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.

Dr. Nelson Teich, an oncologist and health care consultant, took the job April 17 faced with the task of aligning the ministry’s actions with the president’s view that Brazil’s economy must not be destroyed by restrictions to control spread of the virus. Teich’s predecessor, Luiz Henrique Mandetta, also had rejected the use of chloroquine, which also had been touted by U.S. President Donald Trump as a treatment. Four government ministers who spoke after Teich’s resignation defended the idea of patients being allowed to use the drug if they want to, including Economy Minister Paulo Guedes and the Cabinet chief of staff, Gen. Walter Braga Netto. Officials say almost 15,000 people have died in Brazil from COVID-19, the disease caused by the coronavirus, though some experts say the figure is significantly higher due to insufficient testing. The peak of the crisis has yet to hit Latin America’s largest nation, experts say. Gen. Eduardo Pazuello, who had no health experience until he became the Health Ministry’s No. 2 official in April, will be the interim minister until Bolsonaro chooses a replacement. Brazilian media have said that Teich’s ability to do his job had been weakened by the appointment of dozens of military personnel to jobs in the ministry. “Life is made up of choices and today I decided to leave,” Teich told journalists in capital Brasilia. He did not explain why he left the job and refused to answer questions. Braga Netto, the Cabinet chief, said Teich left the job “for personal reasons.” Bolsonaro did not comment. Teich’s resignation came one day after Bolsonaro told business leaders in a videoconference he would ease rules for using chloroquine to treat people infected with the coronavirus. Teich has frequently called use of the drug “an uncertainty,” and this week warned of its side effects. The Health Ministry previously allowed chloroquine to be used in coronavirus cases only for patients hospitalized in serious condition. At Bolsonaro’s urging, the country’s Army Chemical and Pharmaceutical Laboratory boosted chloroquine production in late March. Researchers last month reported no benefit in a large analysis of the drug or a related substance, hydroxychloroquine, in U.S. hospitals for veterans. Last month, scientists in Brazil stopped part of a study of chloroquine after heart rhythm problems developed in one quarter of people given the higher of two doses being tested. Governors who have recommended quarantine measures and refrained from touting the drug’s unproven potential said Teich’s resignation reflects Bolsonaro’s failure to manage the pandemic. Rio de Janeiro Gov. Wilson Witzel, a former ally of Bolsonaro, said “no one can do serious work with interference in ministries.” “That is why governors and mayors need to lead the pandemic crisis, and not you, Mr. President,” Witzel said on Twitter. The governor of Ceara, one of Brazil’s most hard-hit states, said Teich’s exit “brings enormous insecurity and concern.” “It is unacceptable that in the face of this serious health crisis, the focus of the government is still on political and ideological discussions. That is an affront to the nation,” Camilo Santana said. On April 16, Bolsonaro fired Teich’s predecessor, Mandetta, who had become the embodiment of challenges to the president’s opposition to governors’ quarantine recommendations and restrictions on businesses. Bolsonaro was eager to resume economic activity and warned failure to do so would cause Brazil to descend into “chaos”. Teich took office pledging to balance health care concerns and the president’s economic worries. He did not openly challenge the president’s views, but did defend stay-at-home measures. Miguel Lago, executive director of Brazil’s non-profit Institute for Health Policy Studies, which advises public health officials, said Teich wasn’t able to build his own team, didn’t have Mandetta’s political strength and wasn’t willing to violate the scientific recommendations. “He clearly had limitations,” Lago said. “He would not challenge what has been consensus among the scientific community. He would never accept the chloroquine thing that Bolsonaro wanted him to do, to recommend publicly that chloroquine was a remedy to be used in the public health system.”  Hours after Teich left the job, the Health Ministry began listing figures on chloroquine distribution as part of its main charts about government initiatives against the pandemic, alongside intensive care unit beds, personal protection equipment, tests and flu vaccines. Risk consultancy Eurasia Group analyst Filipe Gruppelli Carvalho said that the Health Ministry’s capacity for ”an effective coordinating role looks to have dropped with Mandetta’s exit,” . “Ultimately, Teich’s dismissal reinforces our view of increasing risks from the government’s poor response to the pandemic, which could contribute to a weaker presidency and decline in support for Bolsonaro in the post-pandemic phase,” he said. The newspaper Folha de S.Paulo published an editorial after Teich’s exit saying Bolsonaro is trying to “put his own survival above state policies and national interest.” “The resignation of another health minister — in less than a month and during the most serious sanitary emergency of contemporary history — exposes the downfall of a president that doesnt’t even pretend to govern the country,” the newspaper said. “As if the economic and sanitary calamities were not enough, he turned himself into a crisis to be faced.” After Teich’s resignation was announced, pot-banging protests were heard in different regions of Sao Paulo and Rio de Janeiro. _____ Associated Press writers David Biller and Diane Jeantet in Rio de Janeiro contributed to this report.
Brazil’s health minister resigns after one month on the job.

