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.

Irish-born William Campbell and Japan’s Satoshi Omura won half of the prize for discovering avermectin, a derivative of which has been used to treat hundreds of millions of people with river blindness and lymphatic filariasis, or elephantiasis. China’s Tu Youyou was awarded the other half of the prize for discovering artemisinin, a drug that has slashed malaria deaths and has become the mainstay of fighting the mosquito-borne disease. She is China’s first Nobel laureate in medicine. Some 3.4 billion people, most of them living in poor countries, are at risk of contracting the three parasitic diseases. “These two discoveries have provided humankind with powerful new means to combat these debilitating diseases that affect hundreds of millions of people annually,” the Nobel Assembly at Sweden’s Karolinska Institute said. “The consequences in terms of improved human health and reduced suffering are immeasurable.”  Today, the medicine ivermectin, a derivative of avermectin made by Merck & Co, is used worldwide to fight roundworm parasites, while artemisinin-based drugs from firms including Novartis and Sanofi are the main weapons against malaria. Omura and Campbell made their breakthrough in fighting parasitic worms, or helminths, after studying compounds from soil bacteria. That led to the discovery of avermectin, which was then further modified into ivermectin. The treatment is so successful that river blindness and lymphatic filariasis are now on the verge of being eradicated. Omura, 80, said the real credit for the achievement should go to the ingenuity of the Streptomyces bacteria, whose naturally occurring chemicals were so effective at killing off parasites. “I really wonder if I deserve this,” he said after learning he had won the prize. “I have done all my work depending on microbes and learning from them, so I think the microbes might almost deserve it more than I do.”  Omura is professor emeritus at Kitasato University in Japan, while Campbell is research fellow emeritus at Drew University in Madison, New Jersey. “This was the work of a team of researchers so it is by no means my work, it’s our work,” said Campbell, 85, who learned of his prize in a pre-dawn phone call from Reuters that woke him at his home in North Andover, Massachusetts. “In the first decade, there were 70 authors that I co-authored papers with. That gives you some idea of the number of people involved,” he said. Tu, meanwhile, turned to a traditional Chinese herbal medicine in her hunt for a better malaria treatment, following the declining success of the older drugs chloroquine and quinine. She found that an extract from the plant Artemisia annua was sometimes effective but the results were inconsistent, so she went back to ancient literature, including a recipe from AD 350, in the search for clues. This eventually led to the isolation of artemisinin, a new class of anti-malaria drug, which was available in China before it reached the West. Tu, 84, has worked at the China Academy of Traditional Chinese Medicine since 1965. World Health Organization spokesman Gregory Hartl said the award of a Nobel prize for the discovery was a great tribute to the contribution of Chinese science in fighting malaria. “We now have drugs that kill these parasites very early in their life-cycle,” said Juleen Zierath, chair of the Nobel Committee. “They not only kill these parasites but they stop these infections from spreading.”     Death rates from malaria have plunged 60 percent in the past 15 years, although the disease still kills around half a million people a year, the vast majority of them babies and young children in the poorest parts of Africa. The 8 million Swedish crowns ($960,000) medicine prize is the first of the Nobel prizes awarded each year. Prizes for achievements in science, literature and peace were first awarded in 1901 in accordance with the will of dynamite inventor and businessman Alfred Nobel. Last year, the medicine prize went to three scientists who discovered the brain’s inner navigation system.
Beating parasites wins three scientists Nobel prize for medicine.

