I think this question becomes exponentially easier if you understand, as timmy says, the
strength of that conclusion. Look at it again:
One must conclude that the cause ... is the use of bronchial inhalers...
But why does this have to be so? This has to be so because the author is assuming something. Namely, the author is assuming that if it is
not X and it is
not Y then it
must be Z. The phrase "must be" is crucial here, absolutely crucial. Without a solid understanding of that then I can see why other answer choices looked better. However (E) gets to what the author is assuming: that there is only 3 possible explanations and, since 1 and 2 are not the case, it
must be explanation #3. If we negate the conclusion then the argument looks very fishy:
It is not because of records or urban pollution
+
There are other possible explanations than records, urban pollution, or bronchial inhalers →
Must be bronchial inhalers
Doesn't look so hot, does it?
As for (C), I would make the argument that it is much too strong and possibly even irrelevant. Maybe the people who are dying due to bronchial inhalers are
not using them according to instructions. Thus we would't need to assume (C). In addition, must we assume they are "unsafe?" Maybe they are just unsafe in certain situations or maybe they aren't unsafe at all but people use them inappropriately.