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This allowed us to identify statistically significant time points of a change in trend, which reflect significant 'changes' to OHISB. Results GPHDs were inconsistently effective at influencing internet search query activity in the studied countries. In situations where an effect was significant, this impact was consistently short-term, with Relative Search Volume level returning to precampaign levels within 7 days of the GPHD. Conclusions Our findings imply the need to revise GPHDs or create alternative health awareness campaigns, perha