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Some estimate the number of deaths from this policy to be higher than those from famine.
And there have already been a number of reports of deaths from this drug in 2013.
Donaldson said: "We can't give an estimate of deaths from this virus yet.
"As this moves forward," he said, "I fully expect that we will see deaths from this infection".
In England, deaths from this fell more than 50% between 1991 and 2005 for both men and women.
Scientists are convinced that the deaths from this illness could be prevented if they could figure out the cause.
We might expect that these drugs were crucial in the fight against tuberculosis, but in the 1960s and 1970s the doctor and demographer Thomas McKeown argued that something else had caused the massive decline in deaths from this disease.
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This is one of the main reasons why Madagascar decided to launch this campaign this year – both to reduce illness and death from this disease as well as to meet international commitments to eventually eradicate the disease.
"We have had one death from this stuff, and three other confirmed cases," he said.
"From the press accounts, you'd think every death from this thing occurred in a mobile home".
But researchers were surprised to discover that the second leading cause of death from this type of illness was the norovirus.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com