TASK DEFINITION: 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.
PROBLEM: Instead, he said, he met them on their front lawn, where he popped the girl's joint back in. "It is a very easy thing to do, but it made a huge difference for them," he said. Gulbransen has had to rethink how he runs his pediatric practice on Long Island since the coronavirus crisis started. "We're in the heart of the storm," said Gulbransen. His practice remains open and now also welcomes some non-pediatric patients who have had trouble being seen by a doctor. He said his practice has been physically rearranged to keep sick patients away from those who are well. Other recent adjustments include doing telemedicine, although he is unsure how insurance reimbursements will work with such consultations. He said he was worried about his pediatric patients picking up on their parents' anxieties, as well as the health and financial welfare of his staff. "The anxiety level is palpable," said Gulbransen. "But it's a privilege," he said, adding, "you're here for your patients. You gotta push and do whatever it takes." New York state, the epicenter of the pandemic in the United States, had a coronavirus death toll exceeding 10,000 as of Tuesday, out of more than 28,000 across the country. The disease looks different in children than it tends to with adults, said Gulbransen. "We had a 6-week-old with COVID, and really (the infant had) no other symptom than a runny nose," said Gulbransen. He has also treated "quite a few toddlers and plenty of schoolage children," who were all doing well. Cases of the illness involving children are "dwarfed by adult cases, although some of the (child) cases can be quite severe," according to Dr. Lorry Rubin, director of pediatric infectious diseases at Cohen Children's Medical Center, part of the Northwell Health network. Sometimes previously healthy children, often adolescents, develop pneumonia "and that can be severe and possibly lead to them needing oxygen or ventilatory support," Rubin said. Still, most pediatric COVID-19 patients do well. Rubin said he was aware of only one child who had died, who also had a terminal congenital illness. Among infants under 60 days old in whom COVID had been detected, "all of them have done quite well," he added. "The frequency of pediatric illness requiring hospitalization is low," Rubin said. "No question, it's not as bad in children and less common than in adults." But with New York's healthcare system at full throttle treating coronavirus patients, Gulbransen wants to take no risks. His motto is: "Whatever you do, don't send someone from this office to the ER."

SOLUTION: 'Don't go to the ER': how a New York pediatrician is dealing with the coronavirus outbreak.

PROBLEM: The Centers for Disease Control and Prevention on Wednesday posted data showing nearly 68,000 drug overdose deaths were reported last year. The number may go up as more investigations are completed, but the agency expects the tally will end up below 69,000. Overdose deaths had been climbing each year since 1990, topping 70,000 in 2017. The numbers were celebrated by the U.S. secretary of health and human services. "Lives are being saved, and we're beginning to win the fight against this crisis," Alex Azar wrote in a tweet. But the overdose death rate is still about seven times higher than it was a generation ago. "We're still in a pretty sad situation that we need to address," said Rebecca Haffajee, a University of Michigan researcher. Researchers do not believe this is the start of a dramatic decline. Data from the first months of this year likely will show that the decrease is not gaining steam, said Farida Ahmad of the CDC's National Center for Health Statistics. The improvement was driven by a drop in deaths from heroin and prescription painkillers. Those falls were offset somewhat by continuing growth in deaths involving a different opioid, fentanyl, as well as other drugs such cocaine and methamphetamines. Overdose deaths often involve more than one drug. The improvement is not uniform: Some states seem to be making dramatic progress, while deaths continue to rise in others. The preliminary CDC data suggested deaths last year were down by as many as 1,000 or more in Ohio and Pennsylvania each seeing declines of about 20%. Meanwhile, deaths increased by about 17% in Missouri, which had more than 200 additional deaths. It can take months for authorities to complete toxicology tests and other elements of a death investigation involving drugs. And some states report faster than others. The CDC is expected to report more complete data later this year. The current overdose epidemic has killed more people than any other in U.S. history, and it had been on a soaring trajectory. From 2014 to 2017, overdose deaths jumped by 5,000 or more each year. Experts trace the epidemic's origins to 1995 and the marketing of the prescription painkiller OxyContin. It was meant be safer and more effective than other prescription opioids, but some patients got hooked and found they could crush the tablets and snort or inject them to get high. Gradually, many turned to cheaper street drugs such as heroin and fentanyl. In 2015, heroin began causing more deaths than prescription painkillers or other drugs. In 2016, fentanyl and its close cousins became the biggest drug killer, and in 2018 they were involved in about 46% of the reported overdose deaths, according to the preliminary CDC data. Strategies to reduce drug overdose deaths have included tougher policing, treatment program expansions, policies to limit opioid painkiller prescriptions and wider distribution of the overdose-reversing drug naloxone. Haffajee and other researchers are trying to figure out what measures are most responsible for the slight improvement. "It's complicated because there are so many policies going on, and as an evaluator it's very hard to separate them out and determine which is working," she said. Valerie Hardcastle, a Northern Kentucky University administrator who oversees research and other work on local health issues, has seen the overdose epidemic play out in her region, near Cincinnati. She believes a major factor is Narcan, a nasal spray version of naloxone, that has been widely distributed through the efforts of philanthropists and local, state, and federal officials. "It's fantastic that we have fewer deaths, don't get me wrong," she said. "But I'm not sure it's an indication that the opioid problem per se is diminishing. It's just that we have greater availability of the drugs that will keep us alive." ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content. ___ This story has been corrected to show Ahmad's first name is Farida, not Farid.

