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.
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Question: Paragraph: On July 14 2019, a Facebook user shared a photograph purportedly illustrating the risks posed by grill brushes and the metal they can leave behind attaching to food that is consumed. In an attached status update, the poster warned:I would suggest to anyone that has a metal brush to clean your grill get rid of it. This is the result of eating a bristle off of one. I am looking at a long recovery. — at Pelham Medical Center.In the attached image, an exposed abdomen bears a long and painful-looking scar with more than twenty staples. No other details about the image were included with the post, but the obvious inference was that this was the result of surgery that was required after inadvertently ingesting metal fragments left on a grill by a cleaning brush.No information was included about how the injury manifested or which symptoms people already exposed to grilled foods might exhibit. However, news stories from previous years indicated that even if rare, summer grilling has occasionally led to people accidentally consuming food with grill brush debris attached.In May 2015, CBS reported that a Connecticut woman had been treated for the same injury. Her symptoms were described as a “sharp” and “unusual” pain:[In May 2015], a woman in Connecticut needed emergency surgery to remove a wire barbecue brush bristle from her digestive tract — and doctors say she’s not the first. Cheryl Harrison of Wallingford, Connecticut, was rushed to the hospital by her husband after feeling a sharp and unusual pain in her stomach.That pain was caused by a single stray bristle that had fallen off the metal grill cleaning brush and found its way into the hamburger she ate. She came into the emergency room within a day because of severe abdominal pain. After a CT scan showed the wire, doctors were able to remove it from her stomach through laparoscopic surgery.The article went on to describe a similar case in which the patient was not made aware of the injury as quickly. One doctor stated the injury was difficult to identify because the small size of the bristles meant they were difficult to find:Dr. Aziz Benbrahim, her general surgeon at MidState Medical Center, told CBS News she was lucky because she came in right away. A previous patient of his who had a grill brush wire stuck in his system waited for a couple of weeks. It had punctured his intestine.“I had to open him up completely, ” said Benbrahim. “Then we remove this wire and we found out also why he had chest pain — because he also had pulmonary embolism, which is a blood clot in his lungs.”“He was just lucky he was still alive,” he added. “All from this wire.”[…]“Nobody knows the statistics, that’s the problem. The only paper published talks about 6 or 7 cases and I believe it’s a much, much more common,” Benbrahim said. “When I was talking to my colleagues at the hospital, I was surprised that all of them had at least one or two patients like this. I didn’t think it was that common. And this isn’t a very big hospital, so I assume that in a bigger hospital they would have more.”The story further noted that in one hospital, at least six patients had similar injuries from ingesting grill brush wire over an 18-month period. One year later, WTSP reported that a man in Florida was injured the same way:A warning if you plan to fire up the grill this holiday weekend. A Lakeland man discovered a hidden health hazard the hard way, and it could be on your grill right now.“This is my little parting gift,” says Clif Hennecy. It’s a souvenir from the doctor’s office that Hennecy never imagined his doctor would find stuck in his stomach during a routine checkup.“It’s just a tiny, little bristle, but it’s stainless steel,” says Hennecy.The Lakeland man says the metal bristle came from the brush he used to use to clean his grill.“It’s a scary proposition having one of those lodged inside your stomach. It can cause abscesses, and cause infections, and it can cause people to die,” Hennecy says.And in July 2017, a boy in Canada was hurt when he swallowed wire fragments:Jenna Kuchik was kicking back after a July 4 [2017] barbecue with her fiance and three children when her 4-year-old son, Oliver Schenn, began to scream in pain.Terrified, Kuchik ran for the EpiPen. Oliver, whom Kuchik and her fiance, Matt Schenn, affectionately call Ollie, has a severe nut allergy. But the boy was not exhibiting any of symptoms of a reaction — only choking, screaming and crying.Twenty-four hours and two hospitals later, Ollie would emerge from surgery after doctors removed two tiny metal fibers from his esophagus. The culprit: the family’s wire barbecue brush.That outlet included some statistics about frequency, noting it was low but acute, and possibly underreported:Barbecue brushes have caused an estimated 1,698 emergency room visits from 2002 to 2014, according to a study published in 2016 in the journal Otolaryngology-Head and Neck Surgery. The rate of injuries is low when compared to similar emergencies, like children ingesting batteries, but the study’s lead, Dr. David Chang, associate professor at the University of Missouri’s department of otolaryngology, believes the data underrepresents the total volume of injuries. Urgent care clinics and primary care doctors likely see many similar cases that aren’t covered by the data in Chang’s study.A 2018 Consumer Reports article provided alternative methods of cleaning a grill without the ubiquitous wire brush:Consider alternative cleaning tools. Depending on what type of grill you have, you might try cleaning warm grill grates with a tool such as a pumice stone or a coil-shaped bristle-free brush. Check your owner’s manual for recommendations … You can also brush loose food particles off a warm grate with a wad of crumpled-up aluminum foil. Make sure grill grates are not hot enough to burn you.The claim about ingesting grill brush wires and requiring hospitalization represents a known but rare risk. Experts advise anyone who experiences symptoms like stomach pain after consuming grilled food to seek medical attention. Instead of using a wire grill brush, consumer safety advocates advise alternative grill cleaning methods, such as aluminum foil. Claim: People sometimes ingest metal fragments from grill brushes and become seriously injured.

