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.

[Q]: The Alabama Department of Public Health announced the 2018 infant mortality rate was the lowest in Alabama history with 7.0 deaths per 1,000 live births It is an improvement over the 2017 rate of 7.4 and the 2016 rate of 9.1. “I am committed to improving the health of mothers and babies, and I am glad to see the infant mortality rates in 2017 and 2018 have improved from the rates earlier in this decade,” Gov. Kay Ivey said in a statement. However, Alabama’s mortality rate remains higher than the provisional U.S. rate of 5.7. “The continuing decline in Alabama’s infant mortality is a start to closing the historically large gap between the state and national rates,” Alabama Center for Health Statistics Director Nicole Rushing said. A total of 405 infants born in 2018 in Alabama died before reaching their first birthday. There also remains a racial disparity in infant mortality rates. The infant mortality rate for black infants in Alabama was 11.0 in 2018, more than twice the infant mortality rate for white infants at 5.1. State Health Officer Scott Harris said the the reduction in infant mortality is encouraging, but the state must continue to address Alabama’s racial disparities in birth outcomes, increase access to prenatal care and getting treatment for women for drug use disorders. Jim Carnes is the policy director for Alabama Arise, which advocates for low-income families. He said the state also needs to examine barriers to health care. “Of course we celebrate the improvements in Alabama’s rate, but there are some disturbing trends,” Carnes said, noting the persistent racial disparity and the number of births without prenatal care. While low-income women gain Medicaid coverage during pregnancy, they often don’t have care before or between pregnancies that could address chronic conditions or problems before they are pregnant, Carnes said. “That is something we could impact in a huge way with Medicaid expansion,” Carnes said. The Health Department said the leading causes of infant deaths in 2018 were congenital malformations, deformations and chromosomal abnormalities; disorders related to short gestation and low birth weight; sudden infant death syndrome and bacterial sepsis of newborns. These causes accounted for 50% of Alabama infant deaths.
[A]: Alabama infant mortality rate hits record low .


[Q]: The Associated Press has learned that the attorneys general in Illinois and the District of Columbia are examining how Juul’s blockbuster vaping device became so popular with underage teens. The company’s rapid rise to the top of the multi-billion dollar U.S. e-cigarette market has been accompanied by accusations from parents, politicians and public health advocates that Juul fueled a vaping craze among high schoolers. In addition to the ongoing inquiries in Illinois and the district, which had not been publicly disclosed before, four other state attorneys general are probing or suing Juul. Juul’s top executives have disputed allegations that they’ve marketed their products to teens, declaring that they’ve taken unprecedented steps to combat underage use of its e-cigarettes. The company has shut down its Facebook and Instagram pages and pulled several of its flavored products out of retail stores. Juul also backs federal legislation to raise the minimum age to purchase all tobacco products, including e-cigarettes, to 21 nationwide. Juul spokesman Ted Kwong declined to answer specific questions about the investigations in an emailed statement but reiterated past company steps to prevent youth use. Juul announced Thursday that 50 retail chains have pledged to adopt the company’s age-verification system, which requires sellers to scan a customer’s ID before selling Juul products. Health and Human Services Secretary Alex Azar said in a statement Friday the Trump administration “will continue using every regulatory and enforcement power we have to stop the epidemic of youth e-cigarette use.” A senior Illinois law enforcement official described to AP a wide-ranging inquiry being conducted by the office of Illinois Attorney General Kwame Raoul that is centered on whether Juul violated state consumer fraud laws and other statutes by designing and marketing its products to appeal to underage teens. The official was not authorized to speak publicly and requested anonymity. Marrisa Geller, a spokeswoman for District of Columbia Attorney General Karl Racine, confirmed in an emailed statement an investigation of Juul is underway. She said Racine is concerned about “the dramatic increase in the use of vaping products by district youth” as well as the policies and practices employed by e-cigarette manufacturers to prevent minors from using their products. The attorneys general in Colorado, Connecticut and Massachusetts have announced investigations of Juul related to concerns over underage use of its products. North Carolina’s attorney general filed a lawsuit against Juul in May, asking a court to limit the company’s sales and marketing in the state. All six attorneys general are Democrats. The Food and Drug Administration said last October it seized thousands of documents from Juul’s San Francisco headquarters relating to the company’s marketing. The agency has been investigating whether the company targeted youth with the flavors, design