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.
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Question: That’s when the 37-year-old nurse and mother got scared for her family. “I couldn’t sleep that night. I thought, ‘If I brought this home to my mom, she’s probably going to die, and it’s probably going to be my fault.’ So I had to find a different way,” Neuburger said. To protect her family, Neuburger moved from her parents’ home, where she had been living with her son after a recent divorce, and into a camper. Even though she doesn’t know when she’ll be able to hug her 11-year-old boy again, she’s glad she chose to self-isolate — especially since she began feeling sick five days after that hospital scare. Holed up in the camper as she awaits the results of a COVID-19 test, Neuburger is among countless doctors and nurses around the world who are choosing to move to hotels, tents, garages and other temporary housing to protect their loved ones — even as they risk exposing themselves to a virus that has claimed tens of thousands of lives, including a number of medical workers. Hotels, some business owners and people who run Airbnb rental homes are among those offering lodging, sometimes for free, to doctors and nurses needing to self-isolate. Social media is full of efforts to match medical professionals with temporary housing. One Facebook group, RVs 4 MDs, connects RV owners with medical workers. In Ireland, a real estate company has used Instagram to offer up empty flats. The extra layer of isolation means those who are risking their own health to save the lives of others are now sacrificing even more as they resign themselves to virtual contact with their kids, parents, spouses and others they would normally fall back on for emotional support during this stressful time. “It’s upsetting — even though you know it’s the right decision to leave your family,” said Mica Sosa, a floor nurse at an oncology unit at a Phoenix hospital, who moved into a friend’s empty condominium a few weeks ago. “It’s so bizarre to turn around and walk away from the people you normally run to.”  Events Sosa knows she will miss: Easter with her 4-year-old son; her mom’s 71st birthday; and her own 7th wedding anniversary. Some colleagues thought she was moving too soon. But with her mother’s age and her own husband in his 60s, Sosa didn’t want to wait until Phoenix had a surge in cases to take precautions. “Why wait until you are New York to get that radical? You need to protect yourself now,” she said. “I think everyone needs to look at their own family situation and decide what’s best for them.”  For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. But the virus can lead to more severe illness, including pneumonia, and death for some, especially older adults and people with existing health problems. Outside Portland, Maine, a pregnant Joy Engel is staying home with a toddler son while her husband, Dr. Ben Hagopian, lives in a friend’s empty in-law apartment. “We fought hard for this pregnancy and we weren’t willing to take the risk,” Engel said. For Neuburger, the gravity of the coronavirus took hold in one shift in the intensive care unit at the Minnesota hospital where she works. She felt her mask leaking as she cared for one patient, but she kept doing her job and switched to a protective respiratory device when she could. Then came the patient whose ventilator tube came apart. On the way home from work, she called her dad. She told him to take her son, Xander Ponkin, upstairs, while she went directly to the basement where she had been staying. She kept away from the rest of her family until she could move into a camper two days later. “My dad made me give him a hug even though I didn’t want to. He said, ‘What happens if you get sick and die? I won’t see you again,’” she said. She used Facebook to find the camper, and plans to pay its owner $200 a month. It’s now parked in the driveway of her former in-laws, who are caring for Xander, in the Twin Cities suburb of St. Paul Park. She has been able to play with him in the yard — at a distance. They also use video chat to play games, and she watches from her window as he shoots baskets outside. The hardest part, Neuburger said, is not being able to give him a hug. “I’m making the best of it. I’m trying to,” she said. “Sometimes I just sit here and cry. But then … I feel like I sleep better knowing I’m not possibly infecting my family.”  ___ Associated Press writer David Sharp in Portland, Maine, contributed to this report.

Answer: Doctors, nurses leave homes to protect families from virus.


Question: In June 2016, popular posts on social media claimed that “sea lice” had invaded beaches in Florida. As the term “sea lice” is not widespread, especially among social media users residing in the northern states, these messages were viewed with skepticism. However, these posts stemmed from genuine news articles: Purple flags are popping up all over the Florida panhandle as a nearly-invisible nuisance is causing a headache for beach-goers. Sea lice, also known as beach lice, have been confirmed in South Walton and Santa Rosa Beaches, and they may be moving west towards Alabama. Sea lice are virtually impossible to see underwater, making them difficult to track. They are known to get stuck underneath bathing suits and irritate the skin, causing a rash known as seabather’s eruption. The claim that these creatures have “invaded” the United States’ southern shores is something of an exaggeration, and may have led some to believe that this is a new phenomenon. Actually, the term “sea lice” has been used since at least the 1950s, although researchers preferred the term “seabather’s eruption” as there is an unrelated marine parasite known as a “sea louse”: The term “sea lice” apparently originated during the 1950s and was used by local U.S. residents in describing the condition. This popular term persisted, despite efforts by scientists to discourage use of such an inappropriate designation. Sea lice are actually small parasites that affect fish. While the term “sea lice” can refer to the larval form of several stinging marine creatures, seabather’s eruption is commonly caused by thimble jellyfish larvae: Seabather’s eruption is a rash that occurs when a swimmer is stung by marine life larvae. The condition has many names, including sealice, pika-pika, sea poisoning, sea critters, and ocean itch. Two types of marine life that generally cause this rash are: Thimble jellyfish (Linuche unguiculata). These are found seasonally in the water off the Florida coast and across the Caribbean. The jellyfish breed in the Caribbean throughout the summer, peaking in May. The larvae are barely visible, appearing like a speck of finely ground pepper.