The 40-year-old woman had traveled nearly 500 kilometers (289 miles) from Beni, despite having been identified by health officials as having been exposed to Ebola and warned not to travel. Her case was confirmed in Ariwara, Congo, about 70 kilometers (43 miles) from the border with South Sudan’s Yei River State, according to a report from South Sudan’s health ministry that was viewed Tuesday by The Associated Press. It is the closest confirmed case to South Sudan since the outbreak began in Congo last August, according to an official with close knowledge of the outbreak who spoke on condition of anonymity as they were not authorized to speak on the record. People who have come into contact with Ebola patients are supposed to be monitored for 21 days, the incubation period during which symptoms can emerge after exposure. Long-distance travel, particularly to regions bordering other vulnerable countries, is not recommended. More than 1,500 people have died in Congo since the epidemic began, and two other fatal cases were reported in Uganda after a family sickened in Congo returned home across the border. While no other fatalities have emerged since the scare, fears remain high that Ebola could spread through the impoverished region where people are often mobile and difficult to trace. While authorities in South Sudan have been preparing for possible spread of Ebola case across the border, the country still remains far less prepared than Uganda. A five-year civil war in South Sudan has killed nearly 400,000 people and the health system is weak. Contact tracing is critical to stopping the disease’s spread, but those efforts in South Sudan would be complicated by the fact more than 4 million people have been displaced by the war. Medical facilities, which were already far more basic than those in Congo or Uganda, have been further weakened during the conflict. The outbreak is now the second deadliest in history, surpassed only by the 2014-2016 epidemic in West Africa that caused more than 11,300 deaths. While there is an experimental vaccine that has shown a high level of protection, efforts to vaccinate people in eastern Congo have been complicated by instability. The region where the outbreak began has been plagued for decades by violence from rebel groups and armed militias. The population remains highly distrustful of the Congolese government and the health authorities now trying to fight the disease. Major international health charities have had to curtail their work following deadly attacks on treatment centers and assaults on health teams in the field. ___ Mednick reported from Bujumbura, Burundi. ___ Follow Africa news at https://twitter.com/AP_Africa
Ebola case reported not far from South Sudan border.

But during her 16 years as a librarian on New York’s Long Island, Narkiewicz has also faced a man threatening to kill her and a patron screaming while cutting her own hair in the bathroom. For her job, Narkiewicz has been trained in CPR and mental health crisis response and carries the opioid overdose antidote naloxone with her. As libraries nationwide contend with a surge in patrons seeking refuge in the stacks because of poverty, drug addiction or mental illness, a growing number of institutions have social workers on staff. It’s the latest step in an evolution that libraries have been dealing with for years as homelessness and the opioid crisis reach emergency levels and patrons have come to rely on libraries as free, safe spaces open to all. Though homelessness has seen some declines in the U.S. since the recession, it has surged in cities like Seattle, where a homelessness state of emergency and a spike in questions from library patrons about things like housing, transportation and food led the public library system to hire its first full-time social worker in 2018. Other libraries, unable to afford such a step, have trained librarians to handle certain emergencies themselves. That’s caused some debate among library workers about whether they’re being asked to adapt to an evolving job or to do work that goes too far beyond their expertise. “I can get you a phone number, I can get you a book you want ... but when you’re dealing with mental health issues, I don’t feel appropriately trained for it,” Narkiewicz said. A few master’s degree programs for aspiring librarians have classes on mental health, but most don’t. To help fill in the gaps, an estimated 40-plus library systems have full-time social workers on staff, according to Whole Person Librarianship, an organization that tracks such partnerships. At the Queens Public Library in New York City, resident social worker Shantel Johnson oversees a team of library case managers, but she’s also available to help librarians communicate with struggling patrons, connect visitors to services or just listen to people. “They’ll open up to staff, and staff is doing 14 different things,” Johnson said. She says she regularly helps patrons who are homeless, experiencing abuse or having trouble applying for jobs. The Queens Public Library also started stationing New York University social work interns in some branches last year, as does the New York Public Library, which got its first interns two years ago. Library patron Sofia Ciniglio was meeting twice weekly with an intern at a Manhattan branch last year for career advice. But their conversations eventually involved her family, feelings and personal life. The intern introduced Ciniglio to a library where she could learn Braille, which she’d been curious about. “She was very much a good listener, very attentive, and she knew who I was and the nuances of how I go about things,” Ciniglio said. The NYPL’s librarians, meanwhile, are trained to de-escalate conflicts but aren’t asked to do more in-depth mental health crisis training. Spokeswoman Amy Geduldig notes that the library “is not a social services organization, and its staff are not medical or mental health professionals.” The NYPL, the nation’s busiest library system, still hasn’t hired a full-time licensed social worker, though Brooklyn did in 2015 and Queens did in 2018. In some libraries without professional social work help, employees are being asked to take on new tasks. At the San Diego Public Library, a state library grant has funded employee trainings in mental health first aid since 2016. Librarian Joseph Miesner says the training helped him personally when he came across a suicidal patron. In small town Titusville, Pennsylvania, library director Justin Hoenke recently agreed with his library’s board that all staffers should be trained to administer naloxone if needed. “This is a new requirement of the job,” Hoenke said. “If they’re not comfortable with it, they kind of have to reevaluate their life and their job. You have to change with the times.” Fobazi Ettarh doesn’t see it that way. An academic librarian at Rutgers University in Newark, she says too many expectations can distract librarians from their work, and she personally wouldn’t feel comfortable as a first responder to an overdose. “It would just be a lot for my mental health,” she said. Research suggests other librarians feel the same way. A 2018 survey of librarians in Pennsylvania found many reported they already felt stressed from trying to answer questions from patrons about mental health and social services, even without handling acute emergencies in the library. Meanwhile, some librarians, like Amanda Oliver, have begged in vain for more preparation. Oliver said she quit her public library job in Washington when she asked supervisors for more training and “was largely ignored.” District of Columbia Public Library Executive Director Richard Reyes-Gavilan says Oliver’s branch offered at least two trainings related to mental health during her tenure, but the library is also “committed to doing even more” to support staff. Despite fraught encounters with people in crisis, Narkiewicz, who works part time right now, still hopes to find a full-time job in the library field. “Some days are really difficult. Some days are amazing and terrific,” she says. “It’s quite an eye-opening, but an amazing, wonderful career.”

Librarians facing new tasks say crisis isn’t in the catalog.