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.

Ex Input:
Paragraph: There was no mention of the potential costs of screening women for vitamin D levels (as encouraged in the release in a statement from the principal investigator) or the cost of supplementation. The release does a good job of comparing data and providing explanations for the measurements used. We’ll award a Satisfactory for that precision, but as noted below under “Evidence,” there was no explicit caution regarding the fact that measurements of interleukin-6 (IL-6) are only surrogates for the effects of weight loss and vitamin D on clinical outcomes related to inflammation (e.g. cancer diagnoses). IL-6 levels dropped in both the placebo and vitamin D arms, and it’s not clear whether the statistically significant additional decline in IL-6 observed in the vitamin D group is clinically important. Because some of the participants were vitamin D-deficient and the dose of vitamin D provided was modest (2000 IU/d), this was a tough call. But supplementation is often so misunderstood, overhyped and oversold that some statement cautioning readers to pay attention to the specifics of this study and not apply its recommendations to everyone seems prudent. For the most part, the release provides a cautious and accurate description of what appears to be a well-conducted clinical trial in a well-defined population. For example, it notes that weight loss and vitamin D lowered inflammation LINKED to cancer — not that these things reduced cancer risk itself (something this study couldn’t establish). But as noted above, we would have appreciated an explicit acknowledgment that IL-6 is a surrogate marker for the clinical outcomes that people care about. And more importantly, we’re concerned about the closing comment that women should talk to their doctors about measuring their vitamin D levels to determine the most appropriate dose. The problem is there is no evidence supporting screening or treating to a level — and certainly not from this study. The US Preventive Services Task Force has concluded that evidence is insufficient to recommend routine vitamin D screening and the IOM has said that while there are data supporting the benefits of vitamin D supplementation with bone health and fall prevention, there is no evidence supporting benefits for cancer. While testing may be warranted in those with signs or symptoms of clinical deficiency, the statement made here implies that everyone should be tested so that an appropriate dose of vitamin D can be selected. That goes beyond the available evidence. It’s hard to argue that overweight, vitamin deficiency, chronic inflammation and cancer are not real threats, so no mongering apparent here. Funding sources are well documented. The study didn’t discuss alternative preventive measures or genetic causes of increased cancer risks. But this is such a broad and expansive topic that we don’t think the release should have been expected to address those myriad issues. We’ll rate this Not Applicable. Primary care physicians and other health providers are well positioned to monitor blood levels of vitamin D, along with dietary and exercise regimens. The news release makes that clear, albeit indirectly. As noted above, we think the release goes too far in suggesting that people ask their doctors about having their vitamin D levels checked. But we’ve already docked points for that, so we’ll award a Satisfactory rating here. The release makes a case for this being the first clinical trial of its kind; although it’s always difficult to make that statement absolutely, the writer of the release attributes the statement to the study author. As a general rule, it’s probably best to say “believed to be the first.”  While the release meets our standard here, we also wish it had delved a bit into the background of previous vitamin D research and the conflicting and confusing messages that research has generated. Without that context, the typical reader might wrongly jump to the conclusion, based on the wording of the lede and other parts of the release, that this study of vitamin D supplementation — because it was a controlled clinical trial — has somehow settled the important questions about the role of vitamin D and inflammation in cancer risk. The debate remains alive and well. None detected. Claim: Weight loss plus vitamin D reduces inflammation linked to cancer, chronic disease

Ex Output:
This news release describes a randomized, controlled clinical trial designed to learn whether adding vitamin D supplements to substantial weight loss regimens would have a synergistic effect in reducing inflammatory chemicals in the bodies of overweight, older women with levels of vitamin D considered too low. The study, published in Cancer Prevention Research, has potential relevance for cancer prevention because inflammatory cytokines have been implicated in the genesis and progression of some cancers, as well as heart disease and other disorders. The release offers substantial details about the design, metrics and outcomes of the clinical trial and does a pretty good job of defining the possible reasons for the effects of chronic inflammation and weight loss on cancer development. It goes to some lengths to narrowly define the results and avoid overstatement. That said, the release ends on a sour note by encouraging readers to talk to their doctors about vitamin D testing — a recommendation not consistent with U.S. Preventive Services Task Force guidelines and which is not supported by this research. Readers might also have been better informed if the release had offered more context regarding the many conflicting and sometimes confusing studies that have previously looked for links among vitamin D, inflammatory responses, diet, overweight, sun exposure and cancer. News releases that include the words “diet,” “overweight,” “vitamin,” and “cancer” are almost narrative nuclear events, often guaranteeing an explosion of coverage, souped up vitamin sales pitches, and lots of negative fallout whose half-life seems forever. Cancer remains the second biggest killer disease overall of Americans, and some experts believe that it will soon push heart disease and stroke out of first place. Thus cancer prevention is a deservedly hot topic, and it is no surprise that Americans are eager for information about ways to limit their risk. News releases that describe research on these topics have enormous power to inform and misinform.


