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.

[Q]: The health director for Ridgefield, Connecticut, says there is no way that he and his staff of two can identify and isolate all the people who have interacted with an infected patient, not at the rate cases are multiplying across the town. “Tracing exposures of exposures of exposures. It’s just impossible,” Briggs said. “The cases are to the point where we can’t possibly trace everybody back now.”  Known as contact tracing, this vital but labor-intensive process is becoming increasingly difficult for stretched health departments in towns and cities across the United States, which has more than 160,000 cases, more than any country in the world. A massive testing campaign, coupled with intensive contact tracing, is credited with helping South Korea slow the spread of coronavirus, whereas the United States has been criticized for a slow response. Epidemiologists say such investigations can mean the difference between nipping an outbreak early and effectively losing control, as has happened in hot spots where contact tracing has given way to lockdowns as the primary tool to prevent spread. Some states outside of the major population centers have taken that advice to heart, as the virus continues its march across the United States. Health officials in those areas acknowledge, however, that it is a race against the clock and that they, too, will be unable to carry out such widespread tracing if the case numbers climb beyond a certain point. Wyoming, for one, has five staff in its state’s infectious diseases unit working to identify all contacts with a person who has tested positive, and then asking or ordering them to self-quarantine, and monitoring their health. “Our numbers are small enough,” said Kim Deti, a spokeswoman for Wyoming’s health department, which has reported 109 cases so far and no deaths. “We’ll maintain it as long as we can.”  West Virginia is tapping its national guard to assist in a similar effort at expansive contact tracing, and coupling that with a stay-at-home order and other distancing steps. On Sunday, the state reported 145 cases and its first coronavirus death. “It’s incredibly important that at the same time as you are doing that rapid contact investigation and tracing and outbreak management, that we do the preventive measures in partnership with that everywhere,” state health officer Cathy Slemp said at a news conference last week. Alabama, which has confirmed nearly 1,000 cases, is attempting to investigate contacts for all of them, a spokeswoman for its health department said, noting that contact tracing has been an “effective tool in reducing the spread” for tuberculosis and other communicable diseases in the state. New York City, which accounts for a quarter of all cases nationwide, is an example of how the lack of testing in January and February handicapped so-called “disease detectives” from identifying initial infections and containing the spread. The city is now limiting its detectives to contact tracing for outbreaks involving health care workers and clusters in assisted living facilities and nursing homes, its health commissioner, Oxiris Barbot, said during a news conference earlier this month. Louisiana, an emerging hot spot with 5,237 cases and 239 deaths, has similarly narrowed its contact tracing in the New Orleans area, the epicenter of the state’s outbreak, to focus on vulnerable populations and high-risk groups. Theresa Sokol, an assistant state epidemiologist in Louisiana, said that by the time the initial patients in the New Orleans area were identified the virus had already taken hold in the community. As cases mounted, she said, social distancing became a more effective tool than contact tracing. But outside New Orleans there is reason to believe that digging deeply into all cases can yield results, especially when combined with the governor’s statewide stay-at-home order, Sokol said: “I believe that there is still time.”  Like other municipalities in the New York area, Ridgefield closed its schools and non-essential businesses. But the virus has continued to spread broadly beyond the cluster at the Benchmark Senior Living at Ridgefield Crossings facility, which has been linked to six of the town’s seven deaths. The town hired an additional employee to process the deluge of coronavirus-related data, but keeping up is a challenge. “It’s overwhelming for a small health department,” First Selectman Rudy Marconi said. Looking ahead, experts see aggressive testing and contact tracing as key to handling subsequent waves of the virus. Kenneth Castro, a professor of global health, epidemiology, and infectious diseases at Emory University, said local, state and federal governments should start recruiting an “army” of people to handle contact investigations. “Identify and contain is better than having society shutdown. It’s a balancing act,” said Castro, who oversaw the Centers for Disease Control and Prevention’s tuberculosis effort for two decades through 2013. “We won’t be able to maintain physical distancing forever.”  (This story has been refiled to correct spelling of “stretched” in paragraph four.)
[A]: 'It's just impossible': tracing contacts takes backseat as virus spreads.


