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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The call was included in a state Health Department report on the adenovirus outbreak at the Wanaque Center for Nursing and Rehabilitation. "Ensuring that all staff are regularly trained in proper handwashing protocols and other infection control procedures is the best way to prevent the spread of respiratory viruses in long-term care facilities," Health Commissioner Dr. Shereef Elnahal said in a statement. One staff member and 36 residents, ranging in age from toddlers to teens, were diagnosed with a particularly severe strain of adenovirus in the outbreak at the facility in Haskell, which provides care to children and adults. Eleven children died. The report recommended a new law that would require long-term care facilities to put in place detailed plans to prevent and respond to disease outbreaks. The department already has guidelines for the control of respiratory viral outbreaks but is calling for a statute to require such planning. Among the other recommendations was that parents and guardians should be notified "immediately following an event of significance." Some parents of the infected children told newspapers that they didn't learn about the outbreak until reading about it in news reports. On Thursday, Paul Fishman, an attorney working on behalf of the center, said Wanaque had already adopted the recommendations the state suggested. "Everybody recognizes that if they can prevent what happened, they will do what they can to prevent that," Fishman said in a phone interview. The report follows the March announcement that the federal government fined the center $600,000 over what it said were lapses. Those included insufficient hand washing and problems with infection control procedures as well as a lack of involvement by the facility's medical director and other management. The center disputed those findings and has said it planned an appeal. Adenovirus typically causes a mild cold or flu symptoms and usually poses little risk for healthy people. The strain found in the rehab center outbreak type 7 is among the more potent types and sometimes causes more serious respiratory illness, especially among those with weak immune systems. The children at the facility all had serious underlying health conditions, and many were on ventilators The first symptoms showed up Sept. 26, and the state was notified of an outbreak Oct. 9, officials said.
answer:
State Health Department calls for requiring outbreak plan.

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Studying the DNA of two distant bat species, the scientists discovered how genes dealing with the bats' immune system had undergone the most rapid change. This may explain why they are relatively free of disease and live exceptionally long lives compared with other mammals of similar size, such as the rat, said Professor Lin-Fa Wang, an infectious disease expert at the Duke-NUS Graduate Medical School in Singapore who led the multi-centre study. "We are not saying bats never get sick or never get infections. What we are saying is they handle infections a lot better," Wang said in a telephone interview. What was missing from both species of bats was a gene segment known to trigger extreme, and potentially fatal, immune reactions to infections, called the cytokine storm. Cytokine storms end up killing not only offending viruses in the body, but the host's own cells and tissues too. "Viruses rarely kill the host. The killing comes from the host's immune response. So it looks like what bats are doing is depress the inflammation (cytokine storm). If we can learn that, we can design drugs to minimize the inflammation damage and control viral infection," Wang said. The study, which saw the participation of researchers from China, Denmark, Australia and the United States, was published on Friday in the journal Science. Compared with other mammals of similar size, bats live a long time, with lifespans of between 20 and 40 years. Rats live between 2 and 3 years, on average. Interestingly, Wang and his colleagues found that the highly evolved genes that give bats their superior immune system also enable them to fly. Out of more than 5,000 types of mammals on the planet, bats are the only one capable of sustained flight and some species can fly more than 1,000 km in a single night. Such intense physical exertion is known to produce toxic "free radicals" that cause tissue damage and it is these same genes that give the bat the ability to repair itself, Wang said. "What we found was the genes that evolved fastest were genes involved in repairing DNA damage. That makes sense ... because when you fly, metabolism goes up and it generates free radicals that are toxic to cells," Wang said. "Because bats fly, they (would have had) to evolve and adapt ... to get genes that can repair DNA damage." Wang said we have much to learn from the bat, which has evolved to avoid disease and live exceptionally long lives. "Cancer, ageing and infectious disease, these are the three major areas of concern for people," he said. "We have studied rats for 150 years to understand how to do better in these three areas. Now we have a system, the bat, that has done very well in evolution. We can learn from the bat. With modern techniques, we can design new drugs to slow down the ageing process, treat cancer, fight infections."
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Long-lived bats offer clues on diseases, aging.

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There was no mentionof the potential costs of screening women for vitamin D levels (as encouraged in the release in a statement from the principal investigator) or the cost of supplementation. The release does a good job of comparing data and providing explanations for the measurements used. We'll award a Satisfactory for that precision, but as noted below under "Evidence," there was no explicit caution regarding the fact that measurements of interleukin-6 (IL-6) are only surrogates for the effects of weight loss and vitamin D on clinical outcomes related to inflammation (e.g. cancer diagnoses). IL-6 levels dropped in both the placebo and vitamin D arms, and it's not clear whether the statistically significant additional decline in IL-6 observed in the vitamin D group is clinically important. Because some of the participants were vitamin D-deficient and the dose of vitamin D provided was modest (2000 IU/d), this was a tough call. But supplementation is often so misunderstood, overhyped and oversold that some statement cautioning readers to pay attention to the specifics of this study and not apply its recommendations to everyone seems prudent. For the most part, the release provides a cautious and accurate description of what appears to be a well-conducted clinical trial in a well-defined population. For example, itnotes that weight loss and vitamin D lowered inflammation LINKED to cancer not that these things reduced cancer risk itself (something this study couldn't establish). But as noted above, we would have appreciated an explicit acknowledgment that IL-6 is a surrogate marker for the clinical outcomes that people care about. And more importantly, we're concerned about the closing commentthat women should talk to their doctors about measuring their vitamin D levels to determine the most appropriate dose. The problem is there is no evidence supporting screening or treating to a level and certainly not from this study. The US Preventive Services Task Force has concluded that evidence is insufficient to recommend routine vitamin D screening and the IOM has said that while there are data supporting the benefitsof vitamin D supplementation with bone health and fall prevention, there is no evidence supporting benefits for cancer. While testing may be warranted in those with signs or symptoms of clinical deficiency, the statement made here implies that everyone should be tested so that an appropriate dose of vitamin D can be selected. That goes beyond the available evidence. It's hard to argue that overweight, vitamin deficiency, chronic inflammation and cancer are not real threats, so no mongeringapparent here. Funding sources are well documented. The study didn't discuss alternative preventive measures or genetic causes of increased cancer risks. But this is such a broad and expansive topic that we don't think the release should have been expected to address those myriad issues. We'll rate this Not Applicable. Primary care physicians and other health providers are well positioned to monitor blood levels of vitamin D, along with dietary and exercise regimens. The news release makes that clear, albeit indirectly. As noted above, we think the release goes too far in suggesting that people ask their doctors about having their vitamin D levels checked. But we've already docked points for that, so we'll award a Satisfactory rating here. The release makes a case for this being the first clinical trial of its kind; although it's always difficult to make that statement absolutely, the writer of the release attributes the statement to the study author. As a general rule, it's probably best to say "believed to be the first." While the release meets our standard here, we also wish it had delved a bit into the background of previous vitamin D research and the conflicting and confusing messages that research has generated. Without that context, the typical reader might wronglyjump to the conclusion, based on the wording of the lede and other parts of the release, that this study of vitamin D supplementation because it was a controlled clinical trial has somehow settled the important questions about the role of vitamin D and inflammation in cancer risk. The debate remains alive and well. None detected.
answer:
Weight loss plus vitamin D reduces inflammation linked to cancer, chronic disease