saying that these states “are willing to sacrifice billions of dollars of injections into their economy in order to punish poor people. It really is just almost awesome in its evilness.” Claim: The state of senior health: It depends on your state.

What are the best and worst places to stay healthy as you age? For answers, take out a map and follow the Mississippi River from north to south. The healthiest people over 65 are in Minnesota, the sickest in Mississippi.