[Q]: "The release of a video showing NFL running back Ray Rice striking his now-wife in an Atlantic City, N.J., casino elevator revived conversations about domestic violence on the Sunday shows. On the Sept. 14, 2014, edition of CNN’s State of the Union, Sen. Amy Klobuchar, D-Minn., shared an anecdote from her time as a prosecutor to illustrate the ills of domestic violence. ""We had a poster outside the door so everyone would see it when they came in. It was a picture of a woman beaten up with a Band-Aid over her nose, holding a little baby boy,"" Klobuchar said. ""And the words read, ‘Beat your wife, and it’s your son that goes to jail.’ "" ""Kids … that have seen it happen,"" Klobuchar said, are ""twice as likely to commit it themselves."" Klobuchar concluded that because the NFL puts ""out their players as role models,"" they have ""to set a different culture."" We were interested in checking Klobuchar’s claim that kids who witness domestic violence are ""twice as likely to commit it themselves."" 90's kids We want to be clear upfront that witnessing domestic violence means witnessing it in a child’s household -- not watching the TMZ.com Rice video. That said, the ""twice as likely"" talking point is fairly popular among advocates against domestic abuse, and suffice to say has been around for a while. The domestic violence literature we’ve seen often cited that claim with a 1990 book called ""Physical Violence in American Families: Risk Factors and Adaptations to Violence in 8,145 Families."" This book compiled the results of the landmark National Family Violence Surveys of 1975 and 1985, which constituted 60-minute face-to-face interviews and 30-minute phone interviews, respectively, with thousands of American families. Based on those interviews, the book’s authors illustrated how a variety of factors influenced the incidence of domestic violence. Most of the book is about gender differences and roles in domestic violence, but the section on the effects on children crunches the surveys’ numbers on whether abusers said they witnessed abuse as children. That produced the ""twice as likely"" estimate. The experts we talked to told us there hasn’t been any study as definitive or comprehensive since, although other studies have taken stabs at the issue of intergenerational transmission of domestic violence. ""We’ve known for such a long time that the biggest risk factor for being abusive against wives and children is witnessing domestic violence at home or being abused,"" said Jacquelyn Campbell, a professor at the Johns Hopkins School of Nursing who studies domestic violence. So ""people haven’t repeated the research for a while,"" Campbell said, and ""a lot of stuff is old and mostly cross-sectional."" What the existing literature says Campbell pointed us to a 2010 study about intimate partner violence -- a subset of domestic violence -- which found that children who witnessed any intimate partner violence were 2.6 times as likely to perpetrate it themselves. Children who witnessed any violence were 1.6 times as likely, according to the study, to become abusers as adults. Klobuchar’s claim, then, has grounds in literature both old and new. There are literally dozens of studies on this issue, though, and different studies tell different stories. A 2000 meta-analysis of 39 different studies on this issue found a ""small-to-medium"" correlation between witnessing and perpetrating. The studies in that survey, while a couple decades old, ranged from showing a causal relationship between witnessing and perpetrating to showing no relationship at all. That corroborates Klobuchar’s larger point that parents’ domestic violence has negative outcomes for their children, but that’s not the same as these kids being ""twice as likely to commit it themselves."" Difficulties with measurements Putting numbers on domestic violence is particularly hard, and perhaps even inappropriate, said Ruth Glenn, executive director of the National Coalition Against Domestic Violence. ""I wouldn’t say twice as likely,"" said Glenn. ""So I would say that it is an additional risk factor. I get nervous when we start to assign data, because there’s not enough data to support it. Domestic violence happens in families, and each of those families are individual units."" In other words, there’s enough out there to suggest that children who witness domestic violence are more likely to perpetrate it, but saying something as precise as ""twice as likely"" is difficult. Domestic violence is ""hard to measure for various and sundry reasons,"" said Glenn, from the lack of ""good data"" on who’s charged and convicted of domestic violence to confidentiality issues with its victims. And even when researchers can get affirmative data, there are methodological concerns. The studies about children who witness domestic violence often surveyed clinical populations -- meaning those with family issues, so a non-representative sample -- and ask respondents to self-report and to retroactively report. Extricating domestic violence from other family issues -- like mental health and substance abuse -- is also difficult, according to the studies Campbell referred us to. Our ruling Klobuchar, arguing that the NFL has a responsibility to hold its ""role models"" accountable to a ""different culture,"" said that kids who witness domestic violence in their households are ""twice as likely to commit it themselves."" There are legitimate, peer-reviewed studies that bear Klobuchar’s claim out. But overall, even though there’s a consensus that witnessing domestic violence puts kids at a greater risk for perpetrating it themselves, the precise figures differ. Measuring domestic violence is very difficult for a variety of reasons, and there hasn’t been a recent, comprehensive study. So saying these kids are ""twice as likely to commit"" domestic violence is a little too precise."
