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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Question: "Ed Stafford of Leicestershire, England walks in between trees as he walks through the Amazon jungle in Brazil in this undated handout photo. Former British army captain Stafford became on Monday the first known person to walk from the origin of the Amazon river, the world's second-longest river, to its mouth, after withstanding ""50,000"" mosquito bites, scorpion attacks and skin disease in his 859 day odyssey. REUTERS/Handout Ed Stafford, a 34-year-old from Leicestershire, England, dived into the Atlantic Ocean after taking 859 days to walk the length of the world's second-longest river, starting at the peak of Mount Mismi in Peru in April 2008. "It's just phenomenal to be here at the end of the journey after 2-1/2 years slogging our way through the jungle," he told Reuters after arriving at the beach about 90 miles northeast of the Brazilian city of Belem. "It was really difficult to envisage how this was going to feel and I'm completely overwhelmed." Stafford briefly collapsed from exhaustion with only 52 miles of the 6,000-mile journey to go, passing out by the roadside after breaking out in a rash. "I feel slightly humbled that my system just decided to shut down so close to the finish," he wrote on his blog at www.walkingtheamazon.com. Stafford has aimed to use the walk to raise awareness about the threats to the Amazon rain forest and its people, using a portable satellite video to blog about his trek. He had planned to complete the walk in about a year, but the journey was prolonged by floods that forced him to walk a roundabout route that was 2,000 miles longer than the 4,000-mile (6,400-km) length of the Amazon, which is exceeded in length only by Africa's Nile river. He began the journey with fellow British adventurer Luke Collyer, but the pair had a falling out early in the trek and Stafford continued alone. He was joined in July 2008 by a Peruvian forestry worker, Gadiel Cho Sanchez Rivera, who pledged to walk with him for five days and has been with him on the walk ever since. A statement from Stafford's media team said that the Briton had been: "wrongly accused of murder on two separate occasions, been imprisoned, had concrete stuffed in his mouth by hostile tribes people, been chased by Ashaninka Indians with bows and arrows, been stung by hundreds of wasps and watched as his guide 'Cho' removed a botfly from Ed's head with superglue and a tree spine." It said he had endured "50,000" mosquito bites, lived on a diet of piranha fish, rice and beans, and dodged a variety of snakes, electric eels, scorpions, and ants, as well as contracting a skin-disfiguring disease. Famed British explorer Sir Ranulph Fiennes was quoted as saying in the statement that Stafford's feat was "truly extraordinary." "No one has ever done this before and the pundits considered the route impossible," he said."

Answer: British man becomes first to walk Amazon length.

