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: This release doesn't discusscosts in its comparison of influenza shots versus nasal sprays, although both modes of immunization have been around for a long while and the costs for both are easily known. Whileflu immunizations are often free through public health clinics and such, somepeople receive their immunizations from their family physicians and carry a specific cost. Knowing the difference in costs between the two typesis useful information both for people and public health officials. The release reports similar rates of vaccine uptake for intranasal vaccine and standard flu shots. But it does not quantify benefits for the main outcome of the study, that is, rates of influenza in communities vaccinated with nasal vs injected vaccine over the course of the study. These rates were statistically no different: 5.2% for the standard vs 5.3% for the nasal vaccine. This release makes no mention of possible harms that my follow the use of either the influenza vaccine injections or nasal spray, even though there are well-known restrictions on whom should and should not receive the nasal spray, and potential negative reactions to the injections among some people. The release points out that the study was the "first blinded randomized controlled trial" done in children within largely closed communities and it found similar efficacy in using the two modes of immunization. However, we do wish the release had addressed limitations, as well as some of the complexity of making these results generalizable to a larger population, as we saw with NPR's take on the news. While media attention is routinely heightened leading up to and during flu season, this release does not appear to reach the level of disease mongering. The release does identify the chief funder of the study, the Canadian Institutes for Health Research, although it offers no information on possible conflicts of interest among any of the researchers. The abstractof the study does state that two of the researchers do have links to pharmaceutical firms, but not in relation this study. Since the study looked a two forms of influenza vaccine administration, it obviously addresses the question of comparing alternatives. Both forms of immunization shots and nasal spray have been around for some time, their availability is widely known, earning the release a Satisfactory in this category. The release makes clear that the novelty of this study is its ability to examine both indirect effects of vaccination on the community as well as direct effects for persons receiving the vaccine. The release does not use any unjustifiable language.

A: Flu nasal spray provides similar protection against influenza as flu shot: Study
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Q: Two doctors and a hospital administrator have died and at least 51 staff members have been infected since the new coronavirus was detected at the IMSS General Hospital in Monclova in the northern state of Coahuila in late March, the state health department said. The hospital became Mexico's first hot spot for the COVID-19 illness caused by the coronavirus. At least four of the infected workers are currently hospitalized as a result of the outbreak, which has fed concerns that Mexico's underfunded healthcare system is ill prepared to cope with a major epidemic in the nation of nearly 130 million people. At the beginning of the outbreak, managers "said that protective equipment wasn't necessary," said nurse Charly Escobedo Gonzalez who works at the Monclova hospital. Answering questions from Reuters about the reports that hospital management told staff not to wear masks, a senior official at Mexico's main public health service IMSS which runs the hospital said that the health workers should be believed, but he did not confirm details of the reports. "Specifically, if they are saying that then of course we have to believe it," said the IMSS official, Raul Pena Viveros. He said there can be misunderstandings inside a hospital about where it is appropriate to wear protective equipment. "Not all of the workers have to wear the same equipment inside the hospital. And when this type of equipment is used badly...it runs out more quickly and they put workers who are in contact with patients at risk," he said. Mexico has registered 4,661 people with the coronavirus and 296 deaths, a fraction of the figures in the neighboring United States, but the coronavirus arrived weeks later in the Latin American country. The Monclova hospital became a coronavirus focal point in the third week of March, highlighting a lack of masks and even soap and bleach there, staff said. As staff began to fall ill, hospital floor managers instructed healthcare workers not to use facemasks, which some had bought for themselves due to the lack of hospital equipment, seven workers told Reuters. Pena Viveros said the hospital had been short of protective equipment as well as other materials to fight the coronavirus in March. Health officials have not given a detailed explanation of why so many Monclova healthcare workers became infected. Hospital workers are at greater risk of contracting the coronavirus if they do not wear protective equipment like facemasks and gloves. The N95 respiratory masks offer more protection from other people who are infected while more simple surgical masks help the wearer avoid spreading the virus. Due to a lack of proper N95 masks, some staff at the hospital were also wearing inappropriate industrial-style masks that were donated to them, Pena Viveros said. The lack of N95 masks was later resolved, said Pena Viveros, who was sent by the head of the IMSS from Mexico City to investigate the Monclova hospital and spent a week there in early April. Staff say the hospital has more protective equipment now but that they still lack gear such as masks. Three nurses said that while some colleagues chose not to wear facemasks after being told by managers or supervisors that they were not necessary, other staff kept wearing them. On the night of March 22, one of the heads of the nursing staff told a group of doctors and nurses gathered in the emergency room to take off their N95 masks because they were not necessary, according to a nurse who heard the order. Another nurse, surnamed Hernandez Perez, was given a similar order by a deputy head of nursing a few days earlier. "In a morning clinical class, the sub-head told us not to create panic...that we shouldn't wear facemasks because we were going to create a psychosis," said Hernandez Perez, who did not want her full name used. She is now at home sick and has tested positive for the COVID-19 respiratory illness caused by the coronavirus. A second nurse confirmed Hernandez Perez's account. Reuters was unable to speak to two of the nursing managers who nurses say spoke at that meeting. After media accusations that the Monclova hospital badly lacked equipment to deal with the virus, the head of the IMSS, Zoe Robledo, announced in early April that the director of the hospital had been temporarily replaced. Neither the suspended hospital manager, Ulises Mendoza, nor the current hospital director answered repeated requests from Reuters for comment. One nurse, who asked that her name not be used for fear of retaliation, said that during the second half of March she was repeatedly told by superiors not to wear a facemask while working in high-risk areas such as on the ground floor of the hospital, where the emergency room is located. As well as the 51 confirmed cases, Pena Viveros said more than 300 other workers were temporarily sent home as the hospital scrambled to contain the outbreak. He said the hospital contracted nurses and doctors from other facilities to address the personnel shortage, nevertheless the hospital's ability to care for patients has been impeded, some staff said.