SOLUTION: Number of US overdose deaths appears to be falling.

PROBLEM: It was unclear if anyone ill came in contact with a 16-year-old Guatemalan boy who was held at the facility in McAllen, Texas, and died Monday, a day after he was diagnosed and transferred to a smaller station. Carlos Hernandez Vasquez was detained for six days, twice as long as generally allowed by U.S. law. The processing center is a converted warehouse that holds hundreds of parents and children in large, fenced-in pens that gained international attention last year when it held children separated from their parents. The government closed the facility after the flu outbreak, sent in cleaning crews to disinfect the building and plans to reopen it soon. The 32 sick children and adults have been quarantined at a smaller processing center, according to a U.S. Border Patrol official who spoke with reporters on condition of anonymity because there is an ongoing investigation. Their ages were unknown. Since December, five children have died after being apprehended by border agents, putting authorities under growing pressure and scrutiny to care for migrant children. Kevin McAleenan, the acting Homeland Security secretary, came under withering criticism Wednesday from a Democratic lawmaker who called the administration's actions with children "inhumane." The Department of Health and Human Services, which cares for unaccompanied migrant children, said Wednesday that a 10-year-old girl from El Salvador died last year after being detained by border authorities in a previously unreported case. The girl died Sept. 29 at an Omaha, Nebraska, hospital of fever and respiratory distress, officials said. The department began caring for the unidentified girl in March 2018, said spokesman Mark Weber, who described her as "medically fragile," with a history of congenital heart defects. With the government running out of space to hold migrants, the Trump administration has been taking dramatic steps to keep up with the influx. The Defense Department said Wednesday that it will provide temporary housing for at least 7,500 men and women who are taken into custody by immigration officials along the border. It will loan tents to the Department of Homeland Security, which will manage the camps. The Defense Department will evaluate six potential sites over the next two weeks: Tucson and Yuma in Arizona and Tornillo, Donna, Laredo and Del Rio in Texas. Tornillo, near El Paso, is where unaccompanied children were housed last year. The Pentagon said military personnel will only erect the tents and won't be involved in operations. The 77,000-square foot (7,155-sq. meter) processing center in McAllen is modeled after a similar facility in Nogales, Arizona, built for an influx of Central Americans in 2014. It has separate pods for boys and girls who came alone and parents with their young children. Some older children are split from their parents to avoid having them mix with much younger children. Texas's Rio Grande Valley, which includes McAllen, is the busiest corridor for illegal crossings. The Border Patrol made 36,681 arrests in the area in April, nearly three of every four coming in family units or as children traveling alone. Border Patrol agents have averaged 69 trips to the hospital a day since Dec. 22 and about 153,000 hours monitoring detained population at hospitals, the official said. Authorities have also cleaned other holding facilities in South Texas, including Brownsville, Corpus Christi, Kingsville and highway checkpoints. Migrants are not being vaccinated at Border Patrol stations, but they may be when hospitalized, the official said. The Border Patrol is offering vaccines to agents working. ___ Long reported from Washington. Associated Press writer Lolita C. Baldor in Washington contributed to this report.

SOLUTION:
Flu outbreak sickens over 30 migrants at border center.