What was one effect of the yellow fever epidemic described in the american plague?

washington had to communicate more with madison.
washington had to communicate more with jefferson.
washington had trouble communicating with everyone.
washington began communicating better with everyone.

Because of the ongoing disease that was overwhelming the community, this caused "Washington had trouble communicating with everyone." He was not able to communicate with the other leaders and this lead to some unfortunate circumstanceThank you for your question. Please don't hesitate to ask in your queries. 

Ibelieve that the answer is (a).

Correct textbook answers would be 1,3, and 5