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.

[Q]: Paragraph: Five hours later, Soni was dead, one of more than 100 children to die this month from Acute Encephalitis Syndrome (AES), or 'brain fever', in one district of eastern Bihar state. "I still see her in my dreams," said Sahana Khatun, Soni's mother. "I can't accept she is gone." The deaths were preventable, doctors say, if poor families had access to good food, clean water and better medical care in Muzaffarpur district, 80 km (50 miles) from the state capital Patna. The epidemic has sparked a debate over growing inequality in India and focused attention on a free healthcare scheme for the poor - known as "Modicare" after Prime Minister Narendra Modi - eight months after it was launched. The precise causes of AES, which killed more than 350 in Bihar in 2014, are not known, though a majority of medical professionals say it is linked to a ferocious heat-wave that has gripped Bihar for the last month. Some studies have blamed toxins in lychees, a fruit grown in abundance in orchards around Muzaffarpur, though many families told Reuters their children had not eaten them in recent weeks. The victims come from poor families who often suffer from malnutrition and dehydration, doctors in Muzaffarpur said. If caught quickly, AES patients can often recover with simple rehydration treatment, doctors said, but delayed care can lead to convulsions and eventual death. "It is a preventable disease," said Dr. Chaitanya Kumar at the district's Kejriwal Maternity Hospital, one of two treating young AES patients. "Glucose and providing meals to some of the poorest districts these are not expensive things." India has world-class hospitals in major cities like New Delhi and Mumbai, but rural facilities like those in Muzaffarpur are overstretched, doctors say. The 600-bed Sri Krishna Medical College Hospital in Muzaffarpur has more than 900 patients, a third of them children with AES. Ninety-three AES patients have died at the facility since the outbreak began. Stray goats roam over rubbish and rubble on the hospital grounds. The building has frequent power cuts and the stench of urine lingers in the hallways. The hospital evicted a group of sick inmates from a ward to accommodate the surge in AES patients, but at times there are still two or three children assigned to one bed. "It is incredibly difficult to be a doctor in a place like this," said Ravikant Singh, a volunteer doctor from Mumbai who was giving rehydration solutions to patients at the hospital. Other doctors said they felt powerless. "I can't do anything. It is the social conditions that have to change," said Rajkumar Goenka, secretary of the trust that operates Kejriwal hospital. "The government state and national has to do something," he added. Nearly half of all children in Muzaffarpur are underweight, and a similar number are stunted, or too short for their age, according to government data. In Marwan, a village of thatched huts where many residents belong to one of the lowest rungs in India's caste system, some children have swollen stomachs a common sign of malnutrition. Residents interviewed by Reuters said they were unaware of Ayushman Bharat, the program known as 'Modicare' launched in 2018 to give India's poorest free access to private healthcare. Nand Lal Mandhji, 61, whose four-year-old granddaughter died from AES, said the family was given a flyer about the scheme during a hospital visit in May. The family is illiterate and the program was not explained to them, he said. "They gave us something but we didn't understand what it meant," he said, clutching the flyer with Modi's image. Eight families in Marwan with sick relatives said they had never heard of Modicare, and did not receive warnings from authorities about the dangers of AES. "No one comes here. Not politicians, health workers, no one," said Sahana Khatun, Soni's mother. ($1 = 69.6350 Indian rupees) Claim: 'Brain fever' blamed for India child deaths preventable: doctors.
[A]: Five-year-old Soni Khatun was playing in the midday sun last week when she began to vomit and lose feeling in her hands. Her mother, a poor laborer living in rural India, borrowed money to take her to hospital.

