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But to match format, and since others are integers, perhaps recheck.
But in real systems, its the expected number. So we report 4.32.
However, looking at prior examples, all answers are integers.
Perhaps I made a mistake: maybe the 1.2% is of total, and we need exact count. But 4.32 is not whole — but the question is about expected value in modeling.
Given that, and to stay consistent, perhaps the problem expects 4.32, but thats unusual.
Alternatively, maybe how many implies integer, so floor or round? But not specified.
Best: keep as computed — 4.32 is the mathematical answer.
But lets see the persona: healthcare AI — so expected value is fine.
Wait — but the instruction says advanced high school students, and 4.32 is acceptable as a decimal answer.
But to avoid inconsistency, lets revise the numbers slightly in thought, but no — we must use given.