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: The Alaska Section of Epidemiology said in an update this week that it has requested help with response efforts from the Centers for Disease Control and Prevention, KTVA-TV reported Wednesday. The number of cases is the highest reported in the state since at least the 1970s, said Susan Jones, a program manager with the state Division of Public Health. “It actually can be before that but that’s as far back as we have saved data,” Jones said. Out of the 75 cases, 64 occurred in Anchorage and 66 were men, according to the state. Of the nine women, two were pregnant at the time of diagnosis. The ages of people infected ranged from 18 to 76, with 20 cases recorded in the 25 to 29 age group. Health officials also found a probable case of congenital syphilis in an infant born in March whose mother had been diagnosed last year. Symptoms of the sexually transmitted infection in its early stages include genital sores, skin rash, swollen lymph nodes, and fever, according to the CDC. The disease in the tertiary stage can damage internal organs and result in death. According to the CDC, most people with untreated syphilis do not develop symptoms of the last stage, but tertiary syphilis could develop decades after infection. “It’s easy to acquire syphilis by having sex with somebody with infection, it’s easy to have the disease and not be aware of it, and it’s also easy to treat if we catch it early,” Jones said. Syphilis can be treated with an antibiotic injection. ___ Information from: KTVA-TV, http://www.ktva.com Claim: Alaska hit with largest syphilis outbreak in 40 years.

A: Alaska health officials have recorded 75 cases of syphilis in the state this year, marking the largest outbreak of the infectious disease in at least four decades.
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Q: Paragraph: Amid increasing concern over the United States Postal Service’s efficiency leading up to the 2020 U.S. elections, a CBS News host’s tweet warned voters seeking to take part by mail.“USPS says you should give mail in ballots at least 14 days round trip,” Tony Dokoupil wrote on July 26 2020. “No guarantees. So if you plan to vote by mail, election day isn’t November 3rd. It’s October 20th. Or sooner. Don’t be one of the *tens of thousands* of people whose vote wasn’t counted in 2016.”. @USPS says you should give mail in ballots at least 14 days round trip. No guarantees.So if you plan to vote by mail, election day isn’t November 3rd.It’s October 20th.Or sooner.Don’t be one of the *tens of thousands* of people whose vote wasn’t counted in 2016.— Tony Dokoupil (@tonydokoupil) July 24, 2020The postal service has in fact made that statement to not only Dokoupil but other news organizations and reporters; the advisory appeared in a Washington Post story published on July 15 2020:Local elections offices are hiring temporary workers to process absentee ballots, and some local elections boards are adding options for voters to do curbside drop-offs of their mail ballots on Election Day.The Postal Service is also recommending that voters request their ballots at least 15 days before Election Day and mail their completed ballots at least one week before the due date.The advisory was also mentioned in a story republished on news sites for local Fox TV network affiliates on July 27 2020:“We recommend that jurisdictions immediately communicate and advise voters to request ballots at the earliest point allowable but no later than 15 days prior to election date,” USPS told FOX via email. “The Postal Service also recommends that voters contact local election officials for information about deadlines.”Dokoupil himself reported on the potential problem for mail-in ballots in a story for CBS This Morning; CBS created two batches of 100 mock mail-in ballots apiece from around several zip codes in Philadelphia and sent them to the same local P.O. box, which served as a stand-in for an actual election office.A week after sending his mock ballots from mailboxes around the city, Dokoupil went to retrieve them at the P.O. box to find that most of them were not inside. Postal staff later retrieved several of them, telling him that “they had them somewhere else.”However, Dokoupil did note that official mail-in ballots carry an official logo differentiating them from the regular mail CBS used for its reporting. According to the story:Out of the initial batch mailed a week earlier, 97 out of 100 votes had arrived. Three simulated persons, or 3 percent of voters, were effectively disenfranchised by mail by giving their ballots a week to arrive. In a close election, 3 percent could be pivotal.Four days after mailing the second batch of mock ballots, 21 percent of the votes hadn’t arrived.According to Postal Service recommendations, “voters should mail their return ballots at least one week prior to the due date.”However, nearly half of all states still allow voters to request ballots less than a week before the election.A USPS spokesperson, Martha Johnson, told us that the agency is asking both voters and election officials to be mindful of how long it takes postal workers to transport, process and deliver ballots as well as “the time that it takes for voters to consider and prepare their ballots, and the time that it takes for a ballot to be transported, processed, and