I had to look that up. Apparently the Lancet just multiplied by five the numbers from the Gazan health ministry, on the basis "of four indirect deaths per one direct death". That inflation technique is not used in any conflict anywhere else in the world, and particularly not in the Syrian conflict we're discussing and comparing to. If you would like to use that number, then apply that inflation technique also to the Syrian conflict as well.
https://www.france24.com/en/middle-east/20240711-more-than-1...