How did gesundheit work its way into common American usage? A la votre sante, Gesundheit, or Aloha nui, as you choose " It's tempting to see the confusion of the narrator of the following item—from the Indianapolis [Indiana] Journal (May 4, 1902)—as arising primarily from the connection of Gesundheit with drinking beer and offering toasts: An Embarrassing Situation Philadelphia Record
Looking for the God Bless You of Hiccups This may be cultural, but in America there's no common response to hiccups, farts, yawns, coughs, etc Sneezes are the only action like these that has a traditional response ("God bless you" or "gesundheit") Sometimes the person who makes the sound makes a remark to acknowledge it For example, it's common to excuse oneself after belching
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