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: This is a tricky one. The story does not explicitly address cost, except to call text messaging "a scalable and affordable approach." For many (or most) patients, the cost of receiving four text messages a week would likely be negligible covered by an individual's phone plan or by nominal text rates. However, not everyone owns a mobile phone, a fact that makes access (and cost) a more significant issue. However, the story does deliver on this point. The story discusses both the number of U.S. adults who own mobile phones (90 percent) and the fact that text messages are more accessible than other forms of mobile health communication (such as apps, which require patients to own smartphones or other smart devices). So, while we'd prefer a more in-depth discussion here, we'll awarda Satisfactory rating for the story's nod in this direction. The story addresses the range of benefits reported in the study, such as reduced cholesterol and blood pressure, but doesn't quantify that information or offer readers any context. For example, while the story says "patients who had received the text messages had reduced their cholesterol," the JAMA paper reports that patients who received the text messages had a "mean difference [of] 5 mg/dL" in "LDL-C." In other words, the information in the paper, while quantified, probably isn't very useful to many readers outside the health industry. Is "a mean difference of5 mg/dL in LDL-C" good? Bad? Irrelevant? This is where reporters have an opportunity to shine. If a news story can take those numbers and translate them into language that is accessible to non-experts, it provides a very real service. It would have been great to see that here. As long as people aren't driving and checking their cell phones, there don't appear to be any harms associated with receiving well-meaning text messages four times a week, so we'll mark this one "not applicable." This is a strong suit. The story not only offers a concise, but good, summary of the study but it also goes out of its way to address the study's limitations. For example, the study notes that the study "can't tell us whether text messaging could eventually lead to fewer subsequent heart attacks among the patients receiving those messages or whether the positive health outcomes would continue past the six-month study window." Good points, and we're glad the story includes them. No disease mongering here. The story includes input from an outside expert who was not involved with the research. The story clearly meets our bar here, although it would have been stronger if it had reached out to at least one more independent source preferably one who hadn't written an editorial that ran in conjunction with the paper in JAMA. Yes, the editorial was independent and provides some insightful commentary. But it also means we already knew where this source stood on the issue. Finding another reputable expert, who hadn't already weighed in publicly on the work, would have been great. The focus of the story is not so much on how the text message intervention directly reduced heart disease risk, but on the extent to which it resulted in patients taking steps to reduce their own risk such as by exercising more, smoking less, making dietary changes, or taking prescription drugs on a regular basis. The story does discuss other "mobile health interventions," such as smartphone apps but notes that there don't appear to be many mobile health projects that rely simply on text messages. The story also looks at how the text messages helped patients pursue lifestyle changes like exercising more and smoking less that reduced their risk. It was fairly clear from the story that this was a clinical trial, and that this particular service doesn't seem to be available to offer customized, encouraging text messages for heart disease patients. From the start, the story frames this research in the context of the much larger "mobile health" field. For example, the story notes that "While there are more than 100,000 health-related apps on the market, the evidence to date is lacking as to whether many of those apps are safe or effective." Since the story includes quotes from an interview, we can be fairly certain it went beyond the related JAMA news release.

