instruction:
You are given a background paragraph that describes one or more causal or qualitative relationships such as a relationship in economics or a scientific law and a story that makes use of the concepts or the relationship described in the provided paragraph. You are also given a question about the story that requires an understanding of the relationship described in the background paragraph and the story. You need to come up with an answer to the given question; the answer will be a span from either the question or the story. In order to correctly answer the given question, you need to understand the relationship mentioned in the background paragraph and should be able to use it to understand that in the story. Your answer can not consist of any word that is not mentioned in any of these: the background paragraph, the story, or the question. You can directly copy and paste a span from the story or the question while answering the given question.
question:
Background Paragraph: Hypertension , which is also called "high blood pressure," occurs when a person's blood pressure is always high. Hypertension is said to be present when a person's systolic blood pressure is always 140 or higher, and/or if the person's diastolic blood pressure is always 90 or higher. Having hypertension increases a person's chance for developing heart disease, having a stroke, or suffering from other serious cardiovascular diseases. Hypertension often does not have any symptoms, so a person may not know that he or she has high blood pressure. For this reason, hypertension is often called the "silent killer." Treatments for hypertension include diet changes, exercise, and medication. Foods thought to lower blood pressure include skim milk, spinach, beans, bananas and dark chocolate.
Story: At a doctor's office, two women are having their annual physical done. Jessie goes in first and is told that that she should go see a dermatologist about the skin issues she is having. The doctor then sees Martha who is having a pain in her right arm and who also has hypertension. The doctor talks to Martha about her issues and then heads home for the day.
Question: Is Jessie's risk for cardiovascular diseases higher or lower than Martha's?
answer:
lower.

question:
Background Paragraph: The primary role of red blood cells in the circulatory system is to transport oxygen to the tissues. The actual carrier of oxygen molecules is the protein hemoglobin, which binds to the oxygen and moves it throughout the body, releasing it in areas where the concentration of dissolved oxygen is low. A certain mutation in the gene for hemoglobin causes a slight change in the structure of this crucial protein, resulting in a disease called sickle-cell anemia. For people with this mutation, the hemoglobin produced by their red blood cells has a tendency to clump together, distorting the shape of the red blood cells and giving rise to the crescent-shaped cells seen above. By understanding the changes in structure that are the underlying cause of this disease, we have developed various ways to treat and manage this illness.
Story: Dan had two children: Karen which had sickle-cell anemia, and his son Bob, which was healthy.
Question: Which child has a hemoglobin that clumps together?
answer:
Karen.

question:
Background Paragraph: In nature, when the population size is small, there is usually plenty of food and other resources for each individual. When there is plenty of food and other resources, organisms can easily reproduce, so the birth rate is high. As the population increases, the food supply, or the supply of another necessary resource, may decrease. When necessary resources, such as food, decrease, some individuals will die. Overall, the population cannot reproduce at the same rate, so the birth rates drop. This will cause the population growth rate to decrease.
Story: Two Islands were discovered by settlers, A small group of people moved to South island, but most of them moved to North island. People on North island had frequent food shortages.
Question: Which island had people with a higher birth rate?
answer:
South.