We are told that there are 42 people who "believe both of these things." This means that in the region of the diagram where set E intersects set A, we have 42 people:
We are also told that "45 believe that Elvis is still alive." This means that set E must contain a total of 45 people. We have already placed 42 people in one region of set E, so we must place 3 people in the other region of set E:
We are also told that "49 believe that they have been abducted by space aliens." This means that set