Understanding the argument -
Mary Mallon, known as “Typhoid Mary,” was a typhoid “carrier” who was infected with the typhoid bacillus for a prolonged period of time. - Fact.
She developed neither typhoid fever nor its symptoms; however, other people could, and did, develop this disease after contact with her. - Fact
Option Elimination - Inference
A. Typhoid fever is not always fatal. - Out of scope.
B. Typhoid fever is equally communicable whether the person infected with the typhoid bacillus actually has the disease or not. - "A person not infected by "typhoid bacillus" is not discussed in the argument. Out of scope.
C. The absence of the usual symptoms of typhoid fever is not always a reliable indicator that one does not have typhoid fever. - "Always" is hyperbolic. Moreover, it means that they may still have a "typhoid fever." But the passage doesn't discuss any case wherein the person had no symptoms but had a "typhoid fever." Isn't it? Mary's case has no symptoms and no typhoid fever. Out of scope.
D. Typhoid fever sometimes occurs even when the typhoid bacillus is not present. - The case of "the typhoid bacillus not present" is not discussed. Mary's case has the "typhoid bacillus." Out of scope.
E. The typhoid bacillus does not always cause typhoid fever. - Yes. This is Mary's case.