Answer: Can Grill Brushes Cause You to Ingest Metal and Become Ill?


Question: Paragraph: The lawsuits were the latest by states and local governments against drugmaker Purdue Pharma as the country grapples with an opioid epidemic. About a dozen states have also targeted Richard Sackler, the company’s former leader, or members of his family. “Purdue and the Sacklers traded the health and well-being of Californians for profit and created an unprecedented national public health crisis in the process,” California Attorney General Xavier Becerra said at a news conference announcing the legal action by his state. “We will hold them accountable.” Becerra, echoing allegations lodged against Purdue Pharma by others attorneys general across the country, said the company falsely introduced OxyContin in the 1990s as a safe and effective treatment for chronic pain. However, the California’s lawsuit alleges that Purdue and Sackler knew in 1997 that drugs containing oxycodone, such as OxyContin, were widely abused. Still, company representatives marketed it as not being addictive and downplayed the potential for abuse, the suit states. In a statement Monday, Purdue Pharma and former directors of the company denied the allegations and vowed to defend against the “misleading attacks.” It noted that OxyContin represents less than 2% of total opioid prescriptions and is still approved by the U.S. Food and Drug Administration for its intended use as a painkiller as prescribed by doctors and dispensed by pharmacists. “Such allegations demand clear evidence linking the conduct alleged to the harm described,” spokesman Robert Josephson said in a statement. “But we believe the state fails to show such causation and offers little evidence to support its sweeping legal claims.” A spokesman for Sackler did not immediately respond to a request for comment. The family has faced a backlash in recent years amid a growing public outcry around opioid addiction. In addition, activists have targeted institutions, such as the Metropolitan Museum of Art, that the family has supported through large contributions. The museum has said it will no longer take money from members of the family linked to the drugmaker. Purdue stopped marketing OxyContin to doctors last year. It settled a lawsuit by the state of Oklahoma in March for $270 million. The company previously said it is pursuing several options, including bankruptcy, which could upend pending litigation by states as well as about 2,000 local and tribal governments across the country. The lawsuits filed Monday allege that Purdue Pharma pushed doctors to prescribe opioids for longer periods of time at higher doses. “Our complaint alleges that their unrelenting sales visits to doctors and deceptive practices led to a marked increase in opioid prescriptions, and a corresponding increase in the number of Mainers suffering from opioid use disorder,” Maine Attorney General Aaron M. Frey said. Maine’s lawsuit names Richard Sackler, Jonathan Sackler, Mortimer D.A. Sackler and Kathe Sackler — all of whom have served on the board of Stamford, Connecticut-based Purdue Pharma. States have also cracked down on doctors who overprescribe the drug. Hawaii Attorney General Clare Connors said in a statement Monday that she has filed lawsuits alleging violations of Hawaii’s Unfair and Deceptive Acts and Practices Law. One complaint alleges Purdue deceptively marketed OxyContin and other opioids. Another says manufacturers and distributors sold more opioids than could be “legitimately prescribed.” Meanwhile, the Centers for Disease Control and Prevention said opioids are the main driver of drug overdose deaths. Opioids were involved in 47,600 overdose deaths in the U.S. in 2017, according to the agency. In 2017, it says, prescription opioids were involved in 1,172 overdose deaths in California; 100 overdose deaths in Maine; and 58 in the District of Columbia. Maine set a state record for total drug overdose deaths in 2017 with 417. Jordan Basileu joined Becerra in announcing California’s lawsuit. He said he was prescribed opioid painkillers at 18 following a car crash and became addicted. “People think, ‘it’s from a doctor. How bad can it be?’” Basileu said of the drug. Basileu said he overdosed four times before getting sober three years ago. “I’m still cleaning up the mess that opioids got me in to,” he said. ___ Associated Press reporters Adam Beam and Caleb Jones contributed to this story. Jones reported from Honolulu. Claim: More states sue opioid maker alleging deceptive marketing.

