This question is missing the answer options. I found the complete question online. The options are the following:
What is the most likely reason the story begins with this cause-and-effect relationship?
a. to illustrate how cowardly Knox was.
b. to illustrate how important the city was.
c. to illustrate how scary the yellow fever was.
d. to illustrate how anxious Washington was.
Answer:
The reason why the story begins with this cause-and-effect relationship is:
c. to illustrate how scary the yellow fever was.
Step-by-step explanation:
According to the passage of "American Plague", Knox fled from the city to Manhattan Island. The reason for that is that the yellow fever had taken over. This cause-and-effect relationship is meant to show how scary the disease was. Knox had been chosen by Washington to be in charge. He was a brave, competent man. However, the disease was so devastating that he ended up running away. It does not mean he was cowardly, it just means that what he saw, the "close contact with the pestilence" that he had, was enough to scare him, a warrior. Having that in mind, the best option is:
c. to illustrate how scary the yellow fever was.