The answer is D because it is factual and unbiased since it's in a medical journal on the topic of the Spanish flu
Source 1 would be the most reliable. This being due to the fact that it contains information about the most recent advances, which you need for your paper.
Foreshadowing is an advance sign or warning of what is to come in the future. In this way, the advanced presented is :
The narrator thinks he is laboring with an oppressive secret
that means that the developing of the story will be the revealing of these oppressive secrets.