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.

Q: Paragraph: There’s no discussion of cost, even to mention that statins are relatively inexpensive these days and are mostly generically available. To its credit, the article does mention the cost of a calcium scan. We learn that “anywhere from 50 to 200 healthy people need to take a statin daily to prevent a single heart attack for five years.” That’s helpful information. It also notes that the observed benefit is less for older patients. The story could have added that even those numbers might disputed by some experts who perceive no meaningful benefit. For example, one review found being on a statin does not help people with low risk for heart disease live longer. The story does a service by highlighting the harms of statins. It explains: “The most common side effect of these drugs is muscle pain, which usually goes away if patients stop taking the medicines. People taking statins are also at a higher risk of developing diabetes, which is harder to reverse.” It also mentions the potential for overtreatment with the use of coronary calcium scans. However, we wish it had included absolute numbers. The story says harms are “uncommon,” but provides no data to back that up. Rates of adverse effects with statins have been measured at 1 to 10%, which makes them “common” in the definition of the European Medicines Agency. Also noteworthy is that some contend that adverse effects of statins have not been reliably reported. The story doesn’t explain the quality of the study, or of studies on which current guidelines are based. We don’t explicitly learn that this is a modelling study. In other words, this study consisted mostly of reinterpretations of math, not re-evaluations of real-life patients. The researchers said they were unable to obtain enough data on all possible harms and age-specific data on some harm outcomes, “so the risk thresholds we determined may still be too low.” There is no disease-mongering here. This story includes sources that weren’t involved in the study. The study’s authors reported no conflicts of interest. The story could have acknowledged the influence of pharmaceutical companies in creating guidelines for statin use. The alternative of not taking a statin was the key message here, and that’s laudable. However, we have a couple of concerns. First, we learn that “some statins were more effective than others, with atorvastatin (the generic name for Lipitor) being the best of the bunch.”  However, the story doesn’t explain on what basis some statins are “more effective.” In fact, some statins may be more effective at lower cholesterol, but the study found that no statin rises above others when it comes to the outcomes that counts most to patients — reducing cardiovascular deaths. Also, the story doesn’t mention lifestyle interventions — diet and exercise. The story makes it clear that statins are widely prescribed. The story states this an attempt to better weigh the benefits and harms of statin use. There was a good range of interviewees with no reliance on a news release Claim: Before Starting A Statin, Talk It Over With Your Doctor