and ingredients of its products. The Wall Street Journal reported Friday that the Federal Trade Commission is investigating Juul’s early marketing campaign and use of social media to promote its products. The FTC declined to comment. Juul has repeatedly stated that it understands the concerns about youth vaping and has taken “the most aggressive actions” of any company in the industry to combat the problem. It has spent millions of dollars on newspaper, radio and online advertisements pledging to keep its products out of the hands of young people. The company also has denied it ever marketed to anyone underage. Kwong said Juul’s earliest marketing campaign, in 2015, was aimed at adults between 25 and 34. Based on the sales and revenue, he said, “there is no evidence that it drove use, youth or otherwise.” Kwong said the company’s paid social media “influencer” program was as a small, short-lived program that ended in 2018. Electronic cigarettes, which have been available in the U.S. since about 2007 and have grown into a more than $6 billion-a-year industry, are battery-powered devices that typically heat a flavored nicotine solution into an inhalable aerosol. Juul, which launched in 2015, now controls roughly three-quarters of the U.S. retail market for e-cigarettes. Last year, one in five U.S. high school students reported vaping in the previous month, according to government survey figures. Most experts agree the aerosol is less harmful than cigarette smoke since it doesn’t contain most of the cancer-causing byproducts of burning tobacco. But there is virtually no research on the long-term effects of the vaping chemicals, some of which are toxic. The Centers for Disease Control and Prevention said Friday that 215 teens and adults in 25 states including Illinois have contracted severe respiratory illnesses after vaping. However, the agency said a clear-cut common cause of the illnesses hasn’t been identified and they are being called “potential cases” that are still under investigation. The CDC said in many of the cases patients had acknowledged they’d recently vaped a substance containing THC, the high-inducing ingredient in marijuana. The agency did not say how many of the patients were teens. Kevin Burns, Juul’s chief executive officer, told “CBS This Morning” on Wednesday the illnesses are “worrisome” for the industry and for Juul “if we contributed to it.” He said the company is in close contact with the CDC to get as much information as it can “so if there’s any issue that was ... associated with us, that we can get to the root cause and understand that.” In Illinois, the state’s Department of Public Health has called e-cigarette use among teens an “epidemic” and said there is an alarming lack of understanding about the risk for nicotine addiction. Other areas being investigated by Raoul’s office include: how Juul verifies the ages of people who make online purchases from the company’s website; the amount of nicotine in the flavored solution and how safe those levels are; and whether Juul has improperly advertised its e-cigarette as a smoking-cessation tool. Kwong said the Juul system is designed to help adult smokers switch from combustible cigarettes and is not intended to be used as a cessation product. Neither Juul nor any other e-cigarette has yet been approved by the FDA to help people who smoke traditional paper-and-tobacco cigarettes quit. The Illinois probe began in the spring. Raoul’s office is not coordinating its investigation with other attorneys general, the official said. Geller, the spokeswoman for Racine, declined to discuss the scope of the district’s inquiry. However, a senior official in Racine’s office wrote to a Juul representative in early February and asked for a trove of information about how district residents purchase the company’s products. Among the data sought by Benjamin Wiseman, director of consumer protection, was a list of authorized retail stores and third-party online retailers that failed to comply with Juul’s rules for preventing minors from buying and using its products. Wiseman also asked that the company “describe in detail the nature of the retailer’s failure to comply” and what action Juul took in response. Racine’s office, Wiseman wrote, learned from news reports and conversations with community members and other government officials that use of Juul’s products by young teenagers in the district has increased dramatically in recent years. “Remarkably, one district high school principal estimates that half of the juniors and seniors at her school are using e-cigarettes, many of which we believe are Juul’s products,” Wiseman told Patrick Lynch, a former attorney general of Rhode Island who runs a lobbying and consulting firm that represents Juul. Lynch’s firm arranged for a meeting in the attorney general’s office last November that included himself, Juul chief administrative officer Ashley Gould, Wiseman and Assistant DC Attorney General Brian Caldwell, according to emails obtained through an open records request. Lynch is not registered as a lobbyist in the District of Columbia. The agenda for the meeting isn’t described in the records, although one email from Lynch said they discussed Juul’s efforts “to dramatically diminish youth access to their product.”
[A]: Juul Labs facing scrutiny from federal and state officials.


