Many married teenagers drop out of school
Carcinogen i think this is the answer
The pathogen is a location where a disease- causing organism can survive
Cardiovascular system has to do with the heart, so anything to reduce the risk of that system (including the heart, bloodstream etc.) would be the answer for you. So just using Process of elimination:
A) Has to do with external exposure. <em>No</em><em />
B) Keeping hands clean <em>No</em><em />
C) Avoiding cigarette smoke <em>Yes</em>
D) Keeping your vaccinations up to date <em>No</em><em />
So your answer is C.