instruction:
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.
question:
Paragraph: Max Reiss, the governor’s spokesman, said the Democrat “finds this information important” and believes “the public has the right to know,” including state legislators, who’ve discussed possibly ending a religious exemption from vaccines. Reiss’ comments came a day after Department of Public Health Commissioner Renee Coleman Mitchell said she only planned to release county-by-county immunization data and not school-by-school vaccination rates, noting there have been no new measles cases in Connecticut since April. DPH is expected this week to release the latest statewide vaccination data, including how many students have sought the religious exemption. Reiss said county-by-county data will be released in October and school-by-school numbers sometime afterward, once it’s been verified for accuracy. House Majority Leader Matt Ritter, a Democrat from Hartford who has voiced concern about the growing number of vaccine exemptions sought on religious grounds, said it’s important for lawmakers to have the school-by-school data to identify pockets of unvaccinated students. He said county-by-county or statewide data gives people the “false impression” there are no issues with vaccinations. While Connecticut has high statewide vaccination rates, school-by-school information released earlier this year showed more than 100 schools with rates that fell below recommended federal guidelines. A Woodstock couple has sued DPH to stop the agency from publicly releasing additional immunization rate information at private and public schools, arguing their unvaccinated son suffered “mental and emotional distress” after the data released in May showed 18.5% of students at his private school in Meriden claimed the religious exemption. Claim: Lamont overrules official, wants more vaccine data released.
answer:
Connecticut Gov. Ned Lamont on Wednesday overruled his public health commissioner, saying school-by-school vaccination rates should be publicly released.


question:
Paragraph: The story notes the an additional $20 per mammogram with CAD when billed to Medicare. With the newer technology, costs to public health would increase via additional screening and unnecessary biopsies, and treatment would increase for cancers that may never become problematic (i.e. some forms of DCIS or ductal carcinoma in situ). The story provides data that there was little positive difference between radiologists' and CAD detection of cancer via mammogram images. However, the story does not mention results of any other evaluations of the technology (e.g. how it has been used in UK and other countries where results did show benefit in terms of increased detection of cancer). The story mentions that the newer technology may result in over treatment as there are more false positives with the CAD technology vs. radiologists' analysis alone. In a recent study published in the New England Journal of Medicine, there was 20% increase in biopsy rates after mammographers used the CAD software. The article does not present the study well. It was an observational study of select practices in the US – not randomized, not controlled and there was no information about how representative these samples were, especially the centers that used CAD. The story presented some key results but virtually nothing about the study design. The story does not engage in disease mongering or suggest that women should opt for mammograms at centers that have the new CAD technology. The story provides many clinical perspectives on the CAD technology. The reporter interviews not only the study author and the author of an accompanying NEJM editorial, but also clinicians and radiologists who talk about use of CAD in practice. Interviews with clinicians who provide their rationale for not using the CAD technology provide excellent balance to the story. The story discusses the continued benefit of mammography for early detection of breast cancer. The story highlights that computer-assisted screening does not replace human judgment in interpretation of radiological films. The story mentions that about 30% of mammography centers use computer-aided detection (CAD) technology. The story mentions that CAD is a newer method of reading mammographies, but in a recent observational trial it was no better–and may have produced more false positives–than images read and interpreted by radiologists alone. The story does not rely solely on a press release for information, and there is independent reporting and sources cited not affiliated with the recently published data on CAD. Claim: Doubts on mammogram software
answer:
This story provides readers with a balanced discussion of the potential downside of incorporating newer technologies into routine practice too soon. Specifically, the story reports evidence recently published in the New England Journal of Medicine that computer-aided detection (CAD), a newer method of reading mammographies, was no better–and may have produced more false positives–than images read and interpreted by radiologists alone. There was 20% increase in biopsies after mammographers used the CAD software, and many of these women had non-malignant lesions. The article did not adequately describe the study. It was an observational study of select practices in the US – not randomized, not controlled and there was no information about how representative these samples were, especially in the centers that used CAD. The story reported on key results, but without adequately explaining how they were arrived at. The story provides multiple perspectives on the CAD technology in breast cancer detection. The reporter interviews not only the lead author of the NEJM study, but also the author of an accompanying editorial on this newer technology, as well as radiologists who talk about CAD in their practice. Interviews with clinicians who offer a rationale for not using the CAD technology give excellent balance to the story and provide an often overlooked perspective: newer and more high-tech devices are not necessarily better. The story notes the additional $20 per mammogram cost to Medicare with CAD. With the newer technology, costs to public health would increase via additional screening and unnecessary biopsies, and treatment would likely increase for cancers that may never become problematic (i.e. some forms of DCIS or ductal carcinoma in situ). Importantly, the story discuses the continued benefit of mammography for early detection of breast cancer. The story highlights that computer-assisted screening does not replace human judgment in interpretation of radiological films. More screening centers with the CAD technology are available; however, the new technology may not serve women any better. Traditional mammography with a radiologist interpreting the results may be more accurate and result in fewer unnecessary tests and biopsies.


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Paragraph: The research was released Monday as the state started its first statewide campaign to prevent the disease. The most recent case came out of Hilo, where a resident contracted the disease in late November. Department of Health officials suspect the Big Island patient accidentally ingested an infected slug while drinking from a garden house. People contract the disease by ingesting food contaminated with snails or slugs that carry parasitic larvae from rat droppings. The state’s $300,000 campaign will include a series of television and radio announcements urging people to wash fruits and vegetables before eating them to avoid the potentially debilitating disease, which affects the brain and spinal cord. The Legislature earlier this year granted the Health Department $1 million over the next two years to control the spread of rat lungworm. There were 18 laboratory-confirmed cases in Hawaii this year. The Big Island has seen the most cases at 11, followed by Maui at six. Sue Jarvi, a professor at the University of Hawaii at Hilo, said the recent study shed light on how common the disease is in rats. Jarvi said rats near Hilo Harbor and Hilo International Airport are especially worrisome because some end up getting transported to the mainland and other countries, potentially exporting rat lungworm. The Centers for Disease Control and Prevention, UH-Hilo and researchers in Thailand are all reviewing parasites that were collected, Jarvi said. “The risk of rat lungworm disease is present on all islands and there are basic steps we can take each day to reduce this risk and help prevent infection,” said Keith Kawaoka, the department’s deputy director of environmental health. “Knowledge is the best defense we can provide people with to collectively protect our communities from rat lungworm disease in Hawaii.” Claim: Hawaii launches campaign to prevent spread of rat lungworm.
answer:

Almost 94 percent of rats in the Hilo region are infected with the parasite that causes rat lungworm disease, a recent study on the meningitis-like disease showed.