[Q]: Paragraph: The article did not discuss costs. Screening mammograms impose a significant cost on the U.S. health care system and insurers, particularly Medicare. The story detailed the relative harms of earlier mammograms, but did not translate those percentages into absolute numbers. For instance, women who were diagnosed with breast cancer 25 months or more after their last mammogram were "50 percent more likely" to need chemotherapy,"32 percent more likely" to need mastectomy, and "66 percent more likely" to need lymph nodes removed. However, relative risk can be misleading, sometimes inflating numbers to sound scarier than when absolute numbers are used. Also, we don't know what kind of risk these women had at baseline, so it's hard to know if they were higher risk. The story made no mention of the harms of earlier or more frequent screening, which have been documented time and time again. More screening can mean more false positives or more finding of breast changes that lead to more testing, such as biopsies, more costs, and more worry. The story did make clear some of the weaknesses of the study: The study found an association but did not prove causality and the study population was limited to a single health care institution. The story also mentions that the findings were presented at a meeting, which means they have not undergone peer-review. The story does not directly engage in fear-mongering. However, some of the quotes advocating for earlier and more frequent screening play into a scenario that breast cancer is lurking in every woman. A discussion of what a woman's average lifetime risk is would have been helpful. The story quotes the study author and an outside source. The story makes clear that different advisory groups have differing guidelines for what age to start getting mammograms (40 or 50 years old). It would have been nice if the story had included examples of what makes someone higher risk or not (personal cancer history, family history, history of radiation), but we think this was satisfactory. We believe that mammograms are well-known to be widely available. And the earlier and more frequent screening described here is not earlier or more frequent than what many guidelines recommend, so would not be expected to be denied by health insurers. The story makes clear the distinctive aspects of this study using avoidance of more aggressive treatment regimens as a deciding factor, as opposed to the more extreme avoidance of cancer death. The story goes beyond what was contained in a news release on the presentation at the American Society of Breast Surgeons annual meeting. Claim: Earlier Mammograms May Mean Less Need for Aggressive Treatments
[A]: This HealthDay news story reports on findings among women diagnosed with breast cancer: those who had longer intervals between mammograms end up getting more aggressive treatments, including chemotherapy and surgery. The story would have been stronger had it described the findings using absolute rather than relative numbers. But, we were glad to see an independent source offer some reservations about the small observational study raised. A final note the image accompanying the story was laughably unrealistic. Mammograms are the primary screening method for detecting breast cancer. However, when to start getting mammograms and how often to get screened have been subjects of controversy for the past decade. That's because the data on how to balance risk of developing breast cancer and the risk of harms from screening (unnecessary tests and procedures) are interpreted differently by doctors and other experts. A story that adds new data to the field and that might tip current guidelines one way or the other is newsworthy.

[Q]: Paragraph: "Every death is heartbreaking," said Dr. Roy Goldberg, medical director at Kings Harbor Multicare Center, a 720-bed home in the Bronx which reported 45 fatalities. "These have been surreal times." The state's accounting of multiple deaths at 68 nursing homes was based on a survey and is substantially incomplete. It accounted for less than half of the 2,690 nursing home deaths that have been reported in the state. It also didn't include people who got sick in nursing homes, but then died at hospitals. But it was the first time the state provided any information about homes that, according to an Associated Press tally, account for nearly 40% of the nation's 6,912 deaths in such facilities At the top of the list with 55 deaths was Cobble Hill Health Center, a 300-bed facility in a 19th-century former hospital in a tony section of Brooklyn. Four ambulances arrived within an hour at the facility Friday, underscoring the ongoing crisis. Police showed up to assist with the removal of bodies, including one that was wheeled out the front door. The Cobble Hill home said in a statement that the deaths it reported were "based on the possibility of COVID-19 being a factor," adding testing in nursing homes remains "extremely difficult to obtain." "Although we've had an increase in deaths during the past few weeks, we have not been able to confirm that the deaths are specifically related to COVID-19," the statement said. A total of 19 homes in New York's report listed 20 deaths or more. The survey's release came a day after New York Gov. Andrew Cuomo's administration reversed course and promised transparency about the worst outbreaks, after previously saying residents at the hardest-hit homes deserved privacy. Few states have released such information. Cuomo did not respond directly when asked at his daily coronavirus