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.

[EX Q]: The call was included in a state Health Department report on the adenovirus outbreak at the Wanaque Center for Nursing and Rehabilitation. “Ensuring that all staff are regularly trained in proper handwashing protocols and other infection control procedures is the best way to prevent the spread of respiratory viruses in long-term care facilities,” Health Commissioner Dr. Shereef Elnahal said in a statement. One staff member and 36 residents, ranging in age from toddlers to teens, were diagnosed with a particularly severe strain of adenovirus in the outbreak at the facility in Haskell, which provides care to children and adults. Eleven children died. The report recommended a new law that would require long-term care facilities to put in place detailed plans to prevent and respond to disease outbreaks. The department already has guidelines for the control of respiratory viral outbreaks but is calling for a statute to require such planning. Among the other recommendations was that parents and guardians should be notified “immediately following an event of significance.” Some parents of the infected children told newspapers that they didn’t learn about the outbreak until reading about it in news reports. On Thursday, Paul Fishman, an attorney working on behalf of the center, said Wanaque had already adopted the recommendations the state suggested. “Everybody recognizes that if they can prevent what happened, they will do what they can to prevent that,” Fishman said in a phone interview. The report follows the March announcement that the federal government fined the center $600,000 over what it said were lapses. Those included insufficient hand washing and problems with infection control procedures as well as a lack of involvement by the facility’s medical director and other management. The center disputed those findings and has said it planned an appeal. Adenovirus typically causes a mild cold or flu symptoms and usually poses little risk for healthy people. The strain found in the rehab center outbreak — type 7 — is among the more potent types and sometimes causes more serious respiratory illness, especially among those with weak immune systems. The children at the facility all had serious underlying health conditions, and many were on ventilators The first symptoms showed up Sept. 26, and the state was notified of an outbreak Oct. 9, officials said.
[EX A]: State Health Department calls for requiring outbreak plan.

[EX Q]: There are four slashes among the women’s siblings, others among her immediate family, and most family members’ symbols are partially colored in. Each partially filled circle represents a cancer diagnosis. Each slash indicates a death. Although white women get breast cancer more frequently, it’s usually diagnosed later and is more severe in African American women. Breast cancer death rates among black women were about 40 percent higher than among white women between 1999 and 2013, according to the Centers for Disease Control. Ricks-Santi, director of the Hampton University Cancer Research Center, and another Hampton colleague, John McDonald, recently received a $446,000 grant from the National Institutes of Health to study the genetics behind breast cancer diagnoses in African American women. In particular, they’re trying to refine genetic tests that don’t seem to be as effective for black women as white. “I wanted to make sure that there was equity in the way that genetics and genomics was being applied across populations,” Ricks-Santi said. She has a longstanding interest in cancer research, dating back to when she was a kid. Her family has a history of cancer; her father has prostate cancer. That led her to pursue an undergraduate degree at Hampton University and a Ph.D. from Georgetown University. She worked as a post-doctoral fellow in a joint cancer studies program between Georgetown and Howard University. There, she saw a trend among genetic tests for breast cancer, particularly the most common ones, BRCA 1 and 2. They are sometimes an indicator for some of the hardest to treat forms, and they’re also correlated with other kinds of cancer in men and women. At Georgetown’s cancer center, which Ricks-Santi said served mostly white and affluent patients, BRCA tests often helped doctors decide if women were candidates for preventative treatment or if they needed additional testing. At Howard’s cancer center, which served more black patients, BRCA tests often came back inconclusive. This, Ricks-Santi said, makes it hard for oncologists to come up with specific, informed approaches for patients of color. “You can’t do that if you’re not identifying the right risk factor, the right gene,” said Melissa Gomes, a mental health nurse practitioner and a co-investigator on the study. “You can’t make that personalized approach if it wasn’t based on a population that included you.” The study that Ricks-Santi and McDonald are leading uses family history and genetic data from 300 breast cancer patients at Howard, along with relatives without cancer diagnoses and other types of cancer. Ricks-Santi will conduct statistical research to find candidate genes that could provide a better test. McDonald, an assistant professor of physics, will then conduct the laboratory phase of the study, injecting those genes into cancer cells in Petri dishes to determine exactly what kind of effect those have. They’re also working with Hampton University students on the project, who will be paid with grant money. “It’s nice to create that pipeline of researchers that look like the population we want to study,” Gomes said. This round of funding lasts for three years. But they’re already looking toward the next phase. That’s where Gomes’ experience comes in, whose background is clinical psychiatry. She sees patients four days a week. In a second study, once they’ve isolated some possible genes, they want to control for those genes and then investigate social circumstances that might contribute to breast and other kinds of cancer. Gomes hopes to use her background in psychiatry and patient care to help build connections in Hampton Roads in addition to helping with the social research. “Nurses are considered one of the most trusted health professionals,” Gomes said. “I think that the community trusts us and they value their opinion.” Ricks-Santi is hopeful about this holistic approach, citing her father’s own experience. Because of the small size of his tumor, they took a more wait-and-see approach to treatment. He moved to Puerto Rico for six months to relax. It seemed to work. His prostate-specific antigen levels, an indicator of that kind of cancer, dropped significantly and have stayed stable. “It’s scary and exciting,” Ricks-Santi said. “There’s so many possibilities.” ___ Information from: Daily Press, http://www.dailypress.com/
[EX A]: University studies cancer risk and testing for black women.

[EX Q]: All 46 schools in the district serving Grand Junction and the surrounding area were closed and won’t reopen until after the Thanksgiving break so custodians can disinfect surfaces. Norovirus is a highly contagious bug that causes diarrhea, vomiting and other symptoms, and can spread quickly in public places. It’s most common in winter but can be seen any time of year. The outbreak was first seen last week at a high school before spreading to other schools. Officials in the district, the largest in western Colorado with 22,000 students, believe there is now another related strain of the virus that has affected some students who were previously sick. “We are taking this highly unusual action because this virus is extremely contagious and spreading quickly across our schools,” district nursing coordinator Tanya Martin said. It’s not clear how many students have become sick. Some custodians also became ill, slowing down the cleaning process, but it’s unknown if the suspected viruses were to blame. Nicole Comstock, communicable disease deputy branch chief for the state Department of Public Health and Environment, told The Daily Sentinel that there are about 150 to 200 suspected norovirus outbreaks in the state each year. She said most occur at nursing homes but outbreaks at schools are not uncommon. The U.S. Air Force Academy outside Colorado Springs reported that 400 cadets have been sickened by norovirus since October, but the outbreak hasn’t disrupted classes. The Gazette reported that infected cadets are kept on bed rest for at least three days after their symptoms disappear before they can be cleared to return to class and training.
[EX A]:
Suspected norovirus outbreak closes 46 Colorado schools.