instruction:
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.
question:
Paragraph: The 10,000 or so people who remain on Ambae island have mixed feelings about the plans. Some who are badly affected by the ash are eager to leave while others are resisting losing their land and culture. The island was temporarily evacuated last September when the eruption cycle began. This time, authorities are planning a permanent move. Government spokesman Hilaire Bule told The Associated Press on Thursday that he expects the Council of Ministers to approve a relocation plan by next week. Bule said the islanders would be offered residence on two neighboring islands. “It’s not an easy decision,” Bule said. He said there were many details to work through, including providing schools and facilities to the displaced residents and negotiating land and new homes for them. Many people have close family and spiritual ties to the islands where they’ll be relocated, Maewo and Pentecost, Bule said. Traditional religion even has it that the islands are part of a family — Pentecost being the mother, Maewo the father and Ambae the son. Most people on Ambae live a subsistence lifestyle by farming and fishing. Already hundreds of people have moved to temporary shelters on parts of the island that are not so affected by the ash. Ambae is about 400 square kilometers (154 square miles) and is one of about 65 inhabited islands in Vanuatu, which is home to 280,000 people. Vanuatu sits on the Pacific’s “Ring of Fire,” the arc of seismic faults around the Pacific Ocean where earthquakes and volcanoes are common. Brad Scott, a New Zealand volcanologist with GNS Science who has been seconded to help Vanuatu authorities, said more than one-quarter of Ambae has been severely impacted, with many traditional thatch roofs collapsing under the weight of the thick ash. He said traditional gardens have been buried and killed in some places and water supplies have been discolored and the water tastes strange. He said there is lots of fine-grained ash, which can affect people’s breathing and respiratory functioning. Other countries including France, New Zealand and Australia provided aid and financial help for the earlier evacuation. Australia on Thursday announced it was providing 300,000 Australian dollars ($226,000) to help with the island’s permanent evacuation, with a focus on the needs of women, children and people with disabilities. Despite the problems, Scott said, many people want to stay put. “There has been significant pushback in the community,” Scott said. “Some people, suffering from significant ash fall, would love to be anywhere else on the planet. Others have strong cultural associations.” Scott said the Manaro volcano on Ambae island had a large eruption about 400 years ago and has had several smaller eruptions over the past 100 years. There have been three phases in the current eruption, with the most recent phase, which started in March, producing the most ash. He said the volcano has actually quietened down over the past two weeks, although there is no way of predicting if and when the next explosive phase would begin. Asked if there was a chance that the residents might be able to one day move back to the island, Bule, the government spokesman, said that was not a question for him. “We don’t know,” he said. “You’ll have to ask the volcano.” Claim: Vanuatu plans to permanently evacuate entire volcanic island.
answer:
The Pacific nation of Vanuatu is preparing to permanently evacuate the entire population of one of its islands as thick ash spewing from a volcano kills crops, dirties water supplies and fouls the air.


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Paragraph: The article states that acupuncture costs $45 to $100 per session. It does not say how this compares to other treatments and whether the cost of care is the same, more or less than alternatives. The story states the proportion of patients who successfully responded to each therapy, and clearly explains that “real” acupuncture was no better than sham needling. But it does not define success or otherwise quantify how much people improved clinically in either relative or absolute terms. For a treatment to be considered successful, a patient must have reported either a 33% improvement in pain or as little as a 12% improvement in function during an interview conducted over the telephone 6 months after enrollment. Nonethless we’ll grade this criterion as satisfactory. The story did not mention harms from any of the treatments patients received. Previous research suggests that acupuncture poses few risks when performed with sterile, disposable needles. The article describes the largest randomized controlled trial to date investigating the effectiveness of acupuncture for treating chronic low back pain, and reports its published results. It discusses the three treatment groups studied and potential reasons for the outcomes observed. There are no obvious elements of disease mongering. The story explains that the study participants were people with chronic low back pain. These results wouldn’t apply to other back pain conditions. The article cites one of the study’s coauthors and two physicians who appear to be users and/or proponents of complementary therapies. It would have been interesting to hear from a skeptical observer. The story lists the therapies received by patients assigned to the conventional medicine group. The literature suggests that these treatments generally provide very modest benefits. The article does not mention other therapies that may be effective for managing chronic pain and improving flexibility and strength. These include cognitive therapy alone or in combination with intensive exercise and strengthening. Acupuncture is estimated to be the third most popular complementary therapy for chronic low back pain. Though the article does not say much about its availability, readers are likely to be familiar with it. The story notes that this is the largest study yet of acupuncture for chronic back pain, suggesting that the treatment is not new. There is no obvious use of text from a press release. Claim: Acupuncture, real or fake, called best for lower back pain