delivered back to the election official.” The agency’s delivery standards, she said, have not changed. She also reiterated the agency’s guidance for requesting mail-in ballots:We recommend that customers who opt to vote through the U.S. Mail must understand their local jurisdiction’s requirements for timely submission of absentee ballots, including postmarking requirements. Voters must use First-Class Mail or an expedited level of service to return their completed ballots. In order to allow sufficient time for voters to receive, complete and return ballots via the mail, and to facilitate timely receipt of completed ballots by election officials, we strongly recommend that jurisdictions immediately communicate and advise voters to request ballots at the earliest point allowable but no later than 15 days prior to the election date. The Postal Service recommends that domestic, non-military voters mail their completed ballots back to the election officials at least one week prior to their state’s due date. The Postal Service also recommends that voters contact local election officials for information about deadlines.Tammy Patrick, a senior advisor for the advocacy group Democracy Fund, told CBS that her group estimated that between 80 million and 100 million United States voters would receive their ballots via mail in 2020. Prior to joining the non-profit organization, Patrick served on the Commissioner on the Presidential Commission on Election Administration under Barack Obama’s presidential administration.“States like Ohio, you can request your ballot on Saturday up until noon for Tuesday’s election,” said Patrick, who has also served as a former federal compliance officer for the elections department in Maricopa County, Arizona. “That is the worst possible thing. You are setting up the voters with false expectations, and you’re setting them up to fail.”A separate analysis published by NPR in July 2020 found that 65,000 absentee or mail-in ballots cast in primary elections until that point had been rejected because they arrived after the deadline.“That’s the sort of thing that makes me wary about what’s going to happen in November when we get an even larger influx of people who haven’t voted, or haven’t voted by mail in the past,” said Charles Stewart, a political scientist at the at the Massachusetts Institute of Technology.Obama himself added to the discussion about mail-in voting on July 28 2020, when he tweeted a graphic supplied by another group, Vote Save America, displaying the state-by-state deadlines for requesting a ballot. According to that graphic, the deadline for every state not exclusively voting by mail falls after the fifteen-day advisory issued by the U.S. Postal Service:The USPS told CBS in a statement:We employ a robust and proven process to ensure proper handling of all Election Mail, including ballots. This includes close coordination and partnerships with election officials at the local and state levels. As we anticipate that many voters may choose to use the mail to participate in the upcoming elections due to the impacts of the COVID-19 pandemic, we are conducting and will continue to proactively conduct outreach with state and local election officials and Secretaries of State so that they can make informed decisions and educate the public about what they can expect when using the mail to vote. As part of these outreach efforts, we will discuss our delivery processes and will consult with election officials about how they can design their mailings in a manner that comports with postal regulations, improves mailpiece visibility, and ensures efficient and cost-effective processing and delivery.Dokoupil’s story also followed reported concerns over the appointment of Louis DeJoy — a businessman and fundraiser for U.S. President Donald Trump — to oversee the USPS as Postmaster General in June 2020.“On the surface, there’s a real worry about cronyism and patronage and whether someone is being put into place to carry out an agenda,” American Postal Workers Union president Mark Dimondstein told the Post. “We hope that’s not the case.”The newspaper also reported:DeJoy told employees to leave mail behind at distribution centers if it delayed letter carriers from their routes, according to internal USPS documents obtained by The Washington Post and verified by the American Postal Workers Union and three people with knowledge of their contents, but who spoke on the condition of anonymity to avoid retribution.“If the plants run late, they will keep the mail for the next day,” according to a document titled, “New PMG’s [Postmaster General’s] expectations and plan.” Traditionally, postal workers are trained not to leave letters behind and to make multiple delivery trips to ensure timely distribution of letters and parcels.Trump himself has repeatedly claimed — falsely — that voting by mail is inherently suspect and vulnerable to fraud, to the point that Twitter flagged two of his tweets on the issue in May 2020 for containing “potentially misleading information.”Update, July 29 2020 9:19 a.m. PST: Updated with comment from the US Postal Service.Comments Claim: The U.S. Postal Service has advised people hoping to vote by mail to request the required envelopes by October 20 2020.

A: Did the United States Postal Service Urge Mail-In Voters to Request Envelopes by October 20th?
