This is a binomial distribution problem, so lest first identify the probabilty on "winning" and "losing":
It is said that 0.4 recovers, so 0.6 will not recover.
Now we are going to multiply the probabilities using the given information:
The first part represents the number of combinations of 5 people in a group of 15, the second one the probability that exactly 5 of them will recover and the last part the probability for those that will not recover.
This is the probability that exactly 5 will recover, but as the problem says that at most 5 people will survive, we could do the same for 4, 3, 2, 1 and 0.
By doing so and adding the probabilities we get:
That is the probability that at most 5 people will survive.