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: Data from the 236-patient trial, which lasted 13 weeks and  compared the effectiveness of Cymbalta with placebos, were  presented at the annual congress of the European Federation of  Neurological Societies in Madrid. Lilly said 31 percent of patients taking Cymbalta  experienced a 50 percent reduction in pain, as measured by a  standard pain scale, compared with 19 percent of  placebo-treated patients. But significantly more patients taking Cymbalta dropped out  of the trial because of side effects, which included nausea,  dry mouth, fatigue, diarrhea, excessive sweating, dizziness and  constipation. Lilly said side effects were similar to those seen in  previous trials of Cymbalta for other conditions. Global second-quarter sales of Cymbalta, one of Lilly’s  biggest products, jumped 26 percent to $654 million, helped by  its other approved uses to treat fibromyalgia and generalized  anxiety disorder. The drug works by maximizing the presence of two messenger  chemicals in the brain, serotonin and norepinephrine. Claim: Lilly depression drug eases back pain in study.

A: Eli Lilly and Co’s Cymbalta depression  treatment significantly reduced chronic low back pain in a  relatively small clinical trial, the company said on Monday.
****
Q: Paragraph: In its latest “report card,” the American College of Emergency Physicians said such reduced access earned the nation a “D+” — that’s down from the overall “C-“ grade from the group’s last report in 2009. Shortages and reduced hospital capacity make it more difficult to access emergency care, the group said. It also warned about the impact on disaster preparedness. While the report does not measure the actual quality of care provided, it does offer a snapshot of national and state policies affecting emergency medicine as seen by providers. Washington, D.C., was ranked the highest in the report, earning a “B-“ grade, while Wyoming ranked last and was the only state to earn an overall failing grade of “F.”  The group’s task force looked at scores of measure in five major categories — access to care, quality and patient safety, liability, injury prevention and disaster preparedness — and relied on data from the Centers for Disease Control and the Centers for Medicare and Medicaid Services, among others. The report comes just as the Affordable Care Act, known as Obamacare, comes into full effect this year. The 2010 law aims to expand access to health insurance and reduce the nation’s healthcare costs, but it has become a political flashpoint amid a troubled rollout of the federal insurance exchange website. While the physician’s report does not factor in all of the effects of the law — its grades are based on data from early 2013 — emergency rooms could be used even more as more Americans gain insurance coverage under Obamacare, it said. Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group’s report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. “On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it’s 9 o’clock at night on a Friday and they’re closed, then people come to the emergency department,” Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts “additional strains” on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming. States are also still grappling with the uninsured. By law, hospitals must provide emergency care regardless of patients’ ability to pay. Under Obamacare, states can expand access to Medicaid, the federal-state health insurance plan for the poor. Data shows that Medicaid patients use emergency rooms as much as other insured patients, but several recent studies have shown that Medicaid patients utilize them more than the uninsured. One study this month showed Oregon patients given Medicaid through a lottery increased their emergency room use by 40 percent compared to those not offered Medicaid. “We have to be leaner and more efficient, but it just becomes more and more challenging,” Hirshon said. Claim: Doctors say pressure on ERs may rise, give U.S. failing grade.

A: People seeking urgent medical could face longer wait times and other challenges as demand increases under Obamacare, U.S. emergency doctors said in a report on Thursday that gives the nation’s emergency infrastructure a near failing grade.
****
Q: Paragraph: Live poultry sales have now been suspended in Changsha, the capital of central China’s Hunan province, as well as markets across the eastern province of Zhejiang, the official Xinhua News Agency reported Sunday, as authorities deal with dozens of new cases of H7N9 bird flu. Nearly 300 markets and slaughterhouses were shut down in the southwestern Chinese city of Suining, where authorities are also cracking down on unauthorized poultry businesses. Xinhua reported that 21 people in Jiangsu province died in January after contracting H7N9. Hunan authorities have reported at least five deaths this year, and an infant girl has died in southwestern Yunnan province. A major H7N9 bird flu outbreak in humans first struck China in March 2013, killing more than 40 people and devastating the poultry industry. H7N9 is considered less virulent than the H5N1 strain, blamed by the World Health Organization for hundreds of deaths worldwide over the last decade. Most people infected with H7N9 are believed to contract it by touching infected poultry or entering contaminated areas, according to a WHO alert published last month. Experts do not believe the virus can be spread widely between humans, the WHO said. In Guangzhou, China’s third-largest city, more than 30 percent of the live poultry markets were found to be contaminated with H7N9, state media reported Saturday. Authorities in Guangzhou have announced temporary three-day suspensions of the poultry trade to try to contain the virus. Claim: Some China cities close poultry markets amid bird flu fears.

A:
Several Chinese cities have shut down their poultry markets in the wake of a bird flu outbreak that has killed at least two dozen people this year across China.
****