TASK DEFINITION: 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.
PROBLEM: The mosquito-borne viral infection has spread across the country, with 61 out of 64 districts reporting dengue cases by late Tuesday. The government has confirmed 15,369 dengue cases since Jan. 1. Of those, 9,683 patients were diagnosed between July 1 and July 30. As of Tuesday, about 4,400 patients, including many children, were undergoing hospital treatment. There have been 14 deaths. Officials from Dhaka, the overcrowded capital and the epicenter of the outbreak, have struggled to contain it, drawing criticism and spreading panic among some residents. Dengue is found in tropical areas around the world and is spread by a type of mosquito that mainly lives in urban areas. The virus causes severe flu-like symptoms, and while there is no specific treatment for the illness, medical care to maintain a person’s fluid levels is seen as critical. There are fears that the situation in the countryside will worsen as many residents of the city travel to villages to celebrate Eid-ul-Adha next month. Infected humans can serve as a source of the virus for uninfected mosquitoes. Ayesha Akhter, assistant director at the Directorate General of Health Services under the Ministry of Health, said an outbreak of dengue has accompanied every monsoon since 2000, but this year’s situation is the worst. A DGHS study identified a six-fold increase in the Aedes aegypti mosquito population in four months in Dhaka as the primary cause of the larger-than-average outbreak. Earlier this month, the World Health Organization said the dengue situation in Bangladesh was “alarming but not out of control.” Other countries in Asia are also facing a surge in dengue cases this year, including Thailand, where 53,699 cases and 65 deaths were reported as of July 23. Nevertheless, with dengue cases soaring in recent weeks, Dhaka hospitals have been running out of room and manpower to treat new patients. Prof. Abul Kalam Azad, director general of DGHS, said they had asked the hospitals to increase beds for dengue patients and to open dengue wards. The government also halved the charges for diagnosing dengue and directed public and private hospitals, clinics and diagnostic centers to do the same. Dhaka Medical College Hospital, the largest hospital in the country, opened a special ward for dengue patients, said A.K.M. Nasir Uddin, its director general. Prof. Uttam Kumar Barua, director of Shaheed Suhrawardy Medical College and Hospital, another major public hospital in Dhaka, said they were relying on senior medical students to assist doctors in the face of so many patients. “We don’t have manpower, logistic support and technicians as much as needed. That’s why we are having too much pressure. We have three times more patients than our bed capacity,” Barua said. He said they were admitting every dengue patient who entered the hospital but could not provide beds or even seats for everyone, adding that many had been asked to wait in hospital corridors and verandas. Champa Begum took her 8-month-old to Shaheed hospital on Wednesday. “I have other kids. I go to work leaving this one to another child. I have no way but to work,” she said. “I can’t take care of this child properly. This child is laid down anywhere. My home is above dirty water. That how this one was bitten and got dengue.” On Tuesday, Bangladeshi Prime Minister Sheikh Hasina called for concerted efforts to fight the illness. “The government is working to tackle dengue,” she told an emergency meeting of her ruling Awami League party via teleconference from London, where she was on an official visit. “I urge everyone to keep their houses and surrounding areas clean. That will save us from the disease,” she said. The country’s opposition parties and urban planning experts blamed the central and local government’s lack of preparedness for the rise in dengue cases. People have taken to Facebook to vent their anger about city authorities’ failure to control dengue-carrying mosquitoes.

SOLUTION: Bangladesh grapples with country’s worst dengue outbreak.

