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.

[EX Q]: Paragraph: “The water affects everyone,” she said, which is why she believes her job is so important. Reese is studying public health and environmental health at East Carolina University in North Carolina. She will be an intern for the East Shore department, working on the Connecticut shoreline until the end of July. Reese spends her Tuesday mornings driving around to all the public and private natural swimming areas in Branford, North Branford and East Haven, collecting water samples and putting them on ice in her purple cooler. The samples are then collected by state Department of Public Health couriers and brought to the state lab in Rocky Hill for testing. Water quality testing has always been a priority for the East Shore department every summer, but this year, Alex Cinotti, the assistant director of health, has something he’s trying to prove. Every year, from Memorial Day to Labor Day, the department collects weekly water samples from 12 water bodies used for swimming, both freshwater and saltwater, to ensure bacteria levels are low enough for public safety. Samples are collected and tested once a week, and as long as bacteria levels fall below state-determined risk levels, the beaches and other water bodies remain open. This year, however, Cinotti would like to take the sampling a step further — to show a direct correlation between rainfall and elevated bacteria levels, he said, as rain will often wash contaminants into public waters and cause bacteria levels to rise. “This is our opportunity to take samples and establish a pattern,” Cinotti said. “Bacteria is bacteria and we consider it pathogenic.” As such, in addition to the weekly sampling of water, Cinotti said that the department is collecting samples after heavy rains to see if bacteria levels rise after rainfall. This kind of analysis could not be done last summer, Cinotti said, because there were few rain events due to the drought. On the state level, the Department of Energy and Environmental Protection will close public beaches after a significant amount of rainfall, in anticipation of potentially higher bacteria levels. Scott Szalkiewicz, a health program supervisor for the state Health Department, told the Register last summer that because samples take 24 hours to process, it’s helpful to be able to close beaches before test results come in when officials believe bacteria levels will be high based on the amount of rain and visual indicators. The East Shore District Health Department serves Branford, North Branford and East Haven. The 12 bathing waters surveyed each week include the east and west East Haven beaches, the Clark Avenue beach, Branford Point, Stony Creek, Hotchkiss Grove, Turtle Bay, Sunrise Cove, Lanphier Cove, Cedar Lake, Linsley Lake and Clear Lake. According to water quality records from the East Shore District Health Department in 2016, there was only one time when bacteria levels reached a level at which one of the beaches had to close. Sunrise Cove reached a level of 1,000 colonies of bacteria in the sample of 100 milliliters of water on Aug. 2, 2016, according to the records. Cinotti said that the safe levels for salt water are 104 colonies of bacteria per 100 milliliters of water and 235 colonies for fresh water per 100 milliliters of water. Some things that cause heightened bacteria levels include wild animal and dog feces, sewer overflows and leaks, Cinotti said. Rain may wash contaminants such as sewer overflows, nitrogen-rich pollutants and goose and dog feces into the Sound and other bathing water bodies. Potential health risks from swimming in water with high levels of bacteria include possible infections to open wounds and gastrointestinal illness when water is accidentally swallowed, Cinotti said. He added that it’s possible swimmers could contract eye- or ear-related illnesses from high levels of bacteria. “We really need to protect children,” Cinotti said. “They are more vulnerable than adults.” ___ Online: http://bit.ly/2rFTp4s ___ Information from: New Haven Register, http://www.nhregister.com Claim: Officials study link between rain and bacteria in water.
[EX A]: For Kellyn Reese, waking up on Tuesday mornings and going to the beach because it’s her job is a nice perk of being a summer intern at the East Shore District Health Department.

