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.

Q: Paragraph: That— and some TLC — usually does the job. At a recent meeting, the Janesville School Board received the annual school nursing report. The report showed that while Band-Aids and ice packs are applied by the hundreds, school nurses are dealing with more serious concerns. Between the 2014-15 school year and the 2018-19 school year, the number of students requiring health plans, daily medication, inhalers and emergency medication has slowly crept up. Nurses, with the help of health aides, hand out daily medication; set up medical kits for field trips; work with doctors, nurses and parents to serve students with medically complex needs; give eye exams; and provide education and support to parents on everything from bed bugs to seizures and toilet training to allergies, The Janesville Gazette reported. That’s the short list. By the numbers In the 2018-19 school year, the Janesville School District had five nurses serving 10,049 students at 21 district schools and 13 private or nonprofit four-year-old kindergartens. That’s a ratio of one nurse to 2,010 students. Student numbers will remain about the same for the 2019-20 school year. “While the Department of Public Instruction does not mandate a specific ratio to school districts, the average ratio of school nurses to pupils in Wisconsin school districts is 1 to 1,625,” district Director of Pupil Services Kimberli Peerenboom wrote in her report to the board. State law does not require schools to have nurses but does say “emergency nursing services shall be available during the regular school day and during all school sponsored activities of students.” Along with the five nurses, the district also uses health aides. Each elementary school has four hours a day the principal can designate as health aide hours, according to Peerenboom’s report. In the upper grades, principals don’t have hours to designate, but they can assign health-aide duties to office staff, the report stated. Some health aides are also secretaries or serve in other paraprofessional roles that involve working with students. Apart from the general cuts and scrapes, 1,715 students had a documented health condition. Asthma, allergies and attention deficit disorder make up the majority of those cases. Other conditions include Crohn’s disease, diabetes, migraines, cerebral palsy, depression, anxiety and autism spectrum disorders. In addition, 227 students take a daily medication at school, that’s up from 183 students in the 2016-17 school year. The number of students who need emergency medication has gone from 134 students in the 2014-15 school year to 231 in the 2018-19 school year. Nurses aren’t in charge of figuring out why those numbers have increased, they just have to deal with the results. In the 2018-19 school year, nurses and health aides reported 161,089 visits from students, according to Peerenboom’s report. A visit counted as anything from needing a Band-Aid to taking daily medication, the report said. With 21 schools, that’s an estimated 43 visits per day. The numbers in action Based on a recent morning spent with school nurse Heidi Bakke, 43 students a day seemed like a reliable count. An hour before the 8:20 a.m. bell at Wilson Elementary, Bakke was updating a health plan. Such plans are for students with chronic conditions who might need monitoring or intervention during the school day. Creating a plan involves a complex back and forth among the school nurse, parents, and physicians and their nurses. It can be a complicated process. ″(The nurses) are probably not going to be in the building when the emergency happens, so we train medical emergency response teams at each school,” Bakke said. The nursing team recently implemented “grab-and-go bags.” The bags contain all the emergency supplies for children with medical needs and a copy of each child’s health plan. Nurses also must prepare a similar kit when a student with a health plan goes on a field trip. And the nurses also have to let teachers know what to look for. “The kiddos who have diabetes — those are the hardest ones to train teachers on because they have frequent blood sugar checks.” Bakke said. “If the kid is out hiking at the Janesville Schools Outdoor Lab, their blood sugar might drop, so you have to have snacks available.” The morning we visited, Bakke was mentoring a new nurse, Holly Cavey. Also in the small office was Cheri Diehls, the school’s part-time health aide. Once Cavey is trained, she will have five schools to cover, while Bakke has six. That’s another change. Nurses used to travel to all schools, now they’re assigned to five or six. “It’s a better model,” Bakke said. “It provides better continuity of care. I want the kids to get to know nurse Heidi.” While the nurses worked on reports, responded to emails and took calls from physicians’ offices and parents, kids needing immediate attention trooped in and out of the office. There were general owies, issues with hearing or sight, a bloody nose, a student needing their daily medication, another needing help with an inhaler, and a half dozen other issues traditionally associated with a trip to the nurse’s office. Cavey and Bakke then headed to Franklin Middle School, where there seemed to be a lunch rush in the nurse’s office. Health aide Angela Basurto-Bonilla was keeping things calm, explaining to students that if their temperature was normal and they weren’t throwing up, it would be best for them to stay in school. The nurse’s office is across from the main office, and sometimes the new students got them mixed up. The proximity works well since sometimes the office secretaries worked as health aides. “Do you feel sick? Well, you’re in the right place,” Basurto-Bonilla told a student. Bakke said the health aides were crucial to the success of the district’s nursing program. Their skills, demeanor and their day-to-day knowledge of students are crucial to the nurse’s work. Despite the number of reports she writes and the amount of training she does, it’s the interaction with students that’s the most important to her. ___ Information from: The Janesville Gazette, http://www.gazetteextra.com Claim: School nurses serve many needs.

