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The year 1918 is significant in the history of osteopathy because it coincides with the influenza pandemic, often referred to as the Spanish flu. During this epidemic, osteopathic physicians utilized their unique approaches to treatment, emphasizing hands-on manipulative techniques alongside conventional medical treatments, which helped alleviate symptoms and improve patient outcomes.

This period marked a critical moment for the osteopathic profession, as many osteopathic practitioners reported higher survival rates for their patients compared to those receiving traditional medical care. This event solidified the reputation of osteopathy as a viable and effective alternative method of treatment, demonstrating its benefits within the broader medical community during a time of public health crisis.

The other years mentioned do not reflect significant pandemic-related contributions of osteopathy in the same manner. For example, while 1874 marks an early point in the establishment of osteopathy, it predates the major acceptance and understanding of osteopathic principles in the context of public health crises. Similarly, 1910 is notable for the Flexner Report, which influenced medical education rather than a pandemic-specific demonstration of osteopathy's efficacy. Meanwhile, 1896 is not associated with a significant health crisis that highlighted the role of osteopathy on a large scale, making 1918 the pivotal