CREATE TABLE table_78657 ("Average population  ( x 1000 ) " TEXT, "Live births" TEXT, "Deaths" TEXT, "Natural change" TEXT, "Crude birth rate  ( per 1000 ) " FLOAT, "Crude death rate  ( per 1000 ) " FLOAT, "Natural change  ( per 1000 ) " TEXT)

Which Natural change has a Crude death rate (per 1000) larger than 9, and Deaths of 40 399?
SELECT "Natural change" FROM table_78657 WHERE "Crude death rate (per 1000)" > '9' AND "Deaths" = '40 399'
SELECT "Natural change" FROM "table_78657" WHERE "Crude death rate (per 1000)" > '9' AND "Deaths" = '40 399'