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: The Associated Press has learned that the attorneys general in Illinois and the District of Columbia are examining how Juul's blockbuster vaping device became so popular with underage teens. The company's rapid rise to the top of the multi-billion dollar U.S. e-cigarette market has been accompanied by accusations from parents, politicians and public health advocates that Juul fueled a vaping craze among high schoolers. In addition to the ongoing inquiries in Illinois and the district, which had not been publicly disclosed before, four other state attorneys general are probing or suing Juul. Juul's top executives have disputed allegations that they've marketed their products to teens, declaring that they've taken unprecedented steps to combat underage use of its e-cigarettes. The company has shut down its Facebook and Instagram pages and pulled several of its flavored products out of retail stores. Juul also backs federal legislation to raise the minimum age to purchase all tobacco products, including e-cigarettes, to 21 nationwide. Juul spokesman Ted Kwong declined to answer specific questions about the investigations in an emailed statement but reiterated past company steps to prevent youth use. Juul announced Thursday that 50 retail chains have pledged to adopt the company's age-verification system, which requires sellers to scan a customer's ID before selling Juul products. Health and Human Services Secretary Alex Azar said in a statement Friday the Trump administration "will continue using every regulatory and enforcement power we have to stop the epidemic of youth e-cigarette use." A senior Illinois law enforcement official described to AP a wide-ranging inquiry being conducted by the office of Illinois Attorney General Kwame Raoul that is centered on whether Juul violated state consumer fraud laws and other statutes by designing and marketing its products to appeal to underage teens. The official was not authorized to speak publicly and requested anonymity. Marrisa Geller, a spokeswoman for District of Columbia Attorney General Karl Racine, confirmed in an emailed statement an investigation of Juul is underway. She said Racine is concerned about "the dramatic increase in the use of vaping products by district youth" as well as the policies and practices employed by e-cigarette manufacturers to prevent minors from using their products. The attorneys general in Colorado, Connecticut and Massachusetts have announced investigations of Juul related to concerns over underage use of its products. North Carolina's attorney general filed a lawsuit against Juul in May, asking a court to limit the company's sales and marketing in the state. All six attorneys general are Democrats. The Food and Drug Administration said last October it seized thousands of documents from Juul's San Francisco headquarters relating to the company's marketing. The agency has been investigating whether the company targeted youth with the flavors, design and ingredients of its products. The Wall Street Journal reported Friday that the Federal Trade Commission is investigating Juul's early marketing campaign and use of social media to promote its products. The FTC declined to comment. Juul has repeatedly stated that it understands the concerns about youth vaping and has taken "the most aggressive actions" of any company in the industry to combat the problem. It has spent millions of dollars on newspaper, radio and online advertisements pledging to keep its products out of the hands of young people. The company also has denied it ever marketed to anyone underage. Kwong said Juul's earliest marketing campaign, in 2015, was aimed at adults between 25 and 34. Based on the sales and revenue, he said, "there is no evidence that it drove use, youth or otherwise." Kwong said the company's paid social media "influencer" program was as a small, short-lived program that ended in 2018. Electronic cigarettes, which have been available in the U.S. since about 2007 and have grown into a more than $6 billion-a-year industry, are battery-powered devices that typically heat a flavored nicotine solution into an inhalable aerosol. Juul, which launched in 2015, now controls roughly three-quarters of the U.S. retail market for e-cigarettes. Last year, one in five U.S. high school students reported vaping in the previous month, according to government survey figures. Most experts agree the aerosol is less harmful than cigarette smoke since it doesn't contain most of the cancer-causing byproducts of burning tobacco. But there is virtually no research on the long-term effects of the vaping chemicals, some of which are toxic. The Centers for Disease Control and Prevention said Friday that 215 teens and adults in 25 states including Illinois have contracted severe respiratory illnesses after vaping. However, the agency said a clear-cut common cause of the illnesses hasn't been identified and they are being called "potential