It is always better to simply what the argument says so that we can attack it easily.
The argument states that -
1.Large amounts of rainfall in April and May --> 2.increase in mosquito population --> 3.increase in encephalitis.
Then, in the conclusion, it states that since we cannot control point #1, point #3 is inevitable.
Immediately, we can say - okay. but what if we controlled point #2. then, probably point #3 will not happen even if point #1 happens.
Which option states this? Option C. The other factor can be point #2 or vaccination drives etc.
Your main job is to break the causal chain. How do you do this? Ask will this necessarily lead to the next step?
A - this is not the issue here. Author can clearly assume a causal relationship between two things. He/she does not assume the causal relationship for granted. The problem arises when the argument disregards other factors that might have an effect on the relationship. Also, nowhere does the author mention that because rainfall precedes increase in mosquito population, it must lead to increase in mosquito population. He/she assumes this causal relationship from other data (probably research/statistical data. this is allowed).
B - The argument does not discuss desirability at all.
D - 'could not occur in the absence of those factors' - The argument clearly talks about the case in which rainfall occurs.
E - Drawing a conclusion about what is possible is not an error.