The correct option is E. The statement in option E implies that Ivan Llyich has isolated himself from his family and friends and he lives all alone in his thoughts and mind. He believed that none of his family understand him and that they did not sympathize with his condition. The statement is a statement of a lonely man.
Many sources can be made-up or have major slight altercations of the actual news that occurred.
I believe it’s D because they’re talking about how to get prevent mosquitoes and mosquitoes bite