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.

Input: Consider Input: Paragraph: Since Nov. 1, South Carolina has recorded 86 reported cases of the contagious disease. State Epidemiologist Linda Bell said Monday that’s more than four times what state officials normally expect to see. Over the last 10 years, South Carolina averaged 19 reported cases of hepatitis A annually. Most of the new cases have occurred in Aiken County, and almost half of all cases involve individuals who reported drug use, Bell said. Still, the general population needn’t be overly concerned, she said. “But we are seeing cases higher that what we expect to see,” Bell said. “And so it’s important for us to do our prevention efforts early to reach those high-risk groups, get them vaccinated ... so that we can prevent” a severe outbreak. The State reports the Department of Health and Environmental Control is offering no-cost vaccines to high risk groups including drug users, homeless, formerly incarcerated and sexually-active gay men. Additionally, health officials recommend all children get two doses of the vaccine as part of their immunization schedule. Of the 86 reported cases in South Carolina, 59 have led to hospitalization and one resulted in death, the DHEC said. Hepatitis is a disease characterized by inflammation of the liver. It comes in many forms, including hepatitis A, B and C. As a result, individuals with chronic liver disease, like cirrhosis, are at increased risk of complications if infected and should be vaccinated. The virus-borne infection can be prevented by vaccination and is usually transmitted person-to-person through consumption of contaminated food or water, according to the U.S. Centers for Disease Control and Prevention. Antibodies produced in response to hepatitis A infection last for life and protect against reinfection. Infection usually results in sickness in two to six weeks after exposure. Symptoms include fatigue, loss of appetite, stomach pain, nausea, and yellowing of the eyes and skin. Symptoms usually resolve within two months of infection, according to the CDC. State public health officials in February declared an outbreak in Aiken County after an employee at a second restaurant in Aiken tested positive for the virus, the DHEC said. Bell, though, stressed transmission by food or beverage is uncommon. “Most transmission in the United States is through person-to-person contact,” Bell said. “Good hygiene - diligently washing your hands - is a good way to prevent hepatitis A, as well as not sharing personal items,” including drug equipment, she said, adding the state has received reports of hepatitis A from people using various drugs, “everything from marijuana to meth.” Residents can schedule an appointment for a vaccination at their local health department by calling 855-472-3432 or going to http://bit.ly/2HhEsM8 . ___ Information from: The State, http://www.thestate.com Claim: South Carolina declares hepatitis outbreak.

Output: What began as a spike in reported hepatitis A cases in Aiken County has now spread to other parts of South Carolina, prompting public health officials to declare a statewide outbreak.


Input: Consider Input: Paragraph: Xuzhou, around 400 miles (640 kilometers) from Beijing, is implementing an “orange alert” pollution control program aimed at “ensuring air quality during the National Day period”, according to a notice reviewed by Reuters and authenticated by industry sources. China’s environment ministry warned on Monday that “unfavorable” weather conditions would lead to a prolonged and widespread outbreak of smog stretching along the eastern coast for around two weeks, and urged local governments throughout affected regions to take swift action. The smog has already forced Beijing and surrounding cities to implement special restrictions on heavy industries, including steel, power and cement, in order to ensure skies remain clear during the Chinese capital’s 70th anniversary parade on Oct. 1. Beijing’s environment bureau said on Wednesday that it had also issued an orange alert, the second highest in a four-tier pollution alarm system, lasting from Thursday until further notice. It will curtail production and restrict traffic. Xuzhou, home to more than a dozen steel firms, started restricting steel output on Wednesday, and will close down all production from Thursday evening. Coking coal producers will also be subject to controls. Restrictions will be placed on freight vehicle deliveries in major industries and on straw burning in rural districts. The city will also work to source its electricity from cleaner and efficient sources over the next few days. In smog-prone Anyang, another major steel producing city in central China’s Henan province, authorities have implemented “red alert” pollution control measures that started on Wednesday, imposing tougher restrictions on industry and transportation. According to a government notice circulated by traders and the local media, Anyang ordered small, independent sintering plants to close on Wednesday, and will shut down all steel production from Thursday evening. Anyang was one of China’s most polluted cities last winter, with concentrations of PM2.5 up 27% over the period. It is located near the Taihang mountain range, which the environment ministry said is currently trapping emissions and channeling them towards Beijing. Claim: China extends pollution curbs ahead of National Day celebrations.

