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.

[EX Q]: Paragraph: Repeated attacks on treatment centers by armed militiamen and community members who think Ebola is a conspiracy against them have hampered the response to the second-deadliest outbreak of the hemorrhagic fever in history. In the latest attack, on a hospital in the city of Butembo, a senior World Health Organization (WHO) epidemiologist from Cameroon was killed and two others wounded last Friday. At a protest on Wednesday in Butembo, the biggest city to be affected by the current outbreak, dozens of Congolese doctors and nurses marched behind a banner reading "Ebola exists" and urged authorities to take additional security measures. "If our security is not guaranteed, we will go on strike from the first week of May," Dr. Kalima Nzanzu said, reading from a memo to Butembo's mayor, Sylvain Kanyamanda. Kanyamanda told Reuters that he understood the health workers' frustrations and that the government was determined to respond to their demands. The latest outbreak of Ebola, which was declared last August and is Congo's tenth since the virus was discovered in 1976, is believed to have killed 880 people and infected nearly 500 more in North Kivu and Ituri provinces. The military prosecutor's office in North Kivu said on Wednesday that authorities had captured the suspected ringleader of last week's attack, as well as about a dozen other suspects. Prosecutors believe the assailants belong to an armed group called the Patriotic Union for the Liberation of Congo (UPLC) based on a tract left at the hospital threatening health workers. Dozens of militia are active in eastern Congo's borderlands with Rwanda, Uganda and Burundi, where they run lucrative rackets and fight over land, ethnicity and mineral resources. Claim: Ebola first responders threaten strike if security not improved.
[EX A]: Health workers in one of the epicenters of eastern Democratic Republic of Congo's Ebola outbreak threatened on Wednesday to go on strike as early as next week if authorities don't do more to protect them.

[EX Q]: Paragraph: The Office of Inspector General on Friday released two reports that look into the longstanding challenges of the 28 hospitals directly operated by the federal Indian Health Service. The OIG, which acknowledged that reports of inadequate health care services for Native Americans have been of concern to the federal government for almost a century, criticized the agency's limited oversight regarding compliance with federal regulations and quality of care, detailing how the agency's regional administrators have few sources of information to assess the services provided at the facilities. The Indian Health Service, commonly referred to as IHS, is responsible for providing health care services to enrolled tribal members as part of the government's treaty obligations to Native American tribes. But the agency has faced challenges for decades, and within the past year it has been under increased scrutiny from Congress after inspections of hospitals in the Great Plains uncovered severe deficiencies. The OIG says IHS's eight regional offices conduct activities to monitor the quality of the facilities, but those efforts are minimal in some areas. One of the reports states that the primary source of information that the regional offices use to detect quality problems is a small number of complaints and patient harm reports. "However, according to hospital administrators, most patient complaints relate to customer service and wait times, rather than medical care," according to the report. "Further, most hospitals (20 of 28) receive fewer than 100 complaints per year for inpatient and outpatient visits combined, averaging about 1 complaint per 1,000 patient visits. ... Considering the quantity and subject matter of complaints and patient harm reports, they are unlikely to provide hospital staff with the breadth of information needed to identify and diagnose systemic quality or compliance breakdowns." The OIG, which gathered the information for the reports between April and October 2014, also said that only half of the regional offices conducted mock inspection surveys that could provide insight regarding the facilities' quality practices. The watchdog also faulted the IHS for staggering findings of outdated facilities and the weekslong process that job applicants must follow, even when the physician vacancy rate was 33 percent at the time the information for the reports was gathered. According to the report, in 15 of the 28 hospitals, administrators reported that aging or inadequate physical environments affected their ability to give quality care. Corroded pipes in one hospital caused sewage to leak into the operating room. The IHS has now been under scrutiny for more than a year after inspectors from the Centers for Medicare and Medicaid Services, known as CMS, found several quality-of-care deficiencies at hospitals in South Dakota and Nebraska. At one facility, the alarming conditions of its emergency room led officials to close it for seven months. The OIG on Friday recommended that CMS inspectors survey IHS facilities more frequently. The IHS in a statement Friday concurred with recommendations made by the OIG, including the need for more training for staffers and new ways to monitor hospital quality. The IHS also said it began a mock survey initiative at 26 hospitals in May 2016 to assess compliance with the standards that facilities must meet to be able to participate in the Medicare program. The IHS's statement also highlighted a team that was formed in February 2016 "to ensure that dependable, quality care is delivered consistently across IHS facilities." ___ Follow Regina Garcia Cano on Twitter at https://twitter.com/reginagarciakNO ___ Associated Press writer James Nord contributed to this report from Pierre, South Dakota. Claim: Watchdog: Staff issues affect care at reservation hospitals.
[EX A]: The internal watchdog of the U.S. Department of Health and Human Services says the often-substandard quality of care at hospitals serving Native Americans is the result of outdated equipment and technology, lack of resources and difficulty attracting and keeping skilled staff.

[EX Q]: Paragraph: The French drugmaker, whose pipeline has disappointed investors in recent years, poached new chief executive Paul Hudson from Swiss pharma group Novartis in September to revitalize the company. Its move to ditch diabetes research - announced alongside cost savings targets - marks a major turning point for a firm whose products dominated the insulin market for nearly two decades, before it was hit by patent losses and a drop in sales. "We recognize it is getting more difficult to get breakthrough innovation and that we have to be efficient and move our resources to areas of opportunity, as tough a choice as that is," Hudson told reporters. The firm is bulking up elsewhere, as in the lucrative field of cancer drugs. It announced a deal to buy U.S. biotechnology firm Synthorx for about $2.5 billion earlier on Monday. Sanofi, which is due to further detail strategic plans to investors on Tuesday in Cambridge, Massachusetts, said it was targeting new cost savings of 2 billion euros ($2.20 billion) by 2022, by tightening spending and shaking up its supply chain. It also aims for a core operating margin of 30% by then, up from 25.8% last year. The group emphasized the potential for its eczema treatment Dupixent, recently approved in other therapeutic areas such as asthma, with an aim to expand sales to more than 10 billion euros. Revenue for the drug, developed with U.S. partner Regeneron Pharmaceuticals Inc, was up 268% in 2018, reaching 788 million euros. Sanofi, currently organized around five global business units, said it would rejig these around three pillars: specialty care, which includes oncology and rare diseases, as well as vaccines and general medicines. Its consumer healthcare unit - known for over-the-counter products such as paracetamol Doliprane, erectile dysfunction drug Cialis and influenza treatment Tamiflu - will be considered as a standalone business, Sanofi said. It would have its own operational dynamic, the firm added, though it did not clarify what this meant in the longer term. Sources told Reuters last month that Sanofi was considering a joint venture or an outright sale among options for the division. "Our objective for the consumer healthcare business is to unlock value and entrepreneurial energy by growing faster than the market over mid-term," Hudson said. Claim: Accutane Linked Heart, Liver Woes
[EX A]:
Sanofi SA said on Monday it would end its research efforts in diabetes and cardiovascular diseases as part of a revamp that will narrow the number of its business units in the hope of bolstering growth and profit.