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November 18, 2020

Stop Germs Spreading: Vintage “Coughs and Sneezes Spread Diseases” Posters From the Early 20th Century

“Coughs and sneezes spread diseases” was a slogan first used in the United States during the 1918–20 influenza pandemic – later used in the Second World War by Ministries of Health in Commonwealth countries – to encourage good public hygiene to halt the spread of the common cold, influenza and other respiratory illnesses.


It was later promoted by the United Kingdom’s Ministry of Health in 1942 to encourage good public hygiene and prevent the spread of the common cold, influenza and other respiratory illnesses. Critics have said that the slogan, alongside “Keep Britain Tidy”, were an example of “postwar Britain’s nanny state”.

Posters were designed by British cartoonist H. M. Bateman and advised people to “trap the germs by using your handkerchief”. The original posters of these were published during the Second World War and showed people in the workplace, on the street and on public transport sneezing without covering their nose or mouth, spreading their respiratory droplets. The National Archives notes that these posters were created in an attempt to prevent wartime work absenteeism because of illness.

The slogan was later used intermittently by the National Health Service (NHS) following its establishment in 1948, as well as public officials, in the H1N1 swine flu pandemic in 2009 and the COVID-19 pandemic. The phrase was also used by the European branch of the World Health Organization in 2019 in a video on influenza. It was combined with washing the hands. More recent campaigns by the NHS (such as “Catch it, Bin it, Kill it”) promote hand washing and the use of disposable paper handkerchiefs or coughing or sneezing into one’s elbow so as to not contaminate the hands.

(Images: Crown Copyright/Imperial War Museum/Public Domain)




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