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The sentence is not correct in its present form which is clear from its first sentence itself, hence, option 5 can be ruled out easily. If we look at the fragments, the fragment D is the valid to be the first fragment, so, we have to look for the options starting with D which means that option 31 and 2 can be ruled out. If we rearrange the fragments according to option 3, we will get a meaningful sentence. D-During the 2018 Nipah outbreak, Kerala faced challenges B-like mobilising diagnostic facilities, planning treatment protocols, A- setting up isolation wards, procuring protective gear and vaccines, C-spreading awareness and instituting community surveillance