[Q]: Takeaways from the prime-time event: WARREN, CASTRO LEAD THE WAY Massachusetts Sen. Elizabeth Warren dominated the debate’s opening moments, calling for systemic change to the nation’s economy and the end to the private insurance system. Warren was the highest-polling candidate on stage and NBC moderators repeatedly tried to draw her rivals into challenging her liberal policies. But they largely passed on those opportunities, even when Warren was virtually alone in her stance on overhauling the health care industry. Former Housing and Urban Development Secretary Julian Castro, who has struggled for months to break through in the crowded field, asserted himself as a leader on immigration, an issue sure to be at the forefront of the general election campaign against President Donald Trump. He challenged his rivals to join him in rewriting immigration laws so the mere illegal entry into the United States would no longer be a federal crime. The question is whether Warren and Castro’s performances still stand out after night two of the Democratic debate on Thursday, when former Vice President Joe Biden and nine other candidates take the stage. ___ WHOSE ECONOMY IS IT ANYWAY? The debate kicked off with moderator Savannah Guthrie asking Warren if her many ambitious plans — free college, universal child care and health care — would hurt a booming economy. “Who is this economy really working for?” Warren replied. “It’s doing great for a thinner and thinner slice at the top.” It was soft toss of a question to Warren, and her response was echoed by other Democrats. “Donald Trump just sits in the White House and gloats about what’s going on, when you have so many people that are having trouble affording college and having trouble affording their premiums,” said Minnesota Sen. Amy Klobuchar, a moderate who declined to swipe at Warren’s ambitious plans. Former Rep. Beto O’Rourke of Texas slammed Trump’s tax cut as part of “an economy that is rigged to corporations and to the very wealthiest.” And Rep. Tim Ryan, who represents several declining industrial areas in Ohio, said, “This issue we’re talking about has been going on for 40 years.” Only former Rep. John Delaney of Maryland clearly disagreed and said many of Warren’s promises were not realistic. ___ HOW FAR ON IMMIGRATION? No issue in the first Democratic debate showcased the contrast with Trump more than immigration. But the issue also exposed significant rifts among his challengers — namely the two Texans on the stage. Castro took sharp aim at O’Rourke, who has campaigned heavily on border issues, for not proposing decriminalizing illegal migration in his immigration blueprint. Such a step would make a significant change to U.S. immigration law. “If you truly want to change the system, we have to change that section” of federal law, Castro said. O’Rourke said he wanted to keep the provision so authorities could pursue drug and human traffickers. But Castro cut him off, noting there are separate laws that could be used against those crimes, and the entire stage broke down into crosstalk and shouting. Several other contenders — including Warren, New Jersey Sen. Cory Booker and Washington Gov. Jay Inslee — have already signed on to Castro’s approach. ___ APPEALS TO DIVERSE BASE The diversity of the modern Democratic Party was on display Wednesday night — three women, one black man and a man of Mexican heritage vying for the presidential nomination. And the candidates made sure they were speaking to the party’s base, which is becoming younger and less white. O’Rourke showed off his fluent Spanish in his opening statement. Booker countered with his Spanish during a discussion of immigration, and also noted that he’s probably the only candidate who lives in a poor, predominantly minority community. (Booker lives in Newark.) Castro spoke in Spanish during his closing statement and talked about saying “adios” to Trump. New York Mayor Bill de Blasio noted he has an African American son as he urged the party to “stop acting like the party of elites.” ___ A NEW DEMOCRATIC BOOGEYMAN? Perhaps the hardest question for Democrats to answer was how the candidates would deal with a Republican. Not Trump, but Senate Majority Leader Mitch McConnell. Republicans have a good chance of still controlling the Senate even if Democrats win the White House in 2020, and it’s unlikely McConnell would allow any of the candidates’ ambitious proposals on government-run health care or green energy to become law. Warren promised she had a plan to deal with McConnell, though it seemed to center on rallying public opinion against him. “We have to push from the outside and lead from the inside,” she said. Booker proposed that the party’s presidential nominee campaign in longshot states like South Carolina in hopes of snaring enough seats to take over the Senate. Inslee suggested eliminating the filibuster — which the president cannot do and which would strengthen McConnell’s hand if the GOP remained in the majority.
[A]:
Takeaways from the Democratic presidential debate.