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This article reports on the largest randomized controlled trial to date investigating the effectiveness of acupuncture for treating chronic low back pain. It explains that both acupuncture and sham needling are more effective than conventional medical therapies, but that “fake acupuncture works nearly as well as the real thing.”       In addition to describing the quality of the evidence, the story mentions several other treatment options, tells the reader the cost of acupuncture, and hints at its novelty. The story neglects to mention harms. (A recent systematic review reinforces the study’s finding that acupuncture poses few risks; see Spine 2005;30:944-63). And it also provides an incomplete picture of the treatment’s apparent benefits. Although it notes the proportion of patients who improved with each therapy, it does not define success or otherwise quantify how much people improved clinically–in either relative or absolute terms. For a treatment to be considered successful, for example, a patient could have reported as little as a 12% improvement in function during an interview conducted over the telephone 6 months after enrollment. This is important information if people are to weigh the apparent benefit of a therapy against its cost. The article cites one of the study’s coauthors and two physicians who appear to be users and/or proponents of complementary therapies. They attempt to explain why needling seems to work. To provide some balance, the study’s coauthor suggests that the apparent benefit could merely be the result of patients’ expectations of improvement from acupuncture, on the one hand, and of poor results from conventional medicine on the other. (Unfortunately, the researchers did not measure patients’ expectations.) It would have been interesting to hear from others. Some might point out that the new study shows that acupuncture and sham needling are only more effective than treatments that are not themselves very effective. Others might make the case that acupuncture provides no specific treatment effect and is unethical to use—because it could be construed as prescribing a placebo. People with chronic low back pain are desperate for anything that will help. When a large new study provides apparently strong evidence to buttress a therapy that previously had little high-quality evidence to support it, readers might also benefit from more context. A major systematic review that analyzed 35 randomized trials involving 2861 patients recently concluded that acupuncture appears to confer modest, short-term pain relief, but that the quality of the studies was not very good. The reviewers were careful not to overstate the benefits of acupuncture (Spine 2005;30:944-63). Overall, this was a good article that would have been helped by some more context.


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Paragraph: Mental health problems, often undiagnosed, are usually involved and experts say knowing warning signs and who is at risk can help stop a crisis from becoming a tragedy. Bourdain, 61, and Spade, 55, died three days and a continent apart this week amid a new U.S. report showing an uptick in suicides rates in nearly every state since 1999. Middle-aged adults — ages 45 to 64 — had the largest rate increase, according to the report from the Centers for Disease Control and Prevention. Previous studies have suggested economic downturns and the nation’s opioid crisis contributed to the rise in middle-aged suicides. Dr. Christine Moutier, a psychiatrist and chief medical officer for the American Foundation for Suicide Prevention, said Friday it’s important for everyone to know the warning signs and to intervene when family members, friends or co-workers appear troubled. Asking if they’ve had suicidal thoughts is not harmful and lets them know you care, she said. Behavior that may indicate someone is suicidal includes: —Talking about feeling hopeless, trapped, a burden to others or wanting to die. —Unusual mood swings or withdrawing from family, friends and usual activities. —Giving away important possessions. —Increased use of alcohol or drugs. This week’s report found that many suicides were in people with no known mental illness. But Dr. Joshua Gordon, director of the National Institute of Mental Health, said that contradicts years of data, suggesting many have “gone undiagnosed and untreated. It’s very troubling.” Gordon said doctors need to ask patients at every opportunity about their mental health and evaluate their risk for suicide. “When you ask everybody and not just people you might suspect, you double the number you detect,” he said. Gordon noted that psychotherapy and certain psychiatric drugs have been shown to reduce suicidal tendencies. Moutier of the American Foundation for Suicide Prevention, said that suicides can be “contagious” — hearing about one may make others who are already at risk turn to self-harm. She said celebrity suicides also typically prompt an increase in calls to suicide help lines. “People should know that suicide is preventable. Anyone contemplating suicide should know that help is available, and that there is no shame in seeking care for your mental health,” Dr. Altha Stewart of the American Psychiatric Association said in a statement. ___ Follow AP Medical Writer Lindsey Tanner on Twitter: @LindseyTanner . Her work can be found here . ___ The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. Claim: Celebrity suicides highlight troubling trend in midlife.
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The deaths of celebrity chef Anthony Bourdain and fashion designer Kate Spade highlight a troubling trend — rising suicides among middle-aged Americans.