Answer: "Florida beaches have been invaded with ""sea lice."


Question: The report by the U.S. Department of Health and Human Services’ Office of Inspector General does not say whether patients suffered because of the hospitals’ practices. But all five Indian Health Service hospitals that were reviewed had patients who were given opioids in amounts exceeding federal guidelines, the report said. “There are vulnerabilities with this particular population in the opioid prescribing and dispensing practices,” said Carla Lewis, one of the auditors. The overdose epidemic that has killed more people than any other drug epidemic in U.S. history has hit indigenous communities hard. Native Americans and Alaska Natives had the second-highest rate of opioid overdose out of all U.S. racial and ethnic groups in 2017, according to the federal Centers for Disease Control and Prevention. Navajo Nation President Jonathan Nez called the audit’s findings “very concerning” and said the tribe plans to reach out to its congressional members and the Indian Health Service to ensure the recommendations are addressed. New Mexico Sen. Tom Udall, vice chairman of the Senate Indian Affairs Committee, said the report “is a deeply troubling indication that structural issues at the IHS are potentially worsening the opioid crisis in Indian Country.” The report made more than a dozen recommendations to the Indian Health Service to better track patients’ health records and pain management, ensure opioids are stored under tighter security and update its information technology systems. The agency agreed on every point and said changes are coming. The Indian Health Service, the federal agency that administers primary health care for Native Americans, has put an increased focus on opioids lately with a new website and the creation of a committee focused on decreasing overdose deaths, promoting culturally appropriate treatments and ensuring that communities know how to respond. The audit covered five of the 25 hospitals directly run by the Indian Health Service: the Phoenix Indian Medical Center in Phoenix; Northern Navajo Medical Center on the Navajo Nation in Shiprock, New Mexico; the Lawton Indian Hospital in Lawton, Oklahoma; the Cass Lake Indian Hospital on the Leech Lake reservation in Cass Lake, Minnesota; and the Fort Yates Hospital on the Standing Rock Sioux reservation in Fort Yates, North Dakota. Auditors considered the amount of opioids each hospital dispensed and the percentage increase over three years when deciding which ones to review. They looked at 30 patient records at each hospital, visited the facilities and interviewed staff. The auditors found that the hospitals strayed from guidelines in the Indian Health Manual in reviewing treatment for patients and their causes of pain every three months. Patients also must sign a written consent form and an agreement to treat chronic pain with opioids so they know the risks and benefits, as well as the requirement for drug screenings. More than 100 patient records did not include evidence of informed consent, and dozens did not have evidence that providers adequately educated patients. The Centers for Disease Control recommends that patients be prescribed no more than 90 morphine milligram equivalents per day, a measure used to compare an opioid dose with morphine. The audit found that each hospital met or exceeded that amount at times. At the Shiprock hospital, the daily dosage was more than four times as high. The auditors also found some patients were prescribed opioids and benzodiazepines — commonly used to treat anxiety and insomnia —at the same time, which “puts patients at a greater risk of a potentially fatal overdose.” The Indian Health Service said all of its facilities now submit that data so the agency’s top leadership can track it. Among the report’s other findings: —More than two dozen records showed no evidence patients were screened for drugs with urine tests when they started opioid treatment and periodically after. Providers did not have an alert system to know when patients were due for the urine tests. The Phoenix hospital has since implemented one. —Pharmacists are supposed to review patients’ files before filling prescriptions from an outside provider, but that was not done at four of the hospitals. In one case, Fort Yates filled a prescription from an outside provider despite the hospital discontinuing treatment because the patient violated a pain management agreement. The Indian Health Service said it would issue a directive in December for prescribers to track that information. —Only the Lawton hospital had opioids secured in a storage cabinet requiring employee authentication for access. One photo attached to the report showed the combination to a safe listed on the safe itself. The Indian Health Service said it has revised its manual to require opioids awaiting pickup to be locked up. —Agreements with their states require that hospitals report daily on opioid prescriptions that are filled so patients do not seek the drugs from multiple providers at the same time. Fort Yates and Phoenix now are complying. The Indian Health Service said the reporting would be automated by June 2020. At all hospitals, auditors noted that providers did not always review the data before seeing new patients or during the time patients were on opioids for pain. “Part of it is to ensure the holistic approach of providing care,” Lewis said. Hospital officials and providers often said they were overwhelmed by the number of patients or could not control how regularly they came in — sometimes due to the long distances between patients’ homes and the hospitals. Lewis said auditors try to be reasonable in their requests. “We try to make recommendations that are going to be actionable and cost-effective for an organization,” she said.

Answer:
Elevated opioid risks found at Native American hospitals.