[EX Q]: Paragraph: We’ll give the story the benefit of the doubt for again leaning on an independent expert who says the technology is likely prohibitively expensive. While no dollar estimate is given, we think this is good enough for now. As with the harms, the story does quantify the benefits in one way. It says, “It could help avoid up to 98% of these screening procedures, according to the study, which appears in BMJ.” It also says, “The new study included 753 pregnant women who were at high risk for having a child with Down syndrome. Of these, 86 women were determined to be pregnant with a child with Down syndrome.” The story does quantify potential harms in one way by noting, “There were no false-negative results with the new test.” We wish the story also spoke about false positives. False positives are certainly part of the stress and harms from any screening test that need to be considered. In this case, it appears the false positives were low but not negligible. The story adequately describes the study design. The story does avoid disease monitoring, but we wish it had included some of the data from the paper about the frequency of Down syndrome and even some of the other disorders. The LA Times blog piece managed to do this in much less space. The story provides a wealth of outside experts who provide great commentary and context about the study’s findings. We wish more stories about screenings had quotes like these: “In a year or two, this test may be available, but it won’t replace existing technologies, it will nudge its way into our armamentarium of available methodologies,” says Mark I. Evans, MD,  director of Comprehensive Genetics in New York City, and an obstetrician/gynecologist at Mount Sinai School of Medicine, also in New York City. “The bad news is that prenatal diagnosis is not just about Down syndrome…Down syndrome represents about 50% of what we find, and this new test can help with that, but it may also give women a false sense of reassurance.” The story tries to do a good thing by explaining at the very end that the new test is not a diagnostic test, as amniocentesis and chorionic villus sampling are. Rather, it’s a screening test. The distinction – and the significance of that – could have been made more clearly, but we give the story the benefit of the doubt. The story leans on an independent expert to say that the test is “not ready for prime time….in a year or two, this test may be available.” The story does not establish the test’s novelty, and this is largely because it does not provide the proper context. The study itself says, “In the past 20 years maternal age has been combined with ultrasonographic examination of the fetus and biochemical measurement of various proteins or hormones in the maternal circulation to improve identification of high risk pregnancies. This combined approach of screening can now identify more than 90% of affected fetuses, but there is still a need for invasive testing in 3–5% of the population.” This means that as many as 95% of all women would not need invasive testing to begin with, so this test is only potentially a breakthrough for a small minority of women. BMJ actually makes the novelty question easy to answer by breaking it down this way:  What is already known on this topic: Non-invasive prenatal detection of fetal trisomy 21 is achievable by massively parallel sequencing of maternal plasma DNA Its diagnostic performance and practical feasibility in the clinical setting has not been tested on a large scale. What this study adds: Among high risk pregnancies clinically indicated for invasive prenatal diagnosis, non-invasive detection of fetal trisomy 21 can be achieved with the use of multiplexed massively parallel sequencing of maternal plasma DNA at 100% sensitivity and 97.9% specificity, giving a 96.6% positive predictive value and 100% negative predictive value. The sequencing test could be used to rule out trisomy 21 among high risk pregnancies before proceeding to invasive diagnostic testing to reduce the number of cases requiring amniocentesis or chorionic villus sampling.” The story does not rely on a news release. Claim: Progress Toward Blood Test for Down Syndrome
[EX A]: This thoroughly reported and carefully written story avoids giving pregnant women false hope of an easier way to detect genetic anomalies while still presenting some compelling information about a new blood test. Pregnancy can be anxiety inducing because of the sheer number of tests already required of women: frequent blood tests, ultrasounds, and amniocentesis in many cases. Add to that the barrage of stories about the way diet and environmental conditions may be affecting in utero development at any given point and one can understand why women might want a simpler solution to find out whether their child might have a genetic disorder. Overall, we think if more stories approached screening the way this story did there would be fewer people demanding the latest over-hyped test from their doctor. This is a “hope for the future” level test that may be inching its way to market. It’s not available now and won’t be in the immediate future – and the story makes that clear.

[EX Q]: Paragraph: The dead include a basketball coach from the Seychelles who was participating in a tournament in Madagascar’s capital, Antananarivo. Five people have died of plague in the capital, reported L’Express de Madagascar, a daily newspaper. The government has begun a campaign to disinfect school classrooms in the city, compelling students to stay at home in the coming days. Many people have bought surgical masks and other medical supplies in large quantities, raising concerns about a shortage of medicine. “Once everybody hears that this is a major thing, everyone runs out and buys everything at the pharmacy,” said Joshua Poole, the Madagascar representative for Catholic Relief Services, an aid group based in Baltimore, Maryland. “Access to those essential items is a challenge.” Poole said the death of the basketball coach from the Seychelles had attracted more international attention to this year’s outbreak of plague, which is endemic to Madagascar. The coach, 49-year-old Alix Allisop, died in a hospital on Wednesday after experiencing breathing problems, according to the Seychelles News Agency. A jazz festival, Madajazzcar, canceled its opening concert in Antananarivo this week and suspended other events until further notice. Plague has also been reported in the port city of Toamasina in eastern Madagascar and other cities. At least 114 people have been infected with plague and the disease is affecting large urban areas unlike like past outbreaks, increasing the risk of transmission, the World Health Organization said Sunday. WHO, which is sending more staff and supplies, including antibiotics, to Madagascar, said about 400 case of plague, mostly bubonic, are reported every year in the country. The last reported outbreak in Madagascar occurred in a remote area in December 2016 and was mostly bubonic plague, the United Nations health agency said. “Bubonic plague is spread by infected rats via flea bite, pneumonic by person-to-person transmission. The current outbreak includes both forms of plague,” the agency said. It described plague as a “disease of poverty” that can kill quickly if untreated but can be cured if antibiotics are administered early. ___ Follow Christopher Torchia on Twitter at www.twitter.com/torchiachris Claim: Plague in Madagascar hits urban areas, kills 2 dozen people.
[EX A]:
Authorities in Madagascar are struggling to contain an outbreak of plague that has killed two-dozen people in recent weeks and has prompted a ban on large public gatherings in the capital to curb the disease’s spread.