instruction:
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.
question:
José Miguel Cisneros, director of the infectious disease department at Seville’s Virgen del Rocío Hospital, on Tuesday announced the first casualty since the outbreak was declared on Aug. 15. Authorities have closed the pork meat supplier’s plant and recalled all of its products. Cisneros said roughly half of the 114 people affected by the bacteria remain hospitalized. Health Minister María Luisa Carcedo said an investigation is looking into how the meat evaded what she called “strict food safety controls.” Listeria is a bacteria that usually causes mild illness in healthy people but can be dangerous to pregnant women and those with weakened immune systems.
answer:
Woman dies in Spain as listeria-in-pork outbreak sickens 114.


question:
With an alcohol by volume figure of 43 percent, the 2-ounce sachets are about as intoxicating as a typical 16-ounce beer, but consumers say that’s just one of their virtues. Kouame claimed they give him a jolt of energy other drinks can’t match — just what he needs to face a long day of hectic traffic, run-ins with police and testy fare negotiations. “It inspires me. It gives me a bit of courage to confront the challenges of life,” he said. From now on, however, Ivory Coast’s government wants Kouame to get his courage elsewhere. Last month, officials announced a ban on alcohol sachets, citing their health risks and the need to combat alcoholism, especially among youth. The measure is one of more than a half-dozen bans or partial bans on alcohol sachets in effect in sub-Saharan Africa, according to the World Health Organization. Other countries with bans include Zambia, Kenya, Tanzania, Rwanda, Burundi, Congo and South Sudan, said Jean-Marie Vianny Maurice Yameogo, the WHO’s Ivory Coast representative. Tracking the sales of alcohol sachets, many containing spirits distilled from palm wine, is difficult because they are often produced outside regulated markets. The sachets are typically mass-produced in West Africa, with colorful packaging. The drink “Amour Profond,” or “Deep Love,” shows a man standing behind a bare-shouldered woman, whispering into her ear. The sachets are not necessarily more potent than other drinks available. Palm wine-based traditional drinks such as koutoukou, which are similarly cheap, can have alcohol by volume rates of more than 50 percent. But sachets are more likely to contain toxic chemicals such as methanol, or wood alcohol, Yameogo said. And the packaging often boasts of health and other benefits that Yameogo said have no basis in science. Some are said to provide cures for maladies such as hemorrhoids, while others are reputed to function as appetite-suppressants or aphrodisiacs. Moreover, the small sachets are easy to hide, making them especially tempting for schoolchildren, according to the Ivorian government and the WHO. “It’s something that’s accessible to everyone. You can buy a sachet, put it in your pocket and just walk around like that,” said Patrick Gbodou, president of School Anti-Drug, an Ivorian organization that campaigns against drinking and drug use by students. The official drinking age in Ivory Coast is 21, but it is rarely enforced, and teenage drinking is common. Vendors are worried they will take a huge hit if the ban on sachets is enforced, as many drinkers go for sachets and nothing else. “The government needs to have pity on us,” said Adjo Abega, the owner of a bar in Abidjan’s Port-Bouet district. Drinkers generally acknowledge the health risks posed by alcohol sachets, but some criticized the government for cracking down on their favorite vice while permitting other health hazards such as cigarettes. Desire N’Guessan, an unemployed 26-year-old, began drinking sachets when he was a teenager. He said he relies on them to ward off illness and for motivation to keep looking for work. “When you are not able to overcome your timidity, it can be difficult to operate in your neighborhood,” N’Guessan said. If the government makes good on the ban, he warned, Ivorian children could turn to drugs. He also predicted marches and protests. But Kouame, the taxi driver, was less worried. In the absence of alcohol sachets, he said he would switch up his morning routine by drinking glasses of palm wine instead, adding: “Man can adapt to anything.”
answer:
Ivory Coast is latest to crack down on alcohol sachets.


question:
Mentions cost for one year of Herceptin as $40,000-$50,000. Mentions quantitative benefit of 9 weeks of Herceptin vs. no Herceptin with certain chemotherapy. Also, while no women in the Herceptin group had cardiac failure at 3 years, the follow-up period may not be long-enough to determine the effects of chemotherapy and Herceptin on the heart. Mentions potential harms of Herceptin on the heart, especially when given after certain chemotherapy. The story does not mention that there were side effects with certain chemotherapy drugs and doses needed to be decreased during the course of the trial. One aspect of this trial focused on randomization of women with Her2/neu overexpression to 9 weeks of Herceptin or no Herceptin immediately following breast cancer surgery. The drug was given in conjunction with certain types of chemotherapy, but before radiation and chemotherapy regimens known to damage the heart. The journalist states the Herceptin was given “prior to chemotherapy”, which is not completely accurate. There is an adequate mention of the study design and discussion of disease-free survival at 3 years follow-up. Good job putting the results into context of other trials, and into context of how this may or may not change providers’ practice. The story could have better stated the limitations of analysis for such a small subgroup – 116 in each arm. Appropriately discusses the percentage of women who are eligible for Herceptin due to overexpression of HER2/neu. The story would have been helped by some context for the risk these women face. As Herceptin is used earlier and earlier these women have less to gain because they have less risk to begin with. Relative risk reductions may be very high but the absolute is not as big. Sources in addition to study authors are cited. No mention that this trial was funded in part by pharmaceutical companies. Some study investigators also receive research funding drug companies. Other doctors cited express caution about the early results of Herceptin studies, so there is some balance to the piece. The women in this trial had undergone breast cancer surgery and those with ER+ tumors were taking Tamoxifen. This is not explicitly mentioned, only that treatment took place following surgery. Still OK. Herceptin is only FDA approved to treat advanced breast cancer, but is used in clinical trials in early-stage breast cancer. This is not mentioned in the story. Novel use of Herceptin for short-term treatment prior to anthracycline chemotherapy. No evidence that this story relies on a press release.
answer:

Short stint of Herceptin holds promise for breast cancer