33 died overa 10-year period from COPD, whereas only 24 such deaths
could be expected based onstatewide mortality rates.

I came up with ppois(q = 33, lambda = 24, lower.tail = FALSE),
but it seems it is ppois(q = 32, lambda = 24, lower.tail = FALSE).

I am confused with the q value.  Why is it 32 instead 33?

thx much

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