Output: The heavy industrial city of Xuzhou in the eastern Chinese province of Jiangsu will shut local factories on Thursday as part of efforts to reduce smog ahead of the country’s National Day celebrations next week, the local government said.


Input: Consider Input: Paragraph: Dr. Li Wenliang’s death underlined the dangers health workers have faced in similar epidemics, including SARS and Ebola. On Dec. 3, Li wrote on his social media account that he saw a test sample suggesting the presence of a coronavirus similar to SARS. In early January, the 34-year-old eye doctor was visited by police who forced him to sign a statement admitting to having spread falsehoods. Within days, he developed a cough and fever, began having trouble breathing and was hospitalized. His death was confirmed Friday, prompting a deluge of messages of mourning and outrage at how he was treated. The death was an all-too-familiar occurrence, said Dr. Michael Ryan, head of the World Health Organization’s health emergencies program. “We’re very sorry to hear the loss of any health care worker that’s attempted to care for patients,” Ryan said Friday. “We have suffered similar losses like the death of Carlo Urbani during SARS.”  In 2003, Urbani was an Italian doctor at the U.N. health agency’s Hanoi office and investigated the unusual case of a patient suffering respiratory symptoms in a private hospital. Urbani treated patients, took samples and worked to improve infection control policies in Hanoi. Weeks later, he died of the same disease — severe acute respiratory syndrome — in a Bangkok hospital. Doctors working at the early stages of any new outbreak are particularly vulnerable, said Dr. Bharat Pankhania, a University of Exeter infectious disease expert. “At the beginning, doctors are just not aware of what kind of behaviors may be dangerous,” he said. When Li was exposed to the new virus, “he didn’t know an outbreak was already underway and what precautions he should take,” Pankhania said. Doctors and nurses also were infected in the early stages of multiple Ebola outbreaks, before the lethal disease was recognized and proper infection control policies were implemented. “It’s just bad timing,” Pankhania said. “Doctors get infected because they are in the wrong place at the wrong time.” Among people infected in the current outbreak, 82% have suffered only mild disease, WHO estimated. Fatal cases have been most common in people aged over 60 and those with other health problems, like diabetes or high blood pressure. Fewer than 2% have died, according to the latest figures. Li, however, may have been at risk for a more serious illness because he was treating patients before he knew to take any precautions, doctors said. He also may have been exposed to an especially large dose, given that eye doctors tend to work close to patients’ faces. A study published Friday in the Journal of the American Medical Association underscored the dangers faced by health care workers. The report detailed illnesses in 138 people treated at Zhongnan Hospital in Wuhan, including 40 hospital workers believed to have become infected on the job. More than 10 of them were presumed to have been infected by a single patient who was admitted to the surgical ward with abdominal symptoms. Patients also apparently infected other patients, the researchers said. The patients were all adults, adding to evidence that suggests cases in children are rare. On Friday, WHO warned that increased demand for masks and other protective equipment might further jeopardize health workers responding to the outbreak. WHO’s director-general, Tedros Adhanom Ghebreyesus, noted that prices have skyrocketed and that there were insufficient quantities of masks and respirators to meet the demands of WHO and its partners. The problem has been exacerbated by inappropriate use of equipment such as masks, gloves and gowns, he said. “We need to make sure we get it to the people who need it the most,” he said. “Our first priority is health workers.” ___ Jamey Keaten in Geneva and Lindsey Tanner in Chicago contributed to this report. ___ The Associated Press Health and Science Department receives support  from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. Claim: Doctor’s death highlights dangers on front lines of outbreak.


Output: The death of a doctor who issued an early warning about the new virus in China represents a grim reminder that the first health care workers to recognize new outbreaks are sometimes among their earliest victims.