cases" that are still under investigation. The CDC said in many of the cases patients had acknowledged they'd recently vaped a substance containing THC, the high-inducing ingredient in marijuana. The agency did not say how many of the patients were teens. Kevin Burns, Juul's chief executive officer, told "CBS This Morning" on Wednesday the illnesses are "worrisome" for the industry and for Juul "if we contributed to it." He said the company is in close contact with the CDC to get as much information as it can "so if there's any issue that was ... associated with us, that we can get to the root cause and understand that." In Illinois, the state's Department of Public Health has called e-cigarette use among teens an "epidemic" and said there is an alarming lack of understanding about the risk for nicotine addiction. Other areas being investigated by Raoul's office include: how Juul verifies the ages of people who make online purchases from the company's website; the amount of nicotine in the flavored solution and how safe those levels are; and whether Juul has improperly advertised its e-cigarette as a smoking-cessation tool. Kwong said the Juul system is designed to help adult smokers switch from combustible cigarettes and is not intended to be used as a cessation product. Neither Juul nor any other e-cigarette has yet been approved by the FDA to help people who smoke traditional paper-and-tobacco cigarettes quit. The Illinois probe began in the spring. Raoul's office is not coordinating its investigation with other attorneys general, the official said. Geller, the spokeswoman for Racine, declined to discuss the scope of the district's inquiry. However, a senior official in Racine's office wrote to a Juul representative in early February and asked for a trove of information about how district residents purchase the company's products. Among the data sought by Benjamin Wiseman, director of consumer protection, was a list of authorized retail stores and third-party online retailers that failed to comply with Juul's rules for preventing minors from buying and using its products. Wiseman also asked that the company "describe in detail the nature of the retailer's failure to comply" and what action Juul took in response. Racine's office, Wiseman wrote, learned from news reports and conversations with community members and other government officials that use of Juul's products by young teenagers in the district has increased dramatically in recent years. "Remarkably, one district high school principal estimates that half of the juniors and seniors at her school are using e-cigarettes, many of which we believe are Juul's products," Wiseman told Patrick Lynch, a former attorney general of Rhode Island who runs a lobbying and consulting firm that represents Juul. Lynch's firm arranged for a meeting in the attorney general's office last November that included himself, Juul chief administrative officer Ashley Gould, Wiseman and Assistant DC Attorney General Brian Caldwell, according to emails obtained through an open records request. Lynch is not registered as a lobbyist in the District of Columbia. The agenda for the meeting isn't described in the records, although one email from Lynch said they discussed Juul's efforts "to dramatically diminish youth access to their product."

A: Juul Labs facing scrutiny from federal and state officials.
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Q: Officials went ahead with the parade despite the discouragement of the city health department about the ever-spreading virus. Within 72 hours of the parade, all the hospital beds in Philadelphia were full of flu patients. Within six weeks, more than 12,000 people died a death every five minutes and 20,000 had died within six months. Despite the human toll, there has been no memorial or public remembrance of flu victims in the city. Until now. The Mutter Museum, known for its collection of organs preserved in jars, deformed skeletons and wax casts of medical maladies, is launching new permanent exhibit on the 1918-1919 influenza pandemic in Philadelphia. "Spit Spreads Death" will open on Oct. 17, and will feature interactives mapping the pandemic, artifacts, images and personal stories. "It's still referred to by some historians as the forgotten pandemic, because how many Americans are conscious of it today?" said Robert Hicks, the museum's director. The exhibit takes its name from health department signs that popped up around the city as the pandemic spread. Ahead of the exhibit's launch, the museum will present a parade Saturday along the same stretch of road where the ill-fated Liberty Loan Parade took place. A sort of moving memorial, the parade will feature about 500 members of the public honoring victims of the pandemic, four illuminated floats and an original piece of music performed by Grammy-winning choir "The Crossing." "The parade has turned into an interesting commemorative act," said Matt Adams, co-founder of Blast Theory, the artists' group