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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.
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Paragraph: Cost is not a component of this story. That is an issue, as the story compares three weight-loss surgical options for morbidly obese individuals, and readers might well be interested in the economics. Also, it would be useful to discuss the costs of not having surgery in the matched population. The story does a nice job of making the weight loss comparisons—both over time for gastric bypass surgery and across surgical options—clear. The story makes no mention of harms. Bariatric procedures can lead to an array of complications that are worth considering. And on the flip side, it’s worth noting that research also has indicated that bariatric surgery can both extend quantity and quality of life when compared to not having surgery. Details of the two-part study conducted here are included and clearly described. And we were also pleased to see several study limitations discussed: “For example, the study included mostly men, so the findings may not apply to women.” That said, we do wish more had been said about the study participants, such as average body mass index levels before and after the surgeries. Morbid obesity is a major and growing health issue with frustratingly few treatment options. Sources are clearly identified, along with information about their links to the study itself (one scientist was the study’s lead researcher, and the other quoted in the story was independent). This is another strong point of the story. The study compared the longer term weight-loss outcomes of the three primary bariatric surgical procedures. The story doesn’t make it readily clear how accessible these surgeries are, and who is a good candidate for one. Typically, these procedures are for people over a certain body-mass index, for example. And insurance coverage may or may not pay for it. The story is clear that this study contributes to a growing set of data about long-term weight-loss effects of these surgeries. Duke Medicine issued a news release, and the HealthDay story does not rely solely on it. Claim: Weight-Loss Surgery Sheds Pounds Long Term
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Bariatric surgeries have been identified as perhaps the most successful means for people who are morbidly obese to lose weight, and use of these procedures is increasing, according to the American Society for Metabolic and Bariatric Surgery. Information about whether the weight-loss results last, and for how long, is a useful addition to the growing medical literature on these surgeries. The study described here by HealthDay speaks directly to the issue in a couple of well-designed analyses, and the story does a good job of explaining both the methods and the results. Missing from an otherwise good narrative is information about the risks of these procedures, as well as their costs and overall availability to the general public. Obesity is a major health issue in the United States, and the use of bariatric surgical procedures is being used increasingly for those who are morbidly obese. Knowing how long people keep the weight off–and by how much—is useful for those deciding whether to opt into the procedure. Also of interest is if the health benefits, such as remission of type 2 diabetes, were sustained, though this study didn’t appear to investigate that.


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Paragraph: The doctors went on strike on Sept.3 to protest against poor wages, in some cases less than US$100 a month. President Emmerson Mnangagwa’s government, which responded to the job boycott by firing 448 doctors and pursuing disciplinary action against more than 1,000 others, on Thursday offered to reinstate them if they returned to work within 48 hours. Zimbabwe is experiencing its worst economic crisis in a decade that has seen resurgent inflation soaring to three-digit levels, eroding salaries and bringing back bitter memories of the hyperinflation era of a decade ago. According to the Zimbabwe Hospital Doctors Association (ZHDA), the last wage offer by the government would see the doctors earning a total package, including allowances, of Z$3,900 (about US$240) per month. “Sadly, the moratorium has come without a new offer on the table having been communicated to us,” ZHDA said, explaining its rejection of the offer. The strike by junior and middle-level doctors has paralyzed state hospitals, used by Zimbabwe’s poor majority. Even before the strike, the hospitals had already been struggling with shortages of drugs and other basic products. Critics say President Emmerson Mnangagwa has failed to keep promises he made in last year’s election campaign to revive the economy by pushing through reforms, attracting foreign investment and rebuilding collapsing infrastructure. On Thursday Parirenyatwa Hospital, the country’s biggest, was deserted, with only a handful of desperate patients being attended to by nurses. Sheila Muzanenhamo, who lives in one of Harare’s poorest townships, Epworth, grimaced as she explained how she had been turned away from the hospital because there was no doctor to attend to her. “I have been here since dawn, hoping to get assistance but the nurses said they could not help me,” said Muzanenhamo. “They told me to go to private doctors, but I have no money to pay for that.” Claim: Fired Zimbabwe state doctors reject offer to return to work.
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Zimbabwe state doctors who were fired for going on strike have rejected a government offer to return to work, their union said on Friday.


