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.
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There's no discussion of cost, even to mention that statins are relatively inexpensive these days and are mostly generically available. To its credit, the article does mention the cost of a calcium scan. We learn that "anywhere from 50 to 200 healthy people need to take a statin daily to prevent a single heart attack for five years." That's helpful information. It also notes that the observed benefit is less for older patients. The story could have added that even those numbers might disputed by some experts who perceive no meaningful benefit. For example, one review found being on a statin does not help people with low risk for heart disease live longer. The story does a service by highlighting the harms of statins. It explains: "The most common side effect of these drugs is muscle pain, which usually goes away if patients stop taking the medicines. People taking statins are also at a higher risk of developing diabetes, which is harder to reverse." It also mentions the potential for overtreatment with the use of coronary calcium scans. However, we wish it had included absolute numbers. The story says harms are "uncommon," but provides no data to back that up. Rates of adverse effects with statins have been measured at 1 to 10%, which makes them "common" in the definition of the European Medicines Agency. Also noteworthy is that some contend that adverse effects of statins have not been reliably reported. The story doesn't explain the quality of the study, or of studies on which current guidelines are based. We don't explicitly learn that this is a modelling study. In other words, this study consisted mostly of reinterpretations of math, not re-evaluations of real-life patients. The researchers said they were unable to obtain enough data on all possible harms and age-specific data on some harm outcomes, "so the risk thresholds we determined may still be too low." There is no disease-mongering here. This story includes sources that weren't involved in the study. The study's authors reported no conflicts of interest. The story could have acknowledged the influence of pharmaceutical companies in creating guidelines for statin use. The alternative of not taking a statin was the key message here, and that's laudable. However, we have a couple of concerns. First, we learn that "some statins were more effective than others, with atorvastatin (the generic name for Lipitor) being the best of the bunch." However, the story doesn't explain on what basis some statins are "more effective." In fact, some statins may be more effective at lower cholesterol, but the study found that no statin rises above others when it comes to the outcomes that counts most to patients reducing cardiovascular deaths. Also, the story doesn't mention lifestyle interventions diet and exercise. The story makes it clear that statins are widely prescribed. The story states this an attempt to better weigh the benefits and harms of statin use. There was a good range of interviewees with no reliance on a news release
answer:
Before Starting A Statin, Talk It Over With Your Doctor

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The committee is also seeking the indictment of Vale and dam stability auditor TUV SUD for environmental damages and corporate responsibility for actions of their employees in the late-January disaster that killed nearly 250 people. The 400-page report recommended that a total of 15 individuals, including the two executives, be indicted for murder, wrongful bodily injury, environmental damages and pollution. Fabio Schvartsman stepped down as Vale's CEO under pressure from prosecutors in March. Luciano Siani, also targeted by the committee, continues to serve as CFO. The committee's initial report recommended manslaughter charges but at a hearing it approved an amendment to upgrade the charges to murder and add a 15th individual to its list for recommended indictments. Vale, a formerly state-owned Brazilian "national champion" which is a leading exporter and employer, said it "respectfully disagrees" with the indictment recommendations. A "forensic, technical and scientific conclusion about the causes of the dam burst" should be arrived at before holding certain people responsible, the company asserted in a statement. TUV SUD said it was cooperating in full but declined to comment further, citing ongoing investigations. Vale shares, which early in the session touched their highest since before the Brumadinho disaster, closed down 4.2%. The nonbinding recommendations could influence prosecutors in their ongoing probe of Vale and its executives for negligence regarding the disaster. "Vale's tragedy is a series of tragedies," the committee said in its report. "The immeasurable human loss; the countless dead animals; the environment destroyed for years, perhaps decades; the dreams and heritage of a lifetime buried by the carelessness, neglect, greed, usury, irresponsibility, indifference and sloppiness of a company that used to be a role model." Brazil must take action to ensure that "never again" will such a disaster occur, it said, recommending three laws that would require congressional approval. One would outlaw all tailings dams for mining and industrial waste. That would go far beyond a ban instituted in February on the specific type of "upstream" dam that ruptured. It would allow for 10 years to decommission the hundreds of existing tailings dams around the country, a costly move for miners. A separate bill would hike taxes calculated on mineral production, with a tax of up to 40% on more profitable or larger scale mines. The investment banking unit of Brazil's Bradesco said such a tax is unlikely to be implemented given that comparable taxes in Australia and Mexico are up to 7.5%. But the bank said the rate is likely to rise for Brazilian miners from the current 3.5%. A third proposed law would expand the list of environmental crimes. Barclays analyst Amos Fletcher said he doubted that Congress would follow through on shutting down all types of tailings dams, a move that would halt a significant amount of mineral production, which Brazil counts on for a large portion of its GDP, he said. The recommendations may be depressing Vale's stock price more than the indictments because of worries that such changes "would lead to more supply being squeezed," he said. Vale's tailings dam ruptured in the city of Brumadinho in the mining state of Minas Gerais in late January, releasing a torrent of mud that buried hundreds of people, including a cafeteria full of workers at lunchtime. In the following months, investigators and regulators pointed toward a risky "upstream" style of dam construction, improper maintenance and negligence. TUV SUD certified the dam as stable in 2018 despite pointing out concerns about drainage and monitoring systems. Vale has argued that it followed all the required safety measures. While authorities have yet to conclude the cause of the rupture, a Minas Gerais state official and other experts suspect liquefaction, in which solid materials such as sand lose strength and become more like liquid. That was the same cause of a 2015 rupture of another upstream Vale dam that killed 19.
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Brazil Senate panel says Vale CFO, ex-CEO should be indicted for murder.

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A rural herder in Siziwang county was diagnosed with the disease in a local hospital, according to a statement released by the Inner Mongolian health commission. Prior to the diagnosis the herder had been active in an area where plague sources had been identified, it said. The person is in a stable condition after treatment at a local hospital and four other people have been quarantined. The bubonic plague, known as "Black Death" in the Middle Ages, is a highly-infectious and often fatal disease that is spread mostly by rodents. It also has a deadlier variant called pneumonic plague. Earlier this month three people from Inner Mongolia were hospitalized for plague in two separate cases that were linked to eating wild animals. Two of the people were diagnosed with pneumonic plague and one with bubonic plague. Authorities previously said the two cases were unrelated. The latest reported case is not in the same region of Inner Mongolia as either of the two earlier cases, and so far there have been no fatalities reported. Plague cases are not uncommon in China, but outbreaks have become increasingly rare. From 2009 to 2018, China reported just 26 cases and 11 deaths. (This story corrects headline from 'bubonic plague' to 'plague', and clarification of pneumonic v. bubonic plague in story)
answer:
China reports fourth case of plague this month.