Answer: California, Hawaii, Maine and the District of Columbia filed lawsuits Monday against the maker of OxyContin and the company’s former president, alleging the firm falsely promoted the drug by downplaying the risk of addiction while it emerged as one of the most widely abused opioids in the U.S.


Question: Paragraph: Use of such pills, which include Sanofi SA’s Ambien and other similar drugs, was significantly higher for those in their 50s as well as age 80 and older, according to the findings from the Centers for Disease Control and Prevention. Overall about 8.6 million people, or 4 percent of U.S. adults reported recently using sleep medication, CDC’s National Center for Health Statistics said in a report. But data showed higher use among middle-aged adults ages 50 to 59 and the elderly. Six percent of those ages 50 to 59 said they had taken a prescription sleep pill in the last 30 days, and 7 percent of those age 80 and older reported such use. In between, the numbers dip slightly below 6 percent for those in their 60s and 70s. In comparison, just 2 percent of those aged 20-39 said they had recently taken a sleep aid. CDC researcher Yinong Chong said people in their 50s could have trouble sleeping because of work and family stress. “It gives the picture of a sandwiched group who has family, not only children but also probably elderly parents but still you’re likely to be in the workforce, so you get squeezed at both ends in terms of family responsibility and job responsibility,” she said. Sleep may improve when people retire before potential chronic health problems kick in and begin interfering with sleep, Chong said, adding more study is needed. The data also showed that 5 percent of women surveyed said they had recently taken a sleep aid compared to about 3 percent of male respondents, according to CDC’s report. Chong said it was not clear why women were more likely to use the drugs. While previous data have tracked prescriptions dispensed for sleep aids, the CDC said its study is the first based on a survey of actual use of such drugs. Researchers for the Atlanta-based health agency’s National Center for Health Statistics questioned a sampling of adults age 20 and older about whether they had used prescription sleep aids within the last 30 days and asked participants to show interviewers the prescription medication. “You get how many people are actually using them,” Chong said in an interview, noting that prescription data could include multiple prescriptions for one patient or prescriptions that are never filled or even used. “This is actual use.”  Prescription sleep aids have become somewhat controversial because their effect can linger even after some patients wake up. The U.S. Food and Drug Administration has begun taking a closer look at sleep drugs, ordering lower-doses for Ambien and similar pills amid concerns that their active ingredient remained in patients’ blood the following morning at levels high enough to make driving and other activities dangerous. And just last month, the FDA rejected an experimental sleep drug from Merck & Co Inc, saying the proposed doses were not safe but that a lower-dose version might be acceptable. Not surprisingly, respondents to CDC’s study who said they slept five hours or less each night or those diagnosed with a sleep disorder were more likely to report using prescription aids. Additionally, more whites and people with higher levels of education also reported greater use, the agency said. Socioeconomic factors are likely behind those numbers, Chong said, since patients must be able to afford a doctor’s care and the medication. According to prescription data from IMS Health, Ambien and other versions of the drug zolpidem was ranked 15th among the most dispensed medications in the United States. Claim: Use of sleeping pills highest among older Americans: CDC.

Answer:
Older U.S. adults, particularly women, are more likely to use prescription sleep medications to try to get the minimum seven hours of sleep experts generally recommend, U.S. data released on Thursday showed.