[A]: "Children who witness domestic violence are ""twice as likely to commit it themselves."


[Q]: Officials went ahead with the parade despite the discouragement of the city health department about the ever-spreading virus. Within 72 hours of the parade, all the hospital beds in Philadelphia were full of flu patients. Within six weeks, more than 12,000 people died — a death every five minutes — and 20,000 had died within six months. Despite the human toll, there has been no memorial or public remembrance of flu victims in the city. Until now. The Mutter Museum, known for its collection of organs preserved in jars, deformed skeletons and wax casts of medical maladies, is launching new permanent exhibit on the 1918-1919 influenza pandemic in Philadelphia. “Spit Spreads Death” will open on Oct. 17, and will feature interactives mapping the pandemic, artifacts, images and personal stories. “It’s still referred to by some historians as the forgotten pandemic, because how many Americans are conscious of it today?” said Robert Hicks, the museum’s director. The exhibit takes its name from health department signs that popped up around the city as the pandemic spread. Ahead of the exhibit’s launch, the museum will present a parade Saturday along the same stretch of road where the ill-fated Liberty Loan Parade took place. A sort of moving memorial, the parade will feature about 500 members of the public honoring victims of the pandemic, four illuminated floats and an original piece of music performed by Grammy-winning choir “The Crossing.” “The parade has turned into an interesting commemorative act,” said Matt Adams, co-founder of Blast Theory, the artists’ group creating the parade. Anyone can sign up to participate and can choose the name of an actual flu victim to honor while marching. Marchers will be given a sign with the name of the person they chose and will move along the parade route flanked by the illuminated sculptures. Members of city’s public health community have been urged to join in. “This is all about the process of remembering what the risks are in public health, because that is a crucial way for us to stay safe today,” he said. More U.S. soldiers died from the flu than from battles in Europe during the war. It was called the Spanish flu at the time because Spain was neutral during the conflict and had no restrictions on the press, and could therefore report the outbreak freely, said Nancy Hill, special projects manager at the museum. The general public in much of the U.S. was uninformed about the virus because of the crackdown on news and any speech deemed unpatriotic. Speaking of soldiers dying from the flu fell into that category. About 500 million people, or one-third of the world’s population, became infected with the virus. An estimated 20-50 million died around the world, with about 675,000 flu-related deaths in the United States. Troops moving around the globe in crowded ships and trains helped the deadly virus spread as the war dragged on. The exhibit itself will include interactives that allow people to explore their own neighborhoods to see how the flu hit their street, and even their own homes. Among the most poignant artifacts is a selection of Christmas gifts that a woman named Naomi Whitehead Ellis Ford purchased for friends and family, all fitted with handwritten personal notes to the intended recipients. But they were never handed out, because she passed away from the flu on Oct. 21. Hicks hopes visitors take away a sense of the scope of the pandemic and see how the city came together to help each other, and to be vigilant — getting vaccines, taking common-sense health care measures and staying informed. The museum even threw a health fair in a south Philadelphia neighborhood, offering everything from flu shots to Narcan training. “It is too easy in the United States to forget,” Hicks said. “Cholera, typhus, typhoid fever all mean nothing to most Americans today, but President Lincoln’s son was killed by typhoid fever. From the high and mighty to those whose names aren’t remembered, these diseases were commonplace. The fact that measles is back again is a great reminder: These diseases don’t go away.”
[A]:
From parade to pandemic: Museum looks at 1918′s deadly flu.