A: Exclusive: Nurses at Mexico hospital hit by coronavirus say they were told to avoid masks.
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Q: From 2012 to 2017, Montana physicians prescribed fewer and less powerful doses of opioids while the number of people on high doses also declined, according to a report compiled by the state health department and the Montana Board of Pharmacy after analyzing data from the Montana Prescription Drug Registry. The report also says that while Montana's overall overdose death rate has remained relatively stable, the number of deaths attributed to opioids has been declining. Gov. Steve Bullock said Montana is ahead of the game because it recognized the opioid addiction issue early and acted. Since 2008, the state has implemented a prescription drug registry, prescription drug drop-off locations and increased access to substance abuse treatment, in part through Medicaid expansion. In 2017, the Legislature passed a law allowing anyone to get naloxone _ which reverses the effects of an opioid overdose _ without a prescription. Emergency room physician Bill Gallea said the naloxone law has played a critical role in saving lives. While opioids given in proper amounts can alleviate pain, taken in higher doses or in combination with other medications, opioids can suppress and even stop your breathing, Gallea said. "In our battle to prevent death from overdose, our goal is to have naloxone in every fire truck, every squad car, every clinic and school and to be carried by everyone who is prescribed a high dose of opioids, or is perhaps addicted, and carried by anyone who might encounter a friend or family member who is at risk for an overdose," he said. "We've not yet achieved our goal of universal distribution of naloxone to all the appropriate individuals, but we are making progress," Gallea said, noting that in the first nine months of this year, naloxone has been used over 500 times by first responders. Another key to reducing opioid abuse is making more medication-assisted treatment available, said Cindy Stergar, CEO of the Montana Primary Care Association. The association has been providing training to primary care providers so they are qualified to prescribe medication that can help ease the withdrawal symptoms of reducing or ending opioid use. Two years ago, Montana had about two dozen such providers. Now there's 150, she said. Over 600 people are receiving medication-assisted treatment through community health centers and urban Indian Health Service centers, Stergar said. The number is double that across the state. Prescriptions for buprenorphine saw a major increase in 2017, the report said, indicating more people are receiving medication-assisted treatment. Montana's Substance Use Disorder Task Force has updated its knowyourdosemt.org website with information on identifying and treating opioid use disorder, better ways to manage patients with chronic pain, federal prescribing guidelines and how to taper patients to lower opioid doses. The task force hopes the education will "help find a balance between people who we can help through opiates and those who might be harmed," said Mark Mentel, a task force member and president of the Montana Medical Association. People picking up prescriptions for opioid pain medication such as hydrocodone or oxycodone have to provide identification under a new law that took effect Tuesday.

A:
Montana's battle against opioid abuse shows progress.
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