Ex Input:
Paragraph: DASH, which was developed to lower blood pressure without medication, was also chosen by a panel of health experts as the top diabetes diet and the best plan for healthy eating. Weight Watchers retained the No. 1 spot as the best diet for weight loss, followed by the HMR (Healthy Management Resources) low-calorie, meal-replacement plan; and Jenny Craig, which offers prepared meals to drop excess pounds. “The DASH diet has been our top diet overall for five years now and this is the fifth year we are evaluating and ranking diets,” said Angela Haupt, senior health and wellness editor at U.S. News & World Report. “Our experts, who rate these diets for us, say it will end up being very good for your waistline, in addition to your high blood pressure, because it is such a common-sense, balanced diet,” she added in an interview. The TLC (Therapeutic Lifestyle Changes) diet, which is designed to lower levels of cholesterol, came in second in the best overall category, followed by the Mediterranean diet, Weight Watchers and the Mayo Clinic Diet, which each tied for third place. At the opposite end of the scale is the Paleo Diet, which focuses on meat, fish and vegetables, and the four-phase Dukan Diet, tied for last place. Weight Watchers, based on a point system assigned to foods, Jenny Craig and the Mediterranean Diet, with its emphasis on vegetables and olive oil, were deemed the easiest diets to follow. In addition to DASH, the TLC and the Mediterranean diets were selected the best for healthy eating. A panel of two dozen experts in diet, nutrition, obesity, heart disease, diabetes and food psychology ranked 35 eating plans to compile the annual list. They looked at sample menus and published medical studies to rate of top diets overall as well as the best for weight loss, diabetes, heart disease and the easiest to follow. “We provide people with all the facts, comprehensively, in the hope that they can make the best decision for themselves,” said Haupt. The panel selected the Ornish Diet, which is focused on fruits, vegetables and grains, as the top heart-healthy diet, along with TLC and DASH. The full ranking can be found at health.usnews.com/best-diet Claim: DASH named best overall diet for fifth year: report.

Ex Output:
The DASH diet, rich in vegetables, whole grains and low-fat dairy, has been named the best overall diet for the fifth consecutive year, outpacing Weight Watchers and the Mediterranean diet, U.S. News & World Report said on Tuesday.


Ex Input:
Paragraph: Michael, among the strongest hurricanes ever to make landfall in the United States, barreled onto the Florida Panhandle on Oct. 10, 2018, with 160 mph (257 kph) winds, ripping homes from their foundations, flattening others and utterly devastating Tyndall Air Force Base, home to 11,000 airmen. It left 22,000 of Bay County’s then-180,000 residents homeless and resulted in total insured losses of almost $7 billion. This summer, county officials unveiled a nearly 300-page blueprint to rebuild. Among their ideas is to use shipping containers and 3-D technology to build new houses and to offer signing bonuses for doctors to replace those who fled when their offices and equipment were destroyed. They have their work cut out for them: About 5,000 people are still homeless and rent for the few available living quarters has skyrocketed. About 1 in 6 insurance claims are still unresolved, and local government officials are worried about depleted tax coffers as small businesses struggle to reopen. Bay County schools have lost more than 1 in 8 students, which will affect the amount of state education funding they receive. “The community at large is suffering from trauma and grief,” officials said in their report, released in July. “Citizens are fatigued, tired and anxious.” Teri Powell Hord, whose Panama City neighborhood was blasted by Michael, said haggling with insurance companies and contractors has dragged out the recovery process and is taking its toll on residents’ mental health. “It’s frustrating,” Hord said. More people than ever before are in need of mental health services. Such services were fairly limited before Michael hit. Now, officials said in their report, they are “taxed well beyond capacity.” During the past school year alone, 125 students in Bay County schools were placed in custody for a mental health evaluation under Florida’s Baker Act. Because the hurricane left standing only one medical center that can receive Baker Act patients, students were sent to facilities as far as 580 miles (933 kms) away. The school district has a waitlist of 350 students who need mental health services, and the county at large lost 40 percent of its behavioral health specialists after the storm. “We are in the midst of a mental health crisis here in Bay County,” school district officials concluded in a report. County officials also said they had seen a disturbing amount of domestic violence cases but did not provide details immediately. Health care also has suffered. Several months after the hurricane, Daniel Steele’s fiancee, Rebecca Akins, started having breathing problems that he thinks were caused by storm-related mold in their home outside Panama City. He took her to the damaged hospital, Bay Medical Center, but it had lost its intensive care unit. Akins eventually was taken to a hospital in Pensacola, 140 miles (225 kms) away. “The hospital was devastated by the storm and there’s still no ICU. What’s up with that?” Steele said. One of the county’s two hospitals, heavily damaged by the storm, has only about a quarter of the beds it did before. The Bay County recovery blueprint calls for signing bonuses, slashed taxes and student loan forgiveness to physicians and mental health providers who come to Bay County. It recommends building a new hospital in Panama City Beach, a section of the county largely spared the worst of the damage, and enhancing security during emergencies at clinics that house pharmaceuticals. It also calls for acquiring block housing — a large number of apartments in the same building or trailer park — to house mental health providers. In August, Florida first lady Casey DeSantis announced the installation of 63 “telehealth” kiosks where students in public schools that were affected by the hurricane can speak to a mental health professional remotely. Building affordable housing is another priority for the county — both for residents whose homes were damaged or destroyed and the influx of construction workers who are helping to rebuild. Hurricane Michael damaged an estimated 60,000 homes. Since the storm, rental prices have spiked. There have been increases in foreclosures as residents who lost their jobs struggled to keep up with mortgage payments. County leaders are in talks with private builders to construct new affordable housing quickly through nontraditional means such as 3-D printing, modular construction and tiny houses. “It’s a chicken and an egg thing,” said Panama City manager Mark McQueen. “You can’t get employees until you get housing. You can’t get housing without construction workers. We are in a vulnerable state of our recovery without housing. It crosses every sector of our community.” ___ Associated Press reporter Jay Reeves in Birmingham, Alabama, contributed to this report. ___ Follow Mike Schneider on Twitter at https://twitter.com/MikeSchneiderAP Claim: A year after Michael, Florida community still in crisis.

Ex Output:

A year after Hurricane Michael , the Florida county hardest hit by the Category 5 storm is still in crisis: Thousands in Bay County are homeless, medical care and housing are at a premium, domestic violence has become a problem and severely diminished mental health services are overwhelmed with backlogs.