"We had no idea as to whether this could turn from 94 cases originally calculated into 9, 400 cases, " says Pascal James Imperato, chairman of preventative medicine at the State University of New York-Downstate Medical School and a former New York City health commissioner.

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The biggest toll from the disaster is likely to come from those who drowned as the giant wave swept over cities and farmland and then withdrew back toward the sea, according to Pascal James Imperato, the Dean of the School of Public Health at SUNY-Downstate Medical Center in Brooklyn.

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James Sprattley, Andrew Pascal and Anthony Savini started work on their film over a year ago.

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