By         local doctors and nurses ,we hope to help even more people .
A．trainingB．trainedC．trainD．to train
A
此題考查By +doing 通過某種方式，達到做另一件事的目的。句意為通過幫助當?shù)氐尼t(yī)生和護士，我們希望幫助更多的人。所以選A 。
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