Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
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Question: The St. Louis Post-Dispatch reports that the Missouri Department of Health and Senior Services awarded a no-bid contract to the Missouri Primary Care Association. The agreement will pay the organization $125,000 a year to focus on getting more adolescents to receive at least five vaccines, including influenza, hepatitis A and HPV. Contract talks began before health officials warned last week that a hepatitis A outbreak in the state could grow worse if it spreads to urban areas. Health officials say the state has recorded 414 cases of the virus since September 2017. In previous years, only about 10 cases were reported annually.

Answer: State awards contract to boost hepatitis A vaccination rate.


Question: Under the agreement, Emergent BioSolutions will no longer enforce a contract that had allowed it to be the only company to develop a nasal spray version of the drug nalmefene for use as an antidote in a nasal spray. The attorney general’s office said the new agreement came after it found that Adapt Pharma, which has since been bought by Rockville, Maryland-based Emergent, had the exclusive rights to sell the drug using Aptar Pharma’s nasal spray technology. The drug is still in the pipeline and is not on the market, though. “Given the tragic, devastating effects of the opioid crisis, and the urgent need for additional drugs for the emergency treatment of opioid overdoses, my office will do whatever possible to ensure that there are no unnecessary impediments to the development of additional life-saving opioid overdose reversal drugs,” Attorney General Letitia James said in a written statement. The agreement with James’s office does not affect Narcan, a spray version of the drug naloxone now sold by Emergent. That from is popular for police, firefighters and others to use to try to revive people who are overdosing. It is not subject to an exclusivity agreement on the spray technology. Narcan retails for about $140 for two doses, but the company sells that amount to first responders for $75. More than 400,000 deaths in the U.S. since 2000 have been linked to opioids, a class of drugs that includes heroin, fentanyl, and prescription painkillers such as Vicodin and OxyContin. Companies would still need Food and Drug Administration approval before their products could be on the market. There is at least one effort to introduce a generic version of a naloxone nasal spray. Purdue Pharma, the maker of OxyContin, announced a grant in 2018 for a nonprofit drug company to develop one. ___ This story has been updated to correct that the drug at the center of the agreement is a spray version of nalmefene that is under development, not naloxone. It also clarifies that Narcan is sold to first responders for a lower-than-retail price.

Answer: Deal will let more companies make an overdose antidote spray.


Question: A supposed reproduction of a medical journal article describing an unusual case of scrotum self-repair using a stapler was a ubiquitous piece of faxlore back in the pre-internet days:  UNUSUAL CASE Scrotum Self-Repair By William A. Morton, Jr, MD One morning I was called to the emergency room by the head ER nurse. She directed me to a patient who had refused to describe his problem other than to say that he “needed a doctor who took care of men’s troubles.” The patient, about 40, was pale, febrile, and obviously uncomfortable, and had little to say as he gingerly opened his trousers to expose a bit of angry red and black-and-blue scrotal skin.After I asked the nurse to leave us, the patient permitted me to remove his trousers, shorts, and two or three yards of foul-smelling stained gauze wrapped about his scrotum, which was swollen to twice the size of a grapefruit and extremely tender. A jagged zig-zag laceration, oozing pus and blood, extended down the left scrotum.Amid the matted hair, edematous skin, and various exudates, I saw some half-buried dark linear objects and asked the patient what they were. Several days earlier, he replied, he had injured himself in the machine shop where he worked, and had closed the laceration himself with a heavy-duty stapling gun. The dark objects were one-inch staples of the type used in putting up wallboard. We x-rayed the patient’s scrotum to locate the staples; admitted him to the hospital; and gave him tetanus antitoxin, broad-spectrum antibacterial therapy, and hexachlorophene sitz baths prior to surgery the next morning. The procedure consisted of exploration and debridement of the left side of the scrotal pouch. Eight rusty staples were retrieved, and the skin edges were trimmed and freshened. The left testis had been avulsed and was missing. The stump of the spermatic cord was recovered at the inguinal canal, debrided, and the vessels ligated properly, though not much of a hematoma was present. Through-and-through Penrose drains were sutured loosely in site, and the skin was loosely closed. Convalescence was uneventful, and before his release from the hospital less than a week later, the patient confided the rest of his story to me. An unmarried loner, he usually didn’t leave the machine shop at lunchtime with his co-workers. Finding himself alone, he had begun the regular practice of masturbating by holding his penis against the canvas drive-belt of a large floor-based piece of running machinery. One day, as he approached orgasm, he lost his concentration and leaned too close to the belt. When his scrotum suddenly became caught between the pulley-wheel and the drive-belt, he was thrown into the air and landed a few feet away. Unaware that he had lost his left testis, and perhaps too stunned to feel much pain, he stapled the wound closed and resumed work. I can only assume he abandoned this method of self-gratification. This article about a machine shop worker who sliced his scrotum open while masturbating with a piece of machinery (causing the loss of a testicle), then simply stapled the sac back together, was popular fodder in text-based Internet discussion groups in the early 1990s. Despite the clinical tone of the article, told from a first-person perspective of the doctor who treated the patient’s resulting injuries and infection, many readers found the scenario described too bizarre to be true and suspected it was a hoax crafted by someone working in the medical field. As a first step towards verifying or debunking this item, we tracked down a copy of the medical journal that had supposedly published the article and ascertained that the article did indeed appear in the July 1991 issue of Medical Aspects of Human Sexuality. Still, some doubters didn’t consider that to be sufficient proof that the events described therein had actually occurred — the journal editors might have been fooled by a doctor who sent in a fictitious case report as a prank, they insisted. So, we tracked down the physician whose name appeared at the head of the article and contacted him to see if he could verify the account and supply any additional information. He replied to us as follows in 1994:   Dear Mr. Mikkelson: I am now retired, but submitted the article; treated the patient about 20-25 years ago and have had phone calls from all corners of the U.S. ever since. A xerox is on the billboard in practically every army post, college dorm, men’s club, etc. I’ve had interviews/phone by talk-show hosts, etc. No Phil Donahue yet! The man actually came to me 3 days post-injury when the fever, swelling, and pain of secondary infection frightened him. Though unlikely, tetanus was even a possibility. He was not that impressed with the pain of the moment of injury — it happened so quickly, like losing your fingertip to a band-saw — and was unaware his left testis was probably propelled up into the rafters of the machine shop where he worked. Every man who questions me imagines the initial pain to have been intense, but should realize that once the testis had been ripped out (gasp!) there was not the continuing discomfort one would experience from a first-class kick in the nuts! I saw him again 5 years later in the hospital for a non-urologic problem. Incidentally, the Navy has left xeroxes in every bar along the Mediterranean from Gibraltar to Tel Aviv — my son’s girlfriend saw one in Greece 2 years ago.

Answer:
 A machine-shop worker tore his scrotum in a piece of machinery and then stapled it back together.