 We also consider doubling the number of casualties to date and, in this case, the death toll is almost 44000 individuals and about 5.1 million people being infected .
<coherence>  We also consider doubling the number of casualties to date and, in this case, the death toll is almost 44000 individuals and about 5.1 million people being infected .
 We also consider doubling the number of casualties to date and, in this case, the death toll is almost 44000 individuals and 5.1 million people being infected .