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.

Input: Consider Input: The Arkansas Department of Health issued the public health directive in a Nov. 22 letter that stated students without at least two doses of measles, mumps and rubella vaccine either be vaccinated immediately or be barred from classrooms and school activities for at least 26 days. Brothers Shiloh Isaiah and Benjamin Andrew Bemis asked the Washington County Circuit to issue a temporary injunction, arguing “that the University of Arkansas failed to recognize and uphold our philosophical beliefs as enrolled students -- beliefs which include the choice to abstain from vaccinations.”   In a one-sentence order, Judge Doug Martin on Tuesday denied their request to be allowed to return to their classes without getting the vaccinations. Martin’s order didn’t explain the reason for the decision. Shiloh Bemis, 21, told the Arkansas Democrat-Gazette that he’s disappointed in the court’s order. “On a larger level, we are taking issue with the fact that we don’t think we’ve quite been given a choice that fully takes into account what we believe our rights to be,” the third-year architecture student from Fayetteville said. Benjamin Bemis didn’t respond to the Democrat-Gazette’s request for comment. State law requires vaccinations for students, but it also allows exemptions for medical, religious or philosophical reasons. But the state Health Department said even exempted students must heed the public health directive. “Even if they have an exemption, they still are supposed to be excluded from class and activities, since they are much more susceptible to getting the infection,” said Dr. Joel Tumlison, a physician specialist in the health department’s outbreak response team. “For any student, whether simply undervaccinated or with an exemption, if they change their mind and get the vaccine, they can then return to class/activities.” University spokesman Mark Rushing said the school will continue to follow the health department’s instructions. The university has had 26 mumps cases since September, according to health officials. As of last week, 168 students lacked the required vaccinations to attend classes, UA spokesman Zac Brown said.

Output: Arkansas judge denies students’ appeal to vaccination policy.


Input: Consider Input: There was no discussion of costs. Costs would include treating the double digit rates of incontinence and erectile dysfunction in these younger men who do have surgery. The surgery may help them live longer, but many, especially since younger at time of surgery, live decades with these potential harms and folllowup costs of the surgical choice. This should get at least a line in such stories. While describing some of the differences observed in general terms without quantification, the story provided absolute percentage of men dying from prostate cancer in the two study groups. The story then went on to explain that the difference was in the men who were less 65 years of age at the time of diagnosis. The story would have been better if it had more clearly explained this important caveat about the benefit seen. The potential harms associated with various approaches to treating prostate cancer as well as the increased risk of prostate cancer progression and death seen in the cohort of men who followed the watchful waiting approach were discussed. The story did a laudable job of providing information about the study reported on including the fact that the results most recently published basically expand the timeframe of followup on these men which have previously been published. It provided insight about the number of men involved in the study, how their prostate cancer was detected and that the men had been randomly assigned to their treatment group. The story did not engage in overt disease mongering. Two clinicians who were not involved in the study provided quotes which were used in the story. The story included a list of the commonly available treatment options for early stage prostate cancer. But we must give an unsatisfactory score because the story included a factually incorrect statement indicating that watchful waiting is synonymous with active surveillance. It is not. The story went on to misinform readers by indicating “watchful waiting is often recommended when a man is not expected to die of the cancer” by failing to complete the thought by explaining that the reason they are not expected to die of the cancer is because their advanced age makes it unlikely that the cancer will have sufficient time to progress to lethality OR because they have other diseases from which they are likely to succumb before there is time for the prostate cancer to be deadly. An important caveat about how the prostate cancer in the study differed from the way in which prostate cancer is most commonly detected today in the US was explained. The story provided a reasonable view of the novelty of the treatment options detailed in the study along with the critically important caveat that the majority of the men in the study had their prostate cancer first detected at a later state than is seen with the current screening practices in the US. The story did not rely on a news release.

Output: Aggressive Treatment May Be Beneficial for Early Prostate Cancer


Input: Consider Input: The lawsuits were the latest by states and local governments against drugmaker Purdue Pharma as the country grapples with an opioid epidemic. About a dozen states have also targeted Richard Sackler, the company’s former leader, or members of his family. “Purdue and the Sacklers traded the health and well-being of Californians for profit and created an unprecedented national public health crisis in the process,” California Attorney General Xavier Becerra said at a news conference announcing the legal action by his state. “We will hold them accountable.” Becerra, echoing allegations lodged against Purdue Pharma by others attorneys general across the country, said the company falsely introduced OxyContin in the 1990s as a safe and effective treatment for chronic pain. However, the California’s lawsuit alleges that Purdue and Sackler knew in 1997 that drugs containing oxycodone, such as OxyContin, were widely abused. Still, company representatives marketed it as not being addictive and downplayed the potential for abuse, the suit states. In a statement Monday, Purdue Pharma and former directors of the company denied the allegations and vowed to defend against the “misleading attacks.” It noted that OxyContin represents less than 2% of total opioid prescriptions and is still approved by the U.S. Food and Drug Administration for its intended use as a painkiller as prescribed by doctors and dispensed by pharmacists. “Such allegations demand clear evidence linking the conduct alleged to the harm described,” spokesman Robert Josephson said in a statement. “But we believe the state fails to show such causation and offers little evidence to support its sweeping legal claims.” A spokesman for Sackler did not immediately respond to a request for comment. The family has faced a backlash in recent years amid a growing public outcry around opioid addiction. In addition, activists have targeted institutions, such as the Metropolitan Museum of Art, that the family has supported through large contributions. The museum has said it will no longer take money from members of the family linked to the drugmaker. Purdue stopped marketing OxyContin to doctors last year. It settled a lawsuit by the state of Oklahoma in March for $270 million. The company previously said it is pursuing several options, including bankruptcy, which could upend pending litigation by states as well as about 2,000 local and tribal governments across the country. The lawsuits filed Monday allege that Purdue Pharma pushed doctors to prescribe opioids for longer periods of time at higher doses. “Our complaint alleges that their unrelenting sales visits to doctors and deceptive practices led to a marked increase in opioid prescriptions, and a corresponding increase in the number of Mainers suffering from opioid use disorder,” Maine Attorney General Aaron M. Frey said. Maine’s lawsuit names Richard Sackler, Jonathan Sackler, Mortimer D.A. Sackler and Kathe Sackler — all of whom have served on the board of Stamford, Connecticut-based Purdue Pharma. States have also cracked down on doctors who overprescribe the drug. Hawaii Attorney General Clare Connors said in a statement Monday that she has filed lawsuits alleging violations of Hawaii’s Unfair and Deceptive Acts and Practices Law. One complaint alleges Purdue deceptively marketed OxyContin and other opioids. Another says manufacturers and distributors sold more opioids than could be “legitimately prescribed.” Meanwhile, the Centers for Disease Control and Prevention said opioids are the main driver of drug overdose deaths. Opioids were involved in 47,600 overdose deaths in the U.S. in 2017, according to the agency. In 2017, it says, prescription opioids were involved in 1,172 overdose deaths in California; 100 overdose deaths in Maine; and 58 in the District of Columbia. Maine set a state record for total drug overdose deaths in 2017 with 417. Jordan Basileu joined Becerra in announcing California’s lawsuit. He said he was prescribed opioid painkillers at 18 following a car crash and became addicted. “People think, ‘it’s from a doctor. How bad can it be?’” Basileu said of the drug. Basileu said he overdosed four times before getting sober three years ago. “I’m still cleaning up the mess that opioids got me in to,” he said. ___ Associated Press reporters Adam Beam and Caleb Jones contributed to this story. Jones reported from Honolulu.


Output: More states sue opioid maker alleging deceptive marketing.