1. What does it mean when we say that in blockchain, consensus determine the truth?
It means the network of nodes in a blockchain network collectively validate/verify the transactions in order to determine the truth. Additionally the blockchain network is designed to incentivize nodes to determine the truth (get rewarded by mining).
2. How is this different from how truth is determined in a central database?
A central database only has one source of data truth which can be corrupted, manipulated and unverifiable. Also a central database only has a single point of failure.
Because blockchain is a decentralized/distributed system, it features redundancy so there is no single point of failure. All the nodes can audit/verify each other’s transactions and it would take a lot of effort and energy to corrupt the data in blockchain ( about >50% of nodes have to collectively become bad actors).