Not knowing the story or excerpt you are referring to, I can only help you by asking some questions to get you thinking about the correct answer. Is the village far away from other villages or towns? Are there many sick people in the village making the doctor want to stay away? Is there a lot of violence that the doctor is trying to avoid? What is it about the village or the people in it that the doctor would be trying to avoid? The answer to that questions is the answer to your question.
Reasonable guess (4th option)
Answer:
moving from the country of one's birth place to a new country to settle and live there permanently.
The Death of A close friend is most likely to be the subject of an elegy!
I hope this helps!