A: School injuries usually don’t require much care: a Band-Aid for a scraped knee, an ice pack for a bump or bruise, or a tissue for a bloody nose.
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Q: Paragraph: Dr. Chris Baumert, a family physician at RiverStone Health, told the Billings Gazette there’s been a steep increase in the number of cases of syphilis, gonorrhea and chlamydia. The U.S. Centers for Disease Control and Prevention has labeled the threat of antibiotic-resistant gonorrhea one of the nation’s most urgent public health threats. The rate of gonorrhea cases in the United States has increased 75.2 percent since the historic low in 2009. Montana officials are projecting more than 1,000 cases of gonorrhea in the state this year, compared to 867 in 2017. ___ Information from: The Billings Gazette, http://www.billingsgazette.com Claim: STD cases increase in Montana.

A: Health officials say cases of sexually transmitted diseases have increased in Montana.
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Q: Paragraph: North Kivu Governor Carly Kasivita, who organized the march, said that anyone spreading misinformation and claiming that “Ebola is a business” will face arrest. “We are very concerned ... Some pastors, some politicians, are venturing into the public health debate and disorienting many of our citizens with misinformation. These pastors who deny the existence of Ebola will be put in jail as soon as they are caught,” Kasivita said. The governor also promised more marches and initiatives to raise awareness in other parts of the province, including Beni and Butembo where Ebola also has spread. “The message is to say we must stop this disease in the province. In the same way that we are concerned about security in the province, we are also concerned about Ebola,” he said. People rode bikes alongside police, soldiers and residents in Goma carrying banners and wearing T-shirts that said STOP. “We do not want other countries to be contaminated through our beautiful province of North Kivu. We want everyone to contribute to Ebola’s end,” Kasivita said. “People need to understand that the disease exists and we call on rebel groups to work with response teams because there are environments where teams cannot get because of insecurity.” The Ebola outbreak, which has killed more than 1,800 people since it was declared one year ago in eastern Congo, has not shown signs of slowing down despite new treatments and vaccines given to more than 197,000 people in the region. New cases emerged in Goma, the capital of North Kivu, in recent months and have spread to a new province in the past week. Insecurity has been one factor in a region where rebel groups have fought for control of mineral-rich lands for decades. Ebola also has spread because of mistrust by communities who have also staged attacks against health workers. The governor of South Kivu and his Rwandan counterpart in the Western Province signed a bilateral agreement on Wednesday in Bukavu to unite their efforts in the fight against Ebola, while respecting peoples’ rights to cross borders. To help combat further spread of Ebola, however, the two delegations agreed to exchange specific information, including a list of high-risk people, said Daniel Lwaboshi, deputy chief of staff of the governor of South Kivu. “These are those people who have been in contact with the sick, because we have them in our province,” he said. Measures are already in place. Days ago, several people from South Kivu had been prevented from crossing the border. Claim: Hundreds gather in Goma, Congo for “Stop Ebola” march.

A:
Hundreds gathered in Congo’s eastern city of Goma Thursday to support Ebola response teams that have seen increasing attacks and resistance among communities where Ebola continues to spread.
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