In 2009, ''The New York Times'' reported that people in the Congo continued to die at a rate of an estimated 45,000 per month – estimates of the number who have died from the long conflict range from 900,000 to 5,400,000. The death toll is due to widespread disease and famine; reports indicate that almost half of the individuals who have died are children under five years of age. There have been frequent reports of weapon bearers killing civilians, of the destruction of property, of widespread sexual violence, causing hundreds of thousands of people to flee their homes, and of other breaches of humanitarian and human rights law. One study found that more than 400,000 women are raped in the Democratic Republic of Congo every year. In 2018 and 2019, Congo also reported the highest levels of sexual violence in the world.