I believe your answer would have to be A. " he"
It is somehow related because Sad Perfect is a book about a girl who has an eating disorder, as you know this is not an easy thing to deal with so it would not be uncommon to hate your life. It's not a quote from the book but it can relate.
1. The livelihood of local people is connected to wild elephants.
- Elephants affecting other animals and plants in an ecosystem.
2. The sanctuary helps both local people and elephants.
- Reteti experts hire local people and teach them how to care for elephant orphans.
If this is what I answer before it would be E