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.
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Question: Paragraph: The research was released Monday as the state started its first statewide campaign to prevent the disease. The most recent case came out of Hilo, where a resident contracted the disease in late November. Department of Health officials suspect the Big Island patient accidentally ingested an infected slug while drinking from a garden house. People contract the disease by ingesting food contaminated with snails or slugs that carry parasitic larvae from rat droppings. The state's $300,000 campaign will include a series of television and radio announcements urging people to wash fruits and vegetables before eating them to avoid the potentially debilitating disease, which affects the brain and spinal cord. The Legislature earlier this year granted the Health Department $1 million over the next two years to control the spread of rat lungworm. There were 18 laboratory-confirmed cases in Hawaii this year. The Big Island has seen the most cases at 11, followed by Maui at six. Sue Jarvi, a professor at the University of Hawaii at Hilo, said the recent study shed light on how common the disease is in rats. Jarvi said rats near Hilo Harbor and Hilo International Airport are especially worrisome because some end up getting transported to the mainland and other countries, potentially exporting rat lungworm. The Centers for Disease Control and Prevention, UH-Hilo and researchers in Thailand are all reviewing parasites that were collected, Jarvi said. "The risk of rat lungworm disease is present on all islands and there are basic steps we can take each day to reduce this risk and help prevent infection," said Keith Kawaoka, the department's deputy director of environmental health. "Knowledge is the best defense we can provide people with to collectively protect our communities from rat lungworm disease in Hawaii." Claim: Hawaii launches campaign to prevent spread of rat lungworm.

Answer: Almost 94 percent of rats in the Hilo region are infected with the parasite that causes rat lungworm disease, a recent study on the meningitis-like disease showed.

Question: Paragraph: The St. Louis Post-Dispatch reports that officials are urging at-risk people, such as recreational drug users and the homeless, to get vaccinated. The Missouri Department of Health and Senior Services said Wednesday that the state has recorded 414 cases in 35 counties since September 2017, mostly in the southeast part of the state. Only about 10 cases per year were reported before then. Health officials say the virus has sent 233 people to the hospital and caused two deaths. Hepatitis A is a viral infection. It usually spreads when a person ingests the virus from objects, food or drinks contaminated by undetected amounts of stool from an infected person. ___ Information from: St. Louis Post-Dispatch, http://www.stltoday.com Claim: Health officials raise concerns about hepatitis A outbreak.

Answer: Officials are raising concerns that a hepatitis A outbreak in Missouri could worsen if the liver disease spreads to urban areas.

Question: Paragraph: There was no discussion of costs. Costs would include treating the double digit rates of incontinence and erectile dysfunction in these younger men who do have surgery. The surgery may help them live longer, but many, especially since younger at time of surgery, live decades with these potential harms and folllowup costs of the surgical choice. This should get at least a line in such stories. While describing some of the differences observed in general terms without quantification, the story provided absolute percentage of men dying from prostate cancer in the two study groups. The story then went on to explain that the difference was in the men who were less 65 years of age at the time of diagnosis. The story would have been better if it had more clearly explained this important caveat about the benefit seen. The potential harms associated with various approaches to treating prostate cancer as well as the increased risk of prostate cancer progression and death seen in the cohort of men who followed the watchful waiting approach were discussed. The story did a laudable job of providing information about the study reported on including the fact that the results most recently published basically expand the timeframe of followup on these men which have previously been published. It provided insight about the number of men involved in the study, how their prostate cancer was detected and that the men had been randomly assigned to their treatment group. The story did not engage in overt disease mongering. Two clinicians who were not involved in the study provided quotes which were used in the story. The story included a list of the commonly available treatment options for early stage prostate cancer. But we must give an unsatisfactory score because the story included a factually incorrect statement indicating that watchful waiting is synonymous with active surveillance. It is not. The story went on to misinform readers by indicating "watchful waiting is often recommended when a man is not expected to die of the cancer" by failing to complete the thought by explaining that the reason they are not expected to die of the cancer is because their advanced age makes it unlikely that the cancer will have sufficient time to progress to lethality OR because they have other diseases from which they are likely to succumb before there is time for the prostate cancer to be deadly. An important caveat about how the prostate cancer in the study differed from the way in which prostate cancer is most commonly detected today in the US was explained. The story provided a reasonable view of the novelty of the treatment options detailed in the study along with the critically important caveat that the majority of the men in the study had their prostate cancer first detected at a later state than is seen with the current screening practices in the US. The story did not rely on a news release. Claim: Aggressive Treatment May Be Beneficial for Early Prostate Cancer

Answer:
As with the NPR and AP stories we also reviewed, this story helped frame this issue in the first few lines rather than burying it at the end as so often is the case. To have an expert not involved in study quoted in the second paragraph saying "findings are not likely to be practice-changing" provides readers with balanced perspective right from the start. It was also good that the story concluded with a quote that expanded on what it means to "individualize" treatment. Unlike the concluding quote in the NPR story, this one provided language suggestive of shared decision making by adding 'in relation to the risk stratification of disease, PATIENT DESIRES, health status, and RISK TOLERANCE". (emphasis added) Good way to end the story. Decisions about what, if anything, to do when facing a diagnosis of early stage prostate cancer is difficult and this story provided readers with useful information to consider.