This poster reflected the first major alteration of the 'coughs and sneezes' campaigning message. Its inclusion of 'flu' reflected the increased circulation of H1N1 in the winter of 1951 and this message was circulated again during the Avian Flu pandemic of 1957. The addition of flu to an already well-known slogan showcased how similar the prevention methods were for both general coughs and colds and for more serious flu outbreaks.
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