PROBLEM: A University of Iowa study shows the state’s contribution to the Gulf dead zone spiked 47 percent to 618 million pounds in 2016, based on five-year running annual averages. “Just based on water quality data, I think we can say we’ve not made much progress over the past 20 years in terms of nitrogen,” said Chris Jones, a research engineer at the UI’s IIHR-Hydroscience & Engineering. Environmentalists say the study raises new questions about the effectiveness of Iowa’s approach to improving water quality and its reliance on voluntary ag compliance. “We’ve been pouring state and federal money into cutting nutrient pollution for decades, and this highlights the fact that the voluntary approach is not working,” said Jennifer Terry, executive director of the Iowa Environmental Council. “We’re not headed in the right direction. ... We need to follow the lead of other states and pass some environmental laws that will actually reduce loads and result in cleaner water,” Terry said. The Des Moines Register reports that the news comes as Iowa marks the five-year anniversary of the Iowa Nutrient Reduction Strategy, a plan designed to cut by 45 percent the nitrogen and phosphorus levels that leave Iowa and feed Gulf hypoxia — or the dead zone. Oxygen levels within the zone are so low that marine life can no longer survive, threatening the Gulf’s seafood industry. Most of the nutrient losses come from farming, although the strategy also targets losses from urban wastewater and industrial operations. Last year, Iowa invested $420 million in those water quality improvements, including helping farmers plant cover crops, build terraces and tackle other conservation practices that hold nutrients in place. But farmers expanding their drainage tile systems — along with increasing hog, cattle and chicken feeding operations, which provide manure to fertilize crops — likely outweigh those conservation efforts, UI scientists say. The nutrient reduction practices “being implemented are a tiny, tiny portion of what needs to be done, and it’s occurring in a system that’s changing,” Jones said. “We appreciate all that is being done with nutrient management and conservation farming. Unfortunately, we’re just impacting too few acres with too few practices,” added Larry Weber, executive associate dean for UI’s College of Engineering. Jones wrote the study with Weber and Keith Schilling, another UI research engineer. Increased nutrient pollution in water creates problems for people and animals beyond the dead zone. High phosphorus levels can lead to toxic algae blooms that can befoul lakes, rivers and streams, potentially killing pets and making people ill. And the federal government limits the amount of nitrates in drinking water to 10 milligrams per liter. Higher levels can be fatal to babies under 6 months old. Increased levels translate to higher costs for utilities for nitrate removal. “We need a dramatic increase, a rapidly-scaled up increase in conservation practices and more funding,” said Cindy Lane, the Iowa Environmental Council’s water program director. Schilling said the study shows that targeting nutrient reduction investment in Iowa can have a significant impact downstream. “Iowa has a dominant role in this Gulf hypoxia issue,” Schilling said. “Let’s invest the resources here, where we really need it. “If we solve Iowa, we solve the Gulf,” he said. The UI study gives Iowans new information in the fight to reduce the nitrogen levels that flow from the state into the Mississippi and Missouri rivers, which make their way to the Gulf of Mexico. Looking at Iowa Department of Natural Resources data from 23 monitoring stations, the study shows Iowa on average over the past 18 years contributed 29 percent of the total nitrogen headed to the Gulf from the Mississippi-Atchafalaya river basin. The river basin is a massive watershed that includes all or part of 31 states. Iowa’s nitrogen impact was even greater in other watersheds. The state averaged 45 percent of the nitrogen levels going into the Upper Mississippi River basin, and 55 percent of the nitrogen going into to the Missouri River basin. “When you look at the entire Missouri (River) watershed, our land comprises 3.3 percent of the total area ... and Iowa contributes nearly 12 percent of the water,” Jones said. But “we contribute 55 percent of the nitrate,” he said. “The way that pencils out is that the amount of water coming from Iowa has seven times more nitrates than the rest of the Missouri River watershed,” Jones said. If Iowa’s contributions were removed, the Missouri River would have little nitrogen contributions in some years. “We really need to take seriously the Missouri River’s contribution as a driver for Gulf hypoxia,” Jones said. The growing concentration of livestock feeding operations in western Iowa might account for Iowa’s large contribution to the Missouri River nitrate levels, the scientists said. “People tend to dismiss livestock influences, but maybe there’s more to it than people give credit it for,” Schilling said, adding that it would require more study to determine the impact. Iowa’s nitrogen levels, based on running five-year annual averages, have been above the 2003 value for 10 consecutive years, the study says. The scientists say 2003 was the first year the five-year rolling average could be calculated, with data that starts in 1999. The goal of the Gulf Hypoxia Task Force, made up of federal, state and tribal leaders, “will be very difficult to achieve if nitrate retention cannot be improved in Iowa,” the report said. The task force, with Iowa Agriculture Secretary Mike Naig as chairman, seeks to reduce the dead zone to 1,900 square miles by 2035. The deadline was extended from 2015. Last year, the dead zone