After the start of the Korean conflict,
the United States officially became China's main foreign adversary. The
war provided numerous opportunities to show Americans in an extremely
unfavorable light. A recurring theme at the time was the accusation
that America engaged in bacteriological warfare against China. Strating in 1952, this
alledgedly included airdrops of contaminated or disease-carrying rats, insects and
other vermin on Chinese soil. As a result, mass inoculation campaigns
were organized, in concert with Patriotic Hygiene Campaigns to combat
unhygienic conditions in urban and rural areas, and to annihilate
potential disease-spreading animals and insects.
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When the Sino-Soviet split had become unavoidable in the late 1950s, China
virtually had no allies left in the international community. It felt
threatened in the North by the military forces of the Soviet Union,
which were amassed along the shared Northeastern border, and in the
South by the growing military presence of the United States in
Southeast Asia. Due to an actual territorial border conflict with the
Soviets in 1969 over Zhenbao, or Damanski, Island, which later
turned out to have been engineered by the Chinese themselves, the
most explicit propaganda about China's fighting resolve henceforth was
directed against the Soviet Union.

During the initial phase of the Cultural Revolution
(1966-1969), China embarked on a crusade against both Soviet
revisionism and American imperialism. Other reactionary forces
elsewhere in the world remained unnamed, but were combatted with equal vehemence as paper tigers, with or without relevant
quotes from Mao Zedong Thought.
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At the same time, protests against the American presence in South Vietnam were recurring themes, accompanied by posters that showed the Chinese helping not only the Vietnamese but other Southeast Asian peoples as well..

After the normalization of relations with the US in
1972, China ended its more extreme anti-American propaganda. The
struggle against the Soviet Union, which was now accused of "socialist
imperialism", continued. Only in 1989, relations with Moscow were
normalized again.

The relations with Japan were influenced negatively
by the Chinese experiences during the Second World War. Fears continued
to exist that Japan would see a revival of military aggression against
China, no doubt supported by its close strategic ties with the US. The
poster below, published in 1971, testifies to those fears. Nonetheless,
in 1972, Sino-Japanese relations were normalized, including Japanese
promises to compensate China for WWII, and a Japanese commitment to
oppose (Soviet) hegemonism. Only after 1991, anti-Japanese feelings in
China were vented again, leading to some spectacular outpourings of
popular antipathy, as in Spring 2005.

Sources:
Rana Mitter, "Old Ghosts, New Memories: China's Changing War History in the Era of Post-Mao Politics", Journal of Contemporary History, vol. 38, no. 1 (2003), pp. 117-131
Ruth Rogaski, "Nature, Annihilation, and Modernity: China's Korean War Germ-Warfare Experience Reconsidered", Journal of Asian Studies, vol. 61, no. 2 (May 2002), pp. 381-415
Nianqun Yang, "Disease Prevention, Social Mobilization and Spatial
Politics: The Anti Germ-Warfare Incident of 1952 and the 'Patriotic
Health Campaign'", The Chinese Historical Review, vol. 11, no. 2 (Fall 2004), pp. 155-182
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