instruction:
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.
question:
Paragraph: The state Department of Environmental Conservation says an investigation determined the geese died of the fungal disease Aspergillosis, caused by eating moldy grain or bread. Three dozen Canada geese were found dead in a pond at the Malone Recreation Park in Franklin County near the Canadian border. State wildlife staff in Albany tested the dead birds. The state agency is asking the public not to feed waterfowl to help prevent the fungal disease or cause poor nutrition, delayed migration and other problems. Officials are also asking farmers to dispose of moldy grain and silage by burying it rather than spreading it over fields. Claim: Moldy bread or grain blamed for Canada geese deaths.
answer:
Moldy bread or grain has been blamed for the death of dozens of Canada geese in an upstate New York park.


question:
Paragraph: The Office of Inspector General on Friday released two reports that look into the longstanding challenges of the 28 hospitals directly operated by the federal Indian Health Service. The OIG, which acknowledged that reports of inadequate health care services for Native Americans have been of concern to the federal government for almost a century, criticized the agency’s limited oversight regarding compliance with federal regulations and quality of care, detailing how the agency’s regional administrators have few sources of information to assess the services provided at the facilities. The Indian Health Service, commonly referred to as IHS, is responsible for providing health care services to enrolled tribal members as part of the government’s treaty obligations to Native American tribes. But the agency has faced challenges for decades, and within the past year it has been under increased scrutiny from Congress after inspections of hospitals in the Great Plains uncovered severe deficiencies. The OIG says IHS’s eight regional offices conduct activities to monitor the quality of the facilities, but those efforts are minimal in some areas. One of the reports states that the primary source of information that the regional offices use to detect quality problems is a small number of complaints and patient harm reports. “However, according to hospital administrators, most patient complaints relate to customer service and wait times, rather than medical care,” according to the report. “Further, most hospitals (20 of 28) receive fewer than 100 complaints per year for inpatient and outpatient visits combined, averaging about 1 complaint per 1,000 patient visits. ... Considering the quantity and subject matter of complaints and patient harm reports, they are unlikely to provide hospital staff with the breadth of information needed to identify and diagnose systemic quality or compliance breakdowns.” The OIG, which gathered the information for the reports between April and October 2014, also said that only half of the regional offices conducted mock inspection surveys that could provide insight regarding the facilities’ quality practices. The watchdog also faulted the IHS for staggering findings of outdated facilities and the weekslong process that job applicants must follow, even when the physician vacancy rate was 33 percent at the time the information for the reports was gathered. According to the report, in 15 of the 28 hospitals, administrators reported that aging or inadequate physical environments affected their ability to give quality care. Corroded pipes in one hospital caused sewage to leak into the operating room. The IHS has now been under scrutiny for more than a year after inspectors from the Centers for Medicare and Medicaid Services, known as CMS, found several quality-of-care deficiencies at hospitals in South Dakota and Nebraska. At one facility, the alarming conditions of its emergency room led officials to close it for seven months. The OIG on Friday recommended that CMS inspectors survey IHS facilities more frequently. The IHS in a statement Friday concurred with recommendations made by the OIG, including the need for more training for staffers and new ways to monitor hospital quality. The IHS also said it began a mock survey initiative at 26 hospitals in May 2016 to assess compliance with the standards that facilities must meet to be able to participate in the Medicare program. The IHS’s statement also highlighted a team that was formed in February 2016 “to ensure that dependable, quality care is delivered consistently across IHS facilities.” ___ Follow Regina Garcia Cano on Twitter at https://twitter.com/reginagarciakNO ___ Associated Press writer James Nord contributed to this report from Pierre, South Dakota. Claim: Watchdog: Staff issues affect care at reservation hospitals.
answer:
The internal watchdog of the U.S. Department of Health and Human Services says the often-substandard quality of care at hospitals serving Native Americans is the result of outdated equipment and technology, lack of resources and difficulty attracting and keeping skilled staff.


question:
Paragraph: The story of Jean Hilliard, a woman who made a full recovery after she was found frozen stiff in the snow in Minnesota, has been shared in various forms since it was first published in 1980. And with each reiteration the story has grown more astonishing. One of the first reports of the incident, which was published by the Montreal Gazette on 30 December 1980, explained how Hilliard had collapsed on a 22-below-zero night as she tried to seek shelter after a minor car accident. The young woman was found “frozen solid” approximately six hours later and brought to a hospital:   She breathed shallowly two or three times a minute and her heart beat faintly eight times a minute. Dr. George Sather said that “I thought she was dead, but then we picked up an extremely faint whimper. We knew there was a person existing then.”  Jean’s chances of surviving were rated slim — her body temperature didn’t even register on the thermometer, and that meant it was less than 80 degrees Fahrenheit. “There was no evidence of a pulse or blood pressure,” said Sather’s brother, Dr. Edgar Sather. “Her body was too frozen to find a vein to get a pulse.”  Most of the stories published about Jean Hilliard immediately after the incident credited electric heating pads and oxygen tanks for her recovery, but with each retelling the story became more miraculous. When Weekly World News (the same publication has brought audiences fantastically fictional stories about the half-bat, half-human “Bat Boy” and Hitler’s UFO escape) published their version of the story in January 1981, quotes from Hilliard’s parents were added that credited her recovery to the power of prayer. Guide Post Magazine took this theme a step further, claiming that a prayer chain had saved Jean Hilliard’s life:  Mrs. Erickson hurried to her office and made a phone call to the prayer chain chairman at the Baptist church where her husband is pastor. The prayer chain was set in motion. The prayer chain was lengthening. Mrs. Erickson called the pastors of the Lutheran, Catholic, Methodist and Bethel Assembly churches in Fosston. They, in turn, called the chairmen of their prayer chain groups, who passed the word along. During the first hours that the prayer chain was underway, my legs and feet, instead of getting darker as Dr. Sather expected, started to lighten and regain their natural color. One after another, the doctors and nurses filed in to marvel at the pinkish tinge appearing at the line of demarcation where the darkness started on my upper thighs — the place where Dr. Sather said he thought they might have to amputate. The prayer chain spread to the nearby towns of Crookston and Bemidji, and into Grand Forks, North Dakota. Soon hundreds, then thousands of people were aware that a young woman had been brought in to the Fosston hospital frozen solid and was in desperate need of God’s miraculous healing. While some may consider Hilliard’s recovery a “miracle” (the New York Times even quoted Dr. Sather’s deeming the young woman’s survival as such), her experience was not a rare one. In an article published by the Spartanburg Herald in January 1981, Dr. Richard Iseke said that it was not unusual for freezing victims to make full recoveries:  The recovery of a Minnesota woman frozen stiff after a nightling ordeal in sub-zero weather was described as a miracle by her doctor. But other physicians say such “miracles” are not all that rare: freezing victims have recovered fully even after prolonged periods without heartbeats. “There’s a term we have that says no one is dead until he’s warm and dead,” said Dr. Richard Iseke, associated director of the Boston Emergency Medical Center, which every winter treats victims of freezing or, more accurately, hypothermia. Although Hilliard is undeniably lucky to survive, Iseke said “there are numerous case reports in the medical literature of people who have survived (with interior body temperatures) as low as 68 or 69 degrees. The human body reacts to extreme cold much like a hibernating animal: internal activity is slowed, which dramatically reduces the cells’ demand for oxygen from the blood. Jean Hilliard’s recovery was incredible — some may even say miraculous — but it is not an “unsolved medical mystery”: Claim: Jean Hilliard made a full recovery after she was found frozen in sub-zero temperatures.
answer:

"A truly remarkable story, but not an ""unsolved mystery."""