A: Text Reminders Help People Lower Cholesterol, Blood Pressure
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Q: "In a press conference on May 5 in which Gov. Greg Abbott updated his reopening plan to add businesses such as hair salons and gyms, he recommended that at-risk populations ""remain at home if at all possible"" and avoid in-person gatherings, such as a church service, funeral or wedding. ""We strongly encourage at-risk populations to try to watch or participate remotely, remembering this very important point, and that is almost 75 percent of the deaths from COVID-19 in the state of Texas are a result of people contracting COVID-19 who are age 65 and older,"" Abbott said. Texas was among the first states to start reopening businesses and lifting restrictions put in place to curb the spread of the coronavirus, allowing retail stores and restaurants to open May 1 at 25 percent capacity. Abbott announced the latest set of reopenings Monday, expanding restaurant capacity to 50 percent and granting bars the ability to open at 25 percent capacity within the next couple weeks. This comes as the state continues to see its number of infections and deaths rise and clusters form mostly in rural parts of the state where meatpacking plants are located. Hospitalizations, however, have decreased since mid-April. With that in mind, we had to ask: Is Abbott right that almost 75% of coronavirus deaths in Texas are people older than 65? Looking at the numbers Abbott's spokesman John Wittman said Abbott's claim is based on figures from the Texas Department of Health Services, which publishes daily numbers on the state's COVID-19 testing and cases. The data includes a breakdown of coronavirus deaths by age, race and gender, but only for those cases where the deaths have been investigated by the local and regional health departments. As of Wednesday, the majority, or 489, were still under investigation. ""The demographic data on cases and fatalities come from the case investigation forms submitted by local health departments and our regional offices,"" said DSHS spokesman Chris Van Deusen. The purpose of the investigation is to confirm that the person had COVID-19 but also to collect other details about them and the circumstances around their death, Van Deusen said. Wittman said the data showed that 75% of investigated deaths were people 65 and older when Abbott made this statement. ""It alternates almost daily, but it's generally around that range,"" Wittman said. As of May 6, the day after the press conference, the death toll in Texas was 948. Fewer than half, or 433, had been investigated. Of those, about 71 percent were Texans 65 and older. It was still about 71 percent, or 345 out of 489 investigated cases, as of Wednesday. The age groups broke down like so: Ages 10 to 19 years old: 2 deaths, or 0.4% Ages 20-29: 10 deaths, or 2.04 % Ages 30-39: 9 deaths, or 1.8% Ages 40-49: 21 deaths, or 4.29% Ages 50-59: 54 deaths, or 11.04% Ages 60-64: 45 deaths, or 9.2% Ages 65-69: 59 deaths, or 12.06% Ages 70-74: 45 deaths, or 9.2% Ages 75-79: 45 deaths, or 9.2% Ages 80+: 196 deaths, or 40.08% Across the United States, about 79% of coronavirus deaths have been people 65 years and older, according to the National Center for Health Statistics data submitted between the beginning of February to the beginning of May. Like Texas' statistics, the national numbers are also incomplete. The number of deaths represent only those entered between those dates and only include people with confirmed or presumed COVID-19. ""While 80% of deaths are electronically processed and coded by NCHS within minutes, most deaths from COVID-19 must be coded by a person, which takes an average of 7 days,"" the NCHS states on its website. The data is also always somewhat behind because of the lag time between when a death occurred and when a death certificate is completed, submitted to NCHS and processed for reporting purposes. The delay can last anywhere from one week to eight or more. Our ruling Abbott said almost ""75 percent of the deaths from COVID-19 in the state of Texas are a result of people contracting COVID-19 who are age 65 and older."" Of confirmed coronavirus deaths, close to 75% were people within the age group Abbott provided, but he failed to include the caveat that this statistic leaves out more than half of the total deaths that have not yet been investigated."

A: "Almost 75 percent of the deaths from COVID-19 in the state of Texas are a result of people contracting COVID-19 who are age 65 and older."
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Q: The Alabama Department of Public Health announced the 2018 infant mortality rate was the lowest in Alabama history with 7.0 deaths per 1,000 live births It is an improvement over the 2017 rate of 7.4 and the 2016 rate of 9.1. "I am committed to improving the health of mothers and babies, and I am glad to see the infant mortality rates in 2017 and 2018 have improved from the rates earlier in this decade," Gov. Kay Ivey said in a statement. However, Alabama's mortality rate remains higher than the provisional U.S. rate of 5.7. "The continuing decline in Alabama's infant mortality is a start to closing the historically large gap between the state and national rates," Alabama Center for Health Statistics Director Nicole Rushing said. A total of 405 infants born in 2018 in Alabama died before reaching their first birthday. There also remains a racial disparity in infant mortality rates. The infant mortality rate for black infants in Alabama was 11.0 in 2018, more than twice the infant mortality rate for white infants at 5.1. State Health Officer Scott Harris said the the reduction in infant mortality is encouraging, but the state must continue to address Alabama's racial disparities in birth outcomes, increase access to prenatal care and getting treatment for women for drug use disorders. Jim Carnes is the policy director for Alabama Arise, which advocates for low-income families. He said the state also needs to examine barriers to health care. "Of course we celebrate the improvements in Alabama's rate, but there are some disturbing trends," Carnes said, noting the persistent racial disparity and the number of births without prenatal care. While low-income women gain Medicaid coverage during pregnancy, they often don't have care before or between pregnancies that could address chronic conditions or problems before they are pregnant, Carnes said. "That is something we could impact in a huge way with Medicaid expansion," Carnes said. The Health Department said the leading causes of infant deaths in 2018 were congenital malformations, deformations and chromosomal abnormalities; disorders related to short gestation and low birth weight; sudden infant death syndrome and bacterial sepsis of newborns. These causes accounted for 50% of Alabama infant deaths.

A:
Alabama infant mortality rate hits record low .
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