Ebola has left those living in the country’s east weary and fearful, and, just as they were preparing to declare an end to the outbreak, a new case popped up. Now, they will now have to manage both threats at once. The new virus has overwhelmed some of the world’s best hospital systems in Europe and ripped through communities in New York. In Congo, it could spread unchecked in a country that has endured decades of conflict, where corruption has left the the population largely impoverished despite mineral wealth, and where mistrust of authority is so entrenched that health workers have been killed during the Ebola outbreak. It’s also unclear how forthcoming international support will be at a time when the whole world is battling the coronavirus. “It all feels like one big storm,” said Martine Milonde, a Congolese community mobilizer who works with the aid group World Vision in Beni, which has been the epicenter of the Ebola outbreak. “Truly, this is a crisis within a crisis within a crisis. The community suffers from insecurity, and suffered under Ebola, and now may have to face COVID-19.” In early March, an Ebola patient whom many hoped would be the last was discharged, and the outbreak was supposed to be officially declared over Sunday. But the World Health Organization on Friday announced a new case in Beni. The outbreak has claimed more than 2,260 lives since August 2018 — the second largest the world has ever seen, after the 2014-2016 outbreak in West Africa. Still, there is some hope: Many of the tools used to fight Ebola — hand-washing and social distancing chief among them — are also key to combating the coronavirus. In Beni, which has reported two cases of the new coronavirus, “the communities here hold onto some hope that they are going to overcome this pandemic the way they had been working to overcome Ebola,” said Milonde. “They are counting on the caution, vigilance and hygiene practices that they have been performing to save their families.”  Community advocates in Beni — who walk around with megaphones to talk about Ebola — have started to include warnings about the coronavirus. Messages explaining COVID-19, the disease caused by the virus, and where to go if sick are being spread on radio stations, through text message blasts and by religious leaders. Schools, churches and mosques are already armed with hand-washing kits. Beni’s mayor, Nyonyi Bwanakawa, says many of the measures will be familiar — but the recommendations to stay home are more stringent than what is required for Ebola, and officials are prepared to take “dramatic measures” if people resist. Unlike Ebola, which kills about half of the people it infects, the new coronavirus causes mostly mild or moderate symptoms in about 80% of people. Spreading Ebola typically requires an exchange of bodily fluids, and people have often been infected when caring for loved ones or mourning in traditional funerals that involve close contact with the body. In contrast, the new coronavirus is far more contagious and mostly spread by people coughing or sneezing, including those with only mild flu-like symptoms. That means the task of controlling the virus’ spread in Congo will be massive: The government has only limited control in parts of the vast country, there are also some dense population centers with poor sanitation and infrastructure, and the country’s mineral-rich east is beset by violence from various armed groups. Dr. Michel Yao, program manager for emergency response at the WHO’s Africa office, said implementing robust testing and contact tracing will be key. But getting the community fully involved in fighting the disease might be even more important. That means not just speaking at communities, “but giving them responsibility and roles to play.” Initially, efforts to control Ebola were met with resistance, one of the major contributors to its spread. Amid the insecurity in the country’s east, superstitions arose, and some clinics to treat Ebola patients were attacked and health workers killed. The capital, Kinshasa, a tightly packed city of 14 million located on the country’s western border, remains another major worry, said Yao, who is based at WHO’s African headquarters in the neighboring Republic of Congo. “If it reaches this place, it would be a big disaster,” he said. “Africa is only partly ready,” said Yao. “If we stick to sporadic cases, this can be managed.” But many more developed countries have seen cases surge, and a sizable outbreak in Congo could easily overwhelm its hospital system. Advanced equipment to deal with severe respiratory illness, which the coronavirus can cause, is lacking: The Health Ministry says there are about 65 ventilators — all in Kinshasa — and 20 more on order for a country of more than 80 million people. There have been 215 confirmed cases of the new coronavirus in Congo, with 20 deaths, the ministry said Friday. And health workers will also need to find a way to continue to treat people infected with the many other diseases that regularly torment the population. Over the past year, for instance, a measles outbreak killed more than 6,000 people in Congo. In addition, because donor countries are themselves dealing with outbreaks, help from abroad could be less forthcoming. The key, Yao said, is training more people locally to care for the ill. The challenge will be rallying again after many months of trying to contain Ebola. “The job wasn’t yet finished, and we have to deal with another emergency,” Yao said. Katungo Methya, 53, who volunteers for the Red Cross in Beni, expressed a weariness many feel. “It’s so upsetting to have this second disease. We lost so many people through Ebola, a lot of deaths, now corona,” she said. “Everyone is really afraid.” ___ Petesch reported from Dakar, Senegal. AP medical writer Maria Cheng in London contributed from London.
Congo, weary from Ebola, must also battle the coronavirus.

Since 2000, 34 of Iowa’s 118 community hospitals have closed their birthing units, according to the Iowa Department of Public Health. There have been two so far this year, down from eight closures last year — the most in a single year. Most of those closures have happened at smaller facilities than the 49-bed Marshalltown hospital. Iowa’s aging population is a key reason for these closures, Dr. Stephen Hunter, vice chairman of obstetrics at the University of Iowa Hospital & Clinics in Iowa City, told Iowa Public Radio . “Some rural counties have lost as many as 40 percent of their population in the last three decades,” Hunter said. “That’s a lot of people gone, unfortunately. That leaves a system that’s not adequate for those that remain in those counties.” Hunter said the state is also facing a severe shortage of OB/GYNs and family practice doctors who practice obstetrics. And, he said, Medicaid reimbursements are so low for obstetrics that hospitals can’t support the service. According to figures from the University of Iowa Hospitals & Clinics, Medicaid reimbursed it about one-third of what commercial insurance plans did for services such as ultrasounds and deliveries last year. Competition from bigger hospitals in bigger cities presents a business challenge, too. “There simply aren’t enough women choosing to deliver locally,” UnityPoint Health President Jenni Friedly said. “This is a problem that has been going on for a long time. . There are enough women becoming pregnant, but they are going elsewhere to deliver. It’s clear OB/GYN patients are already selecting Ames and Des Moines for their care.” Stephanie Trusty, a nurse who tracks birthing trends for the state, told the Marshalltown Times-Republican that “some of these birthing units are beautiful. They’re like a four-star hotel.” But does the loss of birthing units at the smaller hospitals and consolidation of birthing services affect health outcomes? A 2017 University of Minnesota study said the loss of labor and delivery units in smaller, more remote counties is linked with a decrease in prenatal care and increase in out-of-hospital and preterm births. The Iowa Public Health Department and the University of Iowa are keeping watch for any such problems, but so far have not seen any sizable incidence, Trusty said. Hansen Family Hospital CEO Doug Morse in Iowa Falls told Iowa Public Radio that hospital officials decided labor and delivery care were too expensive to continue in the aging, rural community with a declining birth rate. After three months of public meetings, Morse said, hospital officials opted to use half the money they would save to turn the unit into a mental health program for seniors. “It really did become fairly clear that people recognize that this wasn’t necessarily ... delivering babies isn’t necessarily a service that matches an elderly population,” he said. The closing of the birth unit at the Iowa Falls hospital forced Jessica Sheridan to change her plans to have her baby born there, just five minutes from her home. She established relationships with doctors in Ames, an hour away, where her daughter was delivered in mid-December. “We were lucky. It was nice weather,” Sheridan said.

Costs forcing some hospitals to stop delivering babies.