Originally founded as the Michigan State Association for the Prevention and Relief of Tuberculosis, the Michigan Tuberculosis Association was founded in 1908, four years after the National Tuberculosis Association was founded. To prevent the spread of the disease through the recently discovered method by air and saliva, spitting was prohibited in Kalamazoo in 1904, with a focus on teaching children on how to cover their mouth when sneezing or coughing, and encouraging hygiene by recommending people to wash sick people’s clothes separately and quarantine when ill. The Michigan Tuberculosis Association likely began publishing the Wolverine Health Bulletin around 1923 in order to educate children not only on the disease since they were especially vulnerable, as well as general health tips for future outbreaks. The publications were reportedly funded by Christmas Seal sales, one of the organization’s longstanding fundraising methods and distributed to rural Michigan schools. In 1961, the organization expanded to cover other respiratory diseases, renaming itself to the Michigan Tuberculosis and Respiratory Disease Association. The name was changed again in 1973 to the American Lung Association of Michigan, in coordination with the National Tuberculosis Association’s name change to the American Lung Association.