In non-English-Talking cultures, text connoting good health or a long life are often used instead of "bless you," though some also use references to God. Irish Dia linn or Dia leat or Deiseal, which may be a form of Dia seal The initial two each suggest "God be with us." http://trentongavmk.look4blog.com/39748010/clipart-gesundheit-for-dummies