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Q: Paragraph: The story nicely calls out different questions that readers might have, including whether insurance will pay for the therapy. It answers, “Many will not. Charges for patients can range from $10 to $75 per session, says Edo Zylstra, CEO of KinetaCore, a company that offers intensive three-day weekend courses in dry needling to physical therapists.” This was a tough call, since the story includes a general discussion of the benefits. But what it doesn’t do is report on any quantified benefits, such as how much pain relief people report in the studies, or for how long. It does tell us that the evidence shows the technique “may be useful” and points out other findings, such as the evidence overall shows “mixed results.” We like that the story called out risks specifically, which is something we don’t see often. It says, “Needling can produce minor bleeding and some soreness, but in trained hands, and with the use of sterile needles and gloves, “it’s a very safe procedure,” Briggs says. In rare cases, deep needling can lead to a punctured lung or injuries to nerves and blood vessels, and acupuncturists fear non-specialists will be more likely to make such mistakes, Burgoon says.” The story would have been stronger if it had quoted a source with no vested interest in discussing risks. Also, it’s worth pointing out that these risks are real whether “trained hands” do the procedure or not. The section “What do published studies say?” includes a look at findings from a review and a meta-analysis, and lets us know the findings of these efforts are mixed. From early in the story, there are statements about the lack of evidence supporting this therapy and the need for more research. There is no disease mongering in this piece. The story should be commended for its extensive sourcing. There are many sources packed into this piece and likely more sources who were interviewed and not quoted given the amount of reporting that clearly went into it. At the same time, most of the sources have a potential conflict of interest in some way: All of these potential conflicts are called out in the piece, which is commendable. The one person who brings a fairly down-the-middle view is Matt Briggs, a physical therapist who is studying the technique to see whether it works. But our question about him is whether he also is a practitioner of the technique. We would have liked to have seen more exploration of alternatives — or shall we say the standard of care — for injuries like the one described in the lead, runner’s knee. We’re not given a strong idea of what the evidence says is generally the right path to choose for practitioners and patients. We know the toolkit for pain is quite shallow, but physical therapy, diet, exercise, carefully targeted medication, and, at times, surgical interventions all have long track records. We would have liked to have seen more weight given to the proven techniques along the way. The story essentially lets people know that this is something that is becoming more popular but that not very many physical therapists are trained in it yet. The story establishes what’s new and why it’s being written about with this statement: “And there, Briggs says, is where dry needling is lacking. While some studies have shown promise, he says, “the quality of the evidence is not strong.” That’s why Briggs and his colleagues are starting a study looking at dry needling in “runner’s knee,” the condition that has plagued Pierce. Their goal, and the goal of other researchers now looking at dry needling, is to produce results rigorous enough to show whether it really works.” The story does not rely on a news release. Claim: Dry needling' for pain therapy is under scrutiny

A:
This is a story about an alternative therapy known as “dry needling.” It involves inserting needles into the skin, similarly to acupuncture. The story leads with an anecdote that comes dangerously close to being a promotional advertisement for an unproven alternative therapy for pain, but that’s just the hook. The story (and the headline) is more measured, sifting through what we know and what we don’t know yet about dry needling, largely through interviews with competing trade associations. We would have liked if the story had gone a step further and delved into the actual science behind dry needling and acupuncture more deeply, and if some of the interviews with people with vested interests had been exchanged for interviews with pain management experts who don’t have a predisposition for or against the procedure. There is enough evidence on acupuncture as a therapy to have persuaded at least some states to create medical licensure programs for its practice, and the story touches at the very end on the idea that there is a training component here that needs further exploration. [Editor’s note: The notion that the evidence on acupuncture has persuaded states to create medical licensure programs has been contested by the Society for Science-Based Medicine in this post. They argue that evidence is not a factor in state licensing of such practitioners. We have also amended our comments under the “Independent Sources” criterion below in response to their feedback.] For this type of story, which is trying to truth-test some of the claims being made about a buzzed about alternative therapy, we really appreciate the question and answer format. The story calls out some of the key elements, including risks and costs, that are necessary for patients to make informed decisions. Dry needling has become increasingly popular despite questionable evidence for the procedure. A pertinent question, which the story attempts to address, is whether or not it is acupuncture in disguise.
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