question: What was the amount of Births (000s) that had a death rate larger than 7.6, and a Year of 1990-2009?
answer: SELECT SUM(births__000s_) FROM table_name_59 WHERE deaths > 7.6 AND year = "1990-2009"
context: CREATE TABLE table_name_59 (births__000s_ INTEGER, deaths VARCHAR, year VARCHAR)