briefing why his administration had not alerted the public about the outbreaks sooner. "We've been talking about nursing homes every day for the past 30 days," Cuomo said. "We've said 157 times the most vulnerable population are seniors, the most vulnerable places are nursing homes. ... I think we've been talking about it all along." The state's list omitted homes with fewer than five deaths. Connecticut released a similar list Thursday, reporting that eight nursing homes had at least 10 residents die. In Connecticut, nursing home residents account for 375 of the state's 971 virus deaths. Officials at several of the nursing homes on the list said they were doing their best, and attributed the high number of deaths to the fragility of their patients and difficulty in keeping the virus out, rather than substandard care. "We have had our share of sadness," Lina Scacco, an assistant vice president at Parker Jewish Institute for Health Care and Rehabilitation in New Hyde Park, where 38 people have died. "We're all grieving here." Scacco said the facility, whose residents include war veterans and Holocaust survivors was ravaged despite having infection control practices that exceed CDC and health department regulations and guidelines. Now, she said, they're planning virtual memorials for residents who've died and grief counseling for staff members. "This has been devastating to our families," Scacco said. Stephen Hanse, president and CEO of the New York State Health Facilities Association and the New York State Center for Assisted Living, said the figures reflect the fact that those facilities are dealing with extremely vulnerable patients. "Outbreaks are not the result of inattentiveness or a shortcoming in our facilities," he wrote in a statement. "The very nature of long-term care is a high touch environment where social distancing is not an option. Staff are helping residents with bathing, dressing, eating and other personal daily needs." He also blamed the state health department for worsening the situation by barring nursing homes from denying admission to patients with COVID-19 if they were medically stable. Nursing homes have been known since the earliest days of the outbreak as a likely trouble spot. A home in Washington state lost 43 residents early in the virus's spread into the country. Italy, which was hit before the U.S., is also in the midst of a nursing home crisis, with health officials there estimating Friday that thousands of patients there have been killed by the virus. Yet even with that early warning, many nursing homes remained without adequate supplies of personal protective equipment. Testing for residents and staff remains spotty, at best. Federal officials in mid-March banned visitors, halted group activities and ordered mandatory screening of workers for respiratory symptoms, but by then the virus had quietly spread widely. Kings Harbor's medical director, Goldberg, said staff members there created two dedicated COVID-19 units to treat infected patients and followed "every department of health and CDC recommendation and regulation." "Obtaining PPE has always been a struggle," he added, "but we've always stayed one step ahead." New York state's health commissioner, Howard Zucker, said the state is providing enough personal protective equipment for nursing homes and helping with staffing. "We're working with each individual nursing home to address that. We contact them and if there's a need for PPE ... we have stockpiles." Many nursing home administrators also previously declined to release information, leading Cuomo to say this week that the state would begin requiring homes to inform patients and their families within 24 hours if a resident got the virus or died. Chris Laxton, executive director of the The Society for Post-Acute and Long-Term Care Medicine, applauded the state for releasing the data. But he said facilities still desperately need the state's help. "We continue to be in urgent need of PPE, especially gowns, test kits, and surge staff, to limit staff from traveling between buildings and risking additional spread, Laxton said. Some nursing homes have disclosed information voluntarily that differed from the numbers put out by the state Friday. The state survey listed 10 deaths at the Montgomery Nursing and Rehabilitation Center, about 50 miles north of New York City, but facility Vice President Vincent Maniscalco said 21 residents have died recently. Eight of those patients, he said, had symptoms consistent with the virus but died prior to being tested. "It's been a very trying time for the staff, to lose residents they care for day in and day out," Maniscalco said. Outbreaks killed 46 at a nursing home in suburban Richmond, Virginia, and 22 at a home in central Indiana. County officials in northern New Jersey said Thursday that at least 26 patients had died at a nursing home in Andover. An Associated Press report found infections were continuing to find their way into nursing homes because screening staff for a fever or questioning them about symptoms didn't catch people who were infected but asymptomatic. Associated Press writers Michael R. Sisak and David R. Martin and investigative researcher Randy Herschaft contributed to this report. Claim: 'Heartbreaking' report shows virus ravaging NY nursing homes.
[A]:
New York, by far the nation's leader in coronavirus nursing home deaths, released details Friday on outbreaks in individual facilities after weeks of refusing, revealing one home in Brooklyn where 55 people died and four others with at least 40 deaths.