set a record, which, at 8,776 square miles, was more than four times the goal size. The report says about 90 percent of Iowa’s nitrogen levels “can be sourced to the 72 percent of the state’s land area that is in crop cultivation.” Iowa, an agriculture powerhouse, is a national leader in corn, soybean, pork, egg and beef production. “This intense production of carbohydrates and protein has resulted in the state being a leading contributor” to the nitrogen loads and Gulf hypoxia, the report said. Naig said farmers understand the important role they play in improving water quality and are scaling up efforts across the state “as we move from demonstration projects to larger, watershed-scale implementation projects. “We recognize that there is still a lot of work to be done, but we are on the right path,” said Naig, who adds farmers are working with more than 250 partners in 65 rural and urban demonstration projects. The UI scientists doubt that increased cropping is the reason for the increased nitrogen impact. Iowa’s cropped area has increased only 4 percent over the past 18 years, while other states’ farmed land has climbed 21 percent, particularly in Minnesota, North and South Dakota and Kansas. About 85 percent of Iowa’s acres are farmed, making it the fifth-highest in the nation, based on the 2012 U.S. Agriculture Census, so there are few acres left that can be brought into production compared with other states. “Iowa’s decline in the share of the region’s soybean area was especially pronounced, dropping from 18.6 percent in 1999 to 14.5 percent in 2016,” the report said. “One would expect our (nitrogen) contributions relative to the other areas would be diminished,” Jones said. “But the opposite has occurred.” Jones said it’s led the scientists to consider other factors. The scientists doubt that Iowa farmers are using significantly more fertilizer. “When we look at nitrogen sales data, it might change a little year over year. But on a per acre basis, that hasn’t changed a lot since 1990,” he said. And with little increase in corn and soybean acres, the scientists speculate that Iowa’s increased nitrogen levels could be coming from more drainage tiles. Or farmers could be using more manure as fertilizer from animal feeding operations. Without Iowa, the Gulf’s overall nitrate loads would have declined 43,400 tons over 18 years, based on five-year running annual averages, the scientists’ data show. Instead nitrate loads grew by 52,000 tons. “It’s pretty clear these loads from the Ohio basin have to be declining,” Jones said. “A lot that is coming from Indiana.” That state’s high level of cover crop adoption by farmers could be the reason, he said, and should be studied. Cover crops such as cereal rye slow the rate of water runoff, reduce erosion and improve soil fertility. Iowa also needs to honestly discuss the impact that drainage tiling has on nitrogen losses, Jones said. Iowa doesn’t collect data on how much underground drainage runs through the state, although officials estimate about 9 million acres are drained through tile. Environmentalists believe the number is much higher. Underground drainage tile helps improve yields by quickly removing excess water from fields. Iowa’s tiling system consists of a network of drainage lines that feed into large pipes. The massive network, first constructed in the 1920s, ’30s and ’40s, turned once swampy lands into some of the nation’s most productive farmland. But water quickly carried away by the tiling system misses cleansing that would naturally occur by filtering through soil or the roots of trees, shrubs and grasses in riparian buffers along streams. Des Moines Water Works unsuccessfully sued drainage districts in three north Iowa counties in 2015, claiming underground tiles funneled high levels of nitrates into the Raccoon River, a source of drinking water for 500,000 central Iowa residents. “We acknowledge that it’s important to track implemented conservation, and we encourage that,” Jones said. “But we also need to have the courage to talk about these things that drive the system in the other direction.” Terry said Iowa is “one of the most heavily tiled states in the nation,” and its 110-year-old law regulating the practice does little to protect water quality. ___ Information from: The Des Moines Register, http://www.desmoinesregister.com

SOLUTION: Study: Iowa nitrogen pollution in the water is getting worse.

PROBLEM: "Although the story mentions the cost of immunosuppressant drugs, the story does not mention the cost of the new transplant technique. Given the preliminary nature of the findings, it is not yet possible to quantify the benefits of the new transplantation technique. The story does not mention any potential harms of the therapy. The story adequately describes the strength of the available evidence. The story describes the studies as ""preliminary"" and brings attention to the very small sample sizes. However, the story could have made less use of such terms as ""groundbreaking"" and ""breakthrough"" to describe the treatment in light of the preliminary nature of the findings. The story does not exaggerate the prevalence or seriousness of kidney disease. The story quotes multiple experts The story mentions immunosuppressants with traditional transplantation as the alternative to the new transplant technique. The story clearly states that the transplant technique is experimental and is only being performed in a handful of medical centers. The story clearly states that the treatment is a new approach. Because the story quotes multiple sources, the reader can assume that the story did not rely on a press release as the sole source of information."

SOLUTION:
Some transplant patients OK without years of drug treatment