Table:
text: Demographics of Kazakhstan
Births and deaths
Births and deaths
Average_population_x_1000 Live_births_1 Deaths_1 Natural_change_1 Crude_birth_rate_per_1000 Crude_death_rate_per_1000 Natural_change_per_1000
14 928 217 578 147 416 70 162 14.6 9.9 4.7
14 882 222 054 149 778 72 276 14.9 10.1 4.9
14 854 221 487 147 876 73 611 14.9 10.0 5.0
14 854 227 171 149 381 77 790 15.3 10.1 5.2
14 901 247 946 155 277 92 669 16.6 10.4 6.2
15 013 273 028 152 250 120 778 18.2 10.1 8.1
15 147 278 977 157 121 121 856 18.4 10.4 8.0
15 307 301 756 157 210 144 546 19.7 10.3 9.4
15 481 321 963 158 297 163 666 20.8 10.2 10.6
15 672 356 575 152 706 203 869 22.8 9.7 13.1

Question: What is the natural change (per 1000) if live births is 1 278 977 among births and deaths in Kazakhstan?