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Paragraph: The health director for Ridgefield, Connecticut, says there is no way that he and his staff of two can identify and isolate all the people who have interacted with an infected patient, not at the rate cases are multiplying across the town. “Tracing exposures of exposures of exposures. It’s just impossible,” Briggs said. “The cases are to the point where we can’t possibly trace everybody back now.”  Known as contact tracing, this vital but labor-intensive process is becoming increasingly difficult for stretched health departments in towns and cities across the United States, which has more than 160,000 cases, more than any country in the world. A massive testing campaign, coupled with intensive contact tracing, is credited with helping South Korea slow the spread of coronavirus, whereas the United States has been criticized for a slow response. Epidemiologists say such investigations can mean the difference between nipping an outbreak early and effectively losing control, as has happened in hot spots where contact tracing has given way to lockdowns as the primary tool to prevent spread. Some states outside of the major population centers have taken that advice to heart, as the virus continues its march across the United States. Health officials in those areas acknowledge, however, that it is a race against the clock and that they, too, will be unable to carry out such widespread tracing if the case numbers climb beyond a certain point. Wyoming, for one, has five staff in its state’s infectious diseases unit working to identify all contacts with a person who has tested positive, and then asking or ordering them to self-quarantine, and monitoring their health. “Our numbers are small enough,” said Kim Deti, a spokeswoman for Wyoming’s health department, which has reported 109 cases so far and no deaths. “We’ll maintain it as long as we can.”  West Virginia is tapping its national guard to assist in a similar effort at expansive contact tracing, and coupling that with a stay-at-home order and other distancing steps. On Sunday, the state reported 145 cases and its first coronavirus death. “It’s incredibly important that at the same time as you are doing that rapid contact investigation and tracing and outbreak management, that we do the preventive measures in partnership with that everywhere,” state health officer Cathy Slemp said at a news conference last week. Alabama, which has confirmed nearly 1,000 cases, is attempting to investigate contacts for all of them, a spokeswoman for its health department said, noting that contact tracing has been an “effective tool in reducing the spread” for tuberculosis and other communicable diseases in the state. New York City, which accounts for a quarter of all cases nationwide, is an example of how the lack of testing in January and February handicapped so-called “disease detectives” from identifying initial infections and containing the spread. The city is now limiting its detectives to contact tracing for outbreaks involving health care workers and clusters in assisted living facilities and nursing homes, its health commissioner, Oxiris Barbot, said during a news conference earlier this month. Louisiana, an emerging hot spot with 5,237 cases and 239 deaths, has similarly narrowed its contact tracing in the New Orleans area, the epicenter of the state’s outbreak, to focus on vulnerable populations and high-risk groups. Theresa Sokol, an assistant state epidemiologist in Louisiana, said that by the time the initial patients in the New Orleans area were identified the virus had already taken hold in the community. As cases mounted, she said, social distancing became a more effective tool than contact tracing. But outside New Orleans there is reason to believe that digging deeply into all cases can yield results, especially when combined with the governor’s statewide stay-at-home order, Sokol said: “I believe that there is still time.”  Like other municipalities in the New York area, Ridgefield closed its schools and non-essential businesses. But the virus has continued to spread broadly beyond the cluster at the Benchmark Senior Living at Ridgefield Crossings facility, which has been linked to six of the town’s seven deaths. The town hired an additional employee to process the deluge of coronavirus-related data, but keeping up is a challenge. “It’s overwhelming for a small health department,” First Selectman Rudy Marconi said. Looking ahead, experts see aggressive testing and contact tracing as key to handling subsequent waves of the virus. Kenneth Castro, a professor of global health, epidemiology, and infectious diseases at Emory University, said local, state and federal governments should start recruiting an “army” of people to handle contact investigations. “Identify and contain is better than having society shutdown. It’s a balancing act,” said Castro, who oversaw the Centers for Disease Control and Prevention’s tuberculosis effort for two decades through 2013. “We won’t be able to maintain physical distancing forever.”  (This story has been refiled to correct spelling of “stretched” in paragraph four.) Claim: 'It's just impossible': tracing contacts takes backseat as virus spreads.
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Faced with more than 70 cases of the novel coronavirus and a deadly outbreak in an assisted living community in his town, Ed Briggs is overwhelmed.