Question: - Frustration over limited time spent with patients. - Inordinate amounts of time inputting required data. - Side effects including high levels of stress. The patient? Herself. The remedy? "I did the research and found direct primary care," said Anderson-Elder of Windsor. And in June she joined Dr. Frank Morgan at Balance Health in Greeley, a direct primary care clinic he founded four years ago in Greeley. Leaving her family practice at UCHealth Medical Clinic in Windsor after seven years wasn't an easy decision, she said, but it was the right decision for her. Many physicians from all specialties share Anderson-Elder's frustration and levels of stress incurred while working in insurance-based health care systems. In the 2018 Medscape National Physician and Depression Report, 42 percent of family physicians admitted to having burnout or depression, listing "too many bureaucratic tasks (charting, paperwork)" and "too many hours at work" as the leading factors in burnout. Although direct primary care has been around for some time, it is just now gaining a toehold with both physicians contemplating the switch to a different way of providing care and patients willing to give it a shot, so to speak. In 2017, there were more than 600 direct primary care clinics in the U.S., 10 percent of those in Colorado, according to the Colorado Independent. Anderson-Elder said in her research she found 1,000 out of the 80,000 family doctors practicing in the U.S. have gone the direct primary care route. DIRECT PRIMARY CARE What is direct primary care? And why the interest? First and foremost, the major difference is that direct primary care does not accept insurance. Patients instead pay a monthly membership fee that includes unlimited visits, calls and emails, along with many routine services and access to prescriptions and lab work at a reduced cost. For the physician, it means quality time spent with patients and no more time filling out paperwork to satisfy health insurance company regulations. What the monthly fee is varies from clinic to clinic. At Balance Health, it is $99 for adults, $180 for couples and $30 for children. Those who sign up for direct primary care are asked to sign an annual contract but can be released from it with 30 days' notice, Anderson-Elder said. "We want to be accessible to our patients. We don't want them to go to urgent care or ER if they don't have to," she said. And yes, that includes calls at 3 a.m., but if it can wait till morning, the patient is worked into that day's schedule. Anderson-Elder typically sees eight to 17 patients per day, depending on whether it's cold and flu season. And she spends as much time as needed with them. At her previous practice, she was limited to spending 15 to 20 minutes per patient. "People service their cars," she said. "They should do the same thing with their bodies. You should be looked at and tuned up." While most people think of going to the doctor only when they don't feel well or need a physical for work or school, Anderson-Elder said she likes to see patients even when they feel healthy so she can check in on their well-being and talk about proper nutrition. "Oftentimes patients think they're healthy, but then we do an exam and sometimes find things," she said. Direct primary care works best when combined with a high-deductible health plan, Anderson-Elder said, for those times when unexpected surgeries are scheduled and for patients who suffer from chronic illnesses. But she said about one-third of her patients have no health insurance at all. She also noted direct primary care should not be confused with concierge medicine, which also provides direct access to providers for a flat fee but still bills insurance companies for services provided. Another key distinction between the two is direct primary care is mentioned in the Affordable Care Act as an acceptable option for receiving medical care without insurance, while concierge medicine is not, according to the American Academy of Family Physicians. And last year, Colorado Gov. John Hickenlooper signed Colorado HB17-1115, which establishes that direct primary health care can operate without regulation of the division of insurance. Windsor Republican Rep. Perry Buck was a primary sponsor of the bill. Patients at Balance Health also can tap into other healthy-living services for additional fees. Dr. Dana Morgan, a family care physician, specializes in bioidentical hormone replacement therapy. Balance Health also has a small fitness gym replete with trainers and classes. Wellness coaching also is offered. Leaving her practice in Windsor, though a hard decision, has been the right prescription for her, she said. "I no longer take paperwork home," she said. "I'm happier and less stressed." ___ Information from: The Tribune of Greeley, Co, http://greeleytribune.com

Answer: Windsor doctor joining direct primary care movement.

Question: Public Health Commissioner Monica Bharel said Wednesday any suspected cases of unexplained e-cigarette or vaping-associated pulmonary disease must be immediately reported to the Department of Public Health for the next 12 months. Last month, the agency sent an alert to 25,000 Massachusetts health care providers asking them to voluntarily report pulmonary-related disease associated with vaping. "Today's action establishes the legal framework for health care providers to report cases and suspected cases so that we can get a better sense of the overall burden of disease in Massachusetts," Bharel said in a written statement. She said the reporting will also help the state provide case counts to the US Centers for Disease Control and Prevention as they to try to understand the nationwide impact of vaping. U.S. health officials are investigating what might be causing hundreds of serious breathing illnesses in people who use e-cigarettes and vaping devices. They have identified about 450 possible cases in 33 states, including six deaths. Massachusetts is actively investigating several suspected vaping-associated pulmonary cases. There have been no confirmed Massachusetts cases. The last time the state health commissioner issued a similar mandate was two years ago. That mandate required providers to report cases of amnesia associated with intravenous drug use. The new mandate was sent to all clinicians including internal medicine, family practice, general practice, emergency medicine, and clinical care in Massachusetts as well as pediatricians, pulmonologists, and nurse practitioners. It asks providers to report any case of a person experiencing otherwise unexplained progressive symptoms of shortness of breath, fatigue, chest pain, cough, or weight loss, of any severity, and an abnormal chest imaging study associated with vaping. In the cases reported to the CDC, patients experienced coughing, shortness of breath, and fatigue. Symptoms worsened days or weeks before they were admitted to a hospital. Other symptoms reported by some patients included fever, anorexia, pleuritic chest pain, nausea, and diarrhea. All the patients had reported vaping in the weeks and months before going to the hospital. No specific product has been identified in all cases, nor has any product been conclusively linked to the clinical syndrome. According to the state health department, 41% of Massachusetts high school students have tried e-cigarettes at least once. About 20% of them reported using e-cigarettes in the past 30 days a rate six times higher than adults. Nearly 10% of middle school students say they have tried e-cigarettes. A 2018 law signed by Gov. Charlie Baker includes e-cigarettes into the definition of tobacco, making it illegal to vape where it is illegal to smoke. The law also raised the minimum legal sale of tobacco products including e-cigarettes to 21.

Answer:
Massachusetts collecting data on possible vaping illnesses.