creating the parade. Anyone can sign up to participate and can choose the name of an actual flu victim to honor while marching. Marchers will be given a sign with the name of the person they chose and will move along the parade route flanked by the illuminated sculptures. Members of city's public health community have been urged to join in. "This is all about the process of remembering what the risks are in public health, because that is a crucial way for us to stay safe today," he said. More U.S. soldiers died from the flu than from battles in Europe during the war. It was called the Spanish flu at the time because Spain was neutral during the conflict and had no restrictions on the press, and could therefore report the outbreak freely, said Nancy Hill, special projects manager at the museum. The general public in much of the U.S. was uninformed about the virus because of the crackdown on news and any speech deemed unpatriotic. Speaking of soldiers dying from the flu fell into that category. About 500 million people, or one-third of the world's population, became infected with the virus. An estimated 20-50 million died around the world, with about 675,000 flu-related deaths in the United States. Troops moving around the globe in crowded ships and trains helped the deadly virus spread as the war dragged on. The exhibit itself will include interactives that allow people to explore their own neighborhoods to see how the flu hit their street, and even their own homes. Among the most poignant artifacts is a selection of Christmas gifts that a woman named Naomi Whitehead Ellis Ford purchased for friends and family, all fitted with handwritten personal notes to the intended recipients. But they were never handed out, because she passed away from the flu on Oct. 21. Hicks hopes visitors take away a sense of the scope of the pandemic and see how the city came together to help each other, and to be vigilant getting vaccines, taking common-sense health care measures and staying informed. The museum even threw a health fair in a south Philadelphia neighborhood, offering everything from flu shots to Narcan training. "It is too easy in the United States to forget," Hicks said. "Cholera, typhus, typhoid fever all mean nothing to most Americans today, but President Lincoln's son was killed by typhoid fever. From the high and mighty to those whose names aren't remembered, these diseases were commonplace. The fact that measles is back again is a great reminder: These diseases don't go away."

A: From parade to pandemic: Museum looks at 1918s deadly flu.
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Q: The dead include a basketball coach from the Seychelles who was participating in a tournament in Madagascar's capital, Antananarivo. Five people have died of plague in the capital, reported L'Express de Madagascar, a daily newspaper. The government has begun a campaign to disinfect school classrooms in the city, compelling students to stay at home in the coming days. Many people have bought surgical masks and other medical supplies in large quantities, raising concerns about a shortage of medicine. "Once everybody hears that this is a major thing, everyone runs out and buys everything at the pharmacy," said Joshua Poole, the Madagascar representative for Catholic Relief Services, an aid group based in Baltimore, Maryland. "Access to those essential items is a challenge." Poole said the death of the basketball coach from the Seychelles had attracted more international attention to this year's outbreak of plague, which is endemic to Madagascar. The coach, 49-year-old Alix Allisop, died in a hospital on Wednesday after experiencing breathing problems, according to the Seychelles News Agency. A jazz festival, Madajazzcar, canceled its opening concert in Antananarivo this week and suspended other events until further notice. Plague has also been reported in the port city of Toamasina in eastern Madagascar and other cities. At least 114 people have been infected with plague and the disease is affecting large urban areas unlike like past outbreaks, increasing the risk of transmission, the World Health Organization said Sunday. WHO, which is sending more staff and supplies, including antibiotics, to Madagascar, said about 400 case of plague, mostly bubonic, are reported every year in the country. The last reported outbreak in Madagascar occurred in a remote area in December 2016 and was mostly bubonic plague, the United Nations health agency said. "Bubonic plague is spread by infected rats via flea bite, pneumonic by person-to-person transmission. The current outbreak includes both forms of plague," the agency said. It described plague as a "disease of poverty" that can kill quickly if untreated but can be cured if antibiotics are administered early. ___ Follow Christopher Torchia on Twitter at www.twitter.com/torchiachris

A:
Plague in Madagascar hits urban areas, kills 2 dozen people.
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