A: The story reports on a study that re-assessed who benefits from taking a statin to prevent heart disease, with different risk thresholds based on sex, age group, and statin type. It reports the view that current guidelines “haven’t adequately considered” the harms from taking these widely used drugs. The story laudably focuses attention on potential adverse events and a need for balanced decision-making. It also incorporated a variety of sources. In our view, the story could done a better job in discussing costs, the quality of evidence, and alternative strategies to prevent heart disease. Statins are among the most widely prescribed drugs, with their use encouraged under guidelines such as those of the American Heart Association of the American College of Cardiology. However, data isn’t crystal clear on the benefits and harms of statins for people who don’t already have heart disease. As a result, there’s concern that they are being overused. It’s laudable that some news organizations — including CNN as well as NPR — highlighted research that explores these complexities and points out the need for patients and physicians to weigh benefits and harms. The headline of this story is, in our view, a winner.
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Q: Paragraph: The U.S. Forest Service’s draft risk assessment suggests that even in a best-case scenario — with social distancing followed and plenty of tests and protective equipment available — nearly two dozen firefighters could be infected with COVID-19 at a camp with hundreds of people who come in to combat a fire that burns for months. The worst-case scenario? More than 1,000 infections. “The Forest Service is diligently working with partners to assess the risk that COVID-19 presents for the 2020 fire season,” the agency said in a statement Wednesday. “It is important to understand that the figures in this report are not predictions, but rather, model possible scenarios.” The Forest Service said the document was outdated and being redone, and the newest version wasn’t yet ready to share. The AP obtained the draft from an official who has access to it and didn’t want to be named. One of the authors of the risk assessment said Tuesday that in the new version, the infection rates remain the same. But while the draft originally said the death rate among infected firefighters could reach as high as 6%, that is being revised sharply downward, to less than 2%, to reflect newer data, said Jude Bayham, an assistant professor in the Department of Agricultural and Resource Economics at Colorado State University. He said the initial death rate was based on data from early in the pandemic, when testing was far more limited. Based on new data, firefighters — who are largely healthy and young — will likely fare far better if they contract COVID-19 than the general population, he said. For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially people who are older or have health problems, it can cause more severe illness, including pneumonia and death. Federal guidelines released last week reimagine how to combat wildfires to reduce the risk of firefighters getting the virus. The guidelines urge fire managers to use small crews that can have the close contact that firefighting and travel often require, while staying away from other groups. The guidelines recommend avoiding the traditional large camps and relying on military-issue ready-to-eat or bagged meals instead of catered buffet-style meals at campsites. Some fire managers also are told to take temperatures with their own touchless thermometers if possible. The guidelines say everyone should wear masks and other protective equipment when around those outside their immediate crew. Good cleaning and sanitation is recommended, as is isolating firefighters and potentially entire crews if COVID-19 is detected. A review of incident reports from wildfires so far this year show the guidelines are difficult, and sometimes impossible, to follow and could actually increase some risks to firefighters. “We have developed pinch-points that cause operational lapses in guidance that may very well get confused with policy and doctrine. This situation could result in injury — or even unwanted death — of our multiagency employees,” Greg Juvan, a fire management officer with the Idaho Panhandle National Forests, wrote in a report from a small wildfire last month. Social distancing was difficult, and firefighters found it unrealistic to meet sanitation standards for truck radios, hand tools and other gear used in the initial attack on the Idaho wildfire, Juvan said. Social distancing guidelines call for more vehicles to transport crews, but that led to congestion on the narrow roads leading to the fire. The guidelines could raise one of the greatest risks to wildland firefighters — traffic wrecks, Juvan said. Even something as basic as sanitizing vehicles proved problematic, with cleaning supplies difficult to find, the report said. In New Mexico, several agencies responded to a small wildfire last month, with some not practicing social distancing and other virus policies appearing to vary greatly, George Allalunis, a Carson National Forest engine captain, wrote in a report. For the Forest Service’s draft risk assessment, researchers created scenarios using three actual fires from 2017 and applied disease modeling. They found testing every firefighter before they started work reduced the coronavirus risk most significantly for short, high-intensity wildfires, said Bayham, the professor. But for longer, drawn-out firefights, initial testing was less important than keeping firefighters spread out in small campsites. The models showed that even with strict pre-work testing and social distancing, about 21 COVID-19 infections could be expected in a large camp like that used for a 2017 fire in Montana. In the worst-case scenario, more than 1,000 firefighters would be infected. The problem could compound as fire crews are sent to new locations over the monthslong fire season, which has largely begun. The risk assessment will be updated throughout the season, the Forest Service said. The American West could see higher-than-normal levels of wildfire this year because of drought. Claim: US report indicates broad risk of COVID-19 at wildfire camps.

A: Outbreaks of the coronavirus could sweep through large camps where crews typically stay as they fight wildfires across the U.S., according to a federal document obtained by The Associated Press, and the problem is likely to get worse the longer the fire season lasts.
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Q: Paragraph: Modi has repeatedly called for greater use of India’s health remedies and exercises, part of a push to promote traditional learning. During his first address at the United Nations in September, he encouraged more people to take up yoga and called for an International Yoga Day. “This is our system and it has not received enough prominence. We will take it to the masses,” said Shripad Naik, who took charge of the ministry on Tuesday. The formation of the ministry comes days after the government unveiled plans to set up a regulator for traditional drugs. India wants to expand its presence in the estimated $100 billion global market for alternative medicine. Ayurvedic and other types of traditional medicine, called unani and siddha, are popular in smaller towns, and yoga has a huge following across India and in the West. Homeopathy also finds wide acceptance in India. Use of traditional medicines is also promoted by country’s most popular yoga guru, Swami Ramdev. He sells ayurvedic medicines and holds yoga camps attended by thousands in India and abroad. But critics often question the effectiveness of traditional remedies over modern medicine. Modi said on Sunday ayurveda and mainstream drugs were not mutually exclusive. “There is a need for larger awareness in ayurveda. It can’t be limited to a doctor only. Our ancestors made good health a part of life,” he said. The success of the new ministry would depend on additional budgetary allocation, a government official told Reuters. The government allocated 10.69 billion rupees ($174 million) to develop and promote traditional health systems in the 2014-15 financial year. “We have not got the attention ... We are looking for a steep rise in our funding for next year,” said the official, who declined to be identified because of the sensitivity of the matter. Claim: India gets minister for yoga and traditional medicine.

A:
India has set up a ministry to promote alternative therapies such as yoga and traditional ayurveda medicine, as Prime Minister Narendra Modi embarks on a mission to raise awareness and the appeal of home-grown health treatments.
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