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.

Input: Consider Input: This release doesn’t discuss costs in its comparison of influenza shots versus nasal sprays, although both modes of immunization have been around for a long while and the costs for both are easily known. While flu immunizations are often free through public health clinics and such, some people receive their immunizations from their family physicians and carry a specific cost. Knowing the difference in costs between the two types is useful information both for people and public health officials. The release reports similar rates of vaccine uptake for intranasal vaccine and standard flu shots. But it does not quantify benefits for the main outcome of the study, that is, rates of influenza in communities vaccinated with nasal vs injected vaccine over the course of the study. These rates were statistically no different: 5.2% for the standard vs 5.3% for the nasal vaccine. This release makes no mention of possible harms that my follow the use of either the influenza vaccine injections or nasal spray, even though there are well-known restrictions on whom should and should not receive the nasal spray, and potential negative reactions to the injections among some people. The release points out that the study was the “first blinded randomized controlled trial” done in children within largely closed communities and it found similar efficacy in using the two modes of immunization. However, we do wish the release had addressed limitations, as well as some of the complexity of making these results generalizable to a larger population, as we saw with NPR’s take on the news. While media attention is routinely heightened leading up to and during flu season, this release does not appear to reach the level of disease mongering. The release does identify the chief funder of the study, the Canadian Institutes for Health Research, although it offers no information on possible conflicts of interest among any of the researchers. The abstract of the study does state that two of the researchers do have links to pharmaceutical firms, but not in relation this study. Since the study looked a two forms of influenza vaccine administration, it obviously addresses the question of comparing alternatives. Both forms of immunization — shots and nasal spray — have been around for some time, their availability is widely known, earning the release a Satisfactory in this category. The release makes clear that the novelty of this study is its ability to examine both indirect effects of vaccination on the community as well as direct effects for persons receiving the vaccine. The release does not use any unjustifiable language.

Output: Flu nasal spray provides similar protection against influenza as flu shot: Study


Input: Consider Input: The University of Kansas will have what it says is the smallest four-year medical education site in the country when eight students begin taking classes on Monday on a satellite campus in Salina, Kansas. The move is in response to a shortage of rural doctors in the United States. “By training physicians in a nonmetropolitan area, we are showing young medical students that life can be good, and practice can be stimulating, outside of the big city,” said Dr. William Cathcart-Rake, the physician who directs the University of Kansas School of Medicine-Salina. Students will get some course work via tele-video and podcasts from the school’s other campuses, but they will also train through visits to doctors’ offices in small communities and at the hospital in Salina, school officials said. “It’s a bold and innovative move,” said Dr. Roland Goertz, president of the American Academy of Family Physicians. He said students at rural clinics will be exposed to a potential medical career they wouldn’t see in urban hospital settings. Cathcart-Rake said six of the eight students being taught at Salina, as part of their scholarships, have committed to practicing in a rural area. Seven of the eight students are from rural areas to begin with, he said. “They see the value of living in wide open spaces and going back to where their friends are,” Cathcart-Rake said. Attending medical school in a place such as Salina reduces chances they will change their minds, which could happen if they went to a big-city school, he said. Salina, with 46,000 residents, is about 175 miles west of the Kansas City metropolitan region where the university’s main medical school is located. Small-town America has become increasingly under-served by doctors. About 21 percent of U.S. residents live in rural regions but only about 10 percent of physicians practice there, according to data cited by the family physicians group. In Kansas, 12 counties don’t have a full-time doctor at all, said Barbara Atkinson, executive dean of the University of Kansas School of Medicine. Several factors are often cited for a shortage of rural doctors. Rural doctors tend to be paid less, partly because they are more likely to treat patients on Medicare and Medicaid, which reimburses at rates below standard insurance. General practitioners make up the largest share of rural doctors, but until recent years fewer medical students were going into general medicine, putting a strain on rural care. Older doctors who practice in small towns and retire are sometimes not replaced because younger doctors may prefer the greater cultural amenities urban regions tend to offer. Recent changes in federal healthcare laws are intended to make rural practice more acceptable to doctors. Doctors who practice in certain underserved areas will get bonuses beyond the 10 percent boost in Medicare reimbursements they were already receiving, Goertz said. He said another reason why there are fewer rural doctors is that the large majority of medical students come from urban areas, where medical schools are usually located, making them less like to consider rural medicine. “You tend to gravitate to where you grew up,” Goertz said. Cathcart-Rake is optimistic that the Salina medical school will be a success and that in future years admissions may grow from eight to 12 students.

Output: Rural doctor shortage prompts opening of medical school.


Input: Consider Input: Democratic Gov. Jared Polis’ order on Thursday came as new state data suggest Colorado ranks near the bottom for immunization rates among U.S. states. It also comes amid a national resurgence of measles that has affected more than 1,000 people, according to the U.S. Centers for Disease Control and Prevention. Some 87.4% of Colorado kindergarten students had vaccinations for measles, mumps and rubella in the 2018-19 school year, down 1.3% from the previous year, according to the state Department of Public Health and Environment. For highly-contagious measles, the CDC recommends a 92% threshold to maintain herd immunity. More than 9,400 children were hospitalized or treated at emergency rooms for vaccine-preventable diseases in 2017, the state Department of Public Health and Environment says. The state needs to better inform residents about the benefits of vaccines, make parents aware of low-cost vaccination programs, seek out underserved residents and develop a strategy to confront an anti-vaccination movement that contends some shots are unsafe despite overwhelming evidence to the contrary, said Tony Cappello, director of the department’s Disease Control and Environmental Epidemiology division. “We need to provide fact-based information to parents so they can make educated, informed decisions,” Cappello told a news conference at Children’s Hospital Colorado in Denver. “This means dispelling misinformation about vaccinations and having correct information in the hands of parents,” he said. Polis’ order focuses on the education and information front. It calls for state officials to work more closely with local health specialists to promote vaccination; studying the reasons for what the governor calls “vaccine hesitancy” among parents, and developing information strategies to address those concerns; and helping families on Medicaid and residents in rural and other underserved areas gain access to and pay for recommended vaccines. The state allows parents to opt out of required school vaccinations for medical, religious and philosophical reasons. Polis, who’s described himself as a libertarian Democrat, stressed Thursday he won’t change that policy. “We believe that Colorado families should be making their own health care decisions,” he said. “We really view this as the third way between the government forcing people to get shots, which is counterproductive, and simply allowing these rates to go down, which is counterproductive to the public health and results in people dying.” This spring, hundreds of parents, their children in tow, swarmed the state Capitol to oppose a bill that would have made it harder to qualify for religious or personal exemptions. The bill stalled in the Legislature. Lawmakers in Oregon, which has one of the highest rates of unvaccinated kindergartners in the country, also killed a bill this year to make it harder for families to opt out. But next-door Washington state ended most exemptions for the measles vaccine. Maine eliminated religious and philosophical exemptions, and New York legislators were poised Thursday to eliminate a religious exemption.


Output: Polis seeks to boost child vaccinations, respect exemptions.