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A white paper sickness bag with blue and red text. It reads “CLEAN BAG” above large Chinese characters and the “Shandong Airlines” logo.
A white paper sickness bag with blue and red text. It reads “CLEAN BAG” above large Chinese characters and the “Shandong Airlines” logo.

Sicko is a book that celebrates the design of airline sick bags and the man who’s collected them since 1989

What else is there to say? This book is sick.

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Date
16 June 2026

When writer, filmmaker and documentarian Elizabeth McCafferty met Trevor Cunningham, she knew she was meeting one of the most interesting people she had ever met – and that’s saying a lot. In Elizabeth’s articles for The Guardian, The Independent, Vice and Dazed, she’s written about people who professionally toe-wrestle, a guy who eats pizza every day, hardcore food porn-stars and the creative teams behind kitty wigs.

What drew Elizabeth to Trevor was that he’d personally set up a support group called Ask Trev, a team of people exclusively called Trevor who are rewriting the negative connotations the name might be associated with, and it ended up the focus of a documentary Elizabeth made. But through her interactions with Trevor, she followed her insatiable curiosity and learned so much more about him than she could have anticipated, including his unique collection of sick bags nabbed from an array of airlines. Inadvertently, Trevor has been keeping the overlooked design history of sick bags alive – and his story is collected in Elizabeth’s newest book Sicko.

Trevor’s collection of sick bags is charged with sentimental value: when his 32-year-old boss Peter tragically passed away at work from a brain aneurysm, Trevor cleared out his desk draws and in the process, uncovered a collection of sick bags. What began as a small tribute to Peter has turned into nearly four decades of airline ephemera for the weak stomached. “The entire project is about memories and nostalgia, so creating anything outside of the analogue space felt too alien for such a strangely intimate project about someone’s relationship with loss; or a collection that spanned decades,” says Elizabeth. “The beauty of the sentimental aspect to Sicko helped convince me there was more to the story than a gimmick. There was heart and soul and a lot of character that I knew would be joyful to a lot of people.”

An air sickness bag from Great China Airlines, featuring a blue bird logo and the text “AIR SICKNESS BAG”. A yellow sticky note is attached, with handwritten text describing a 1995 flight to Taipei.
An air sickness bag featuring a blue square logo with a white bird in flight. Below the logo, grey text reads “大華” and “GREAT CHINA”, with “AIR SICKNESS BAG” written at the bottom. Handwritten notes at the top read “FLIGHT TO TAIPEI 1995”.
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Elizabeth McCafferty: Sicko (Copyright © Elizabeth McCafferty, 2026)

The book is hand typed on a 1970s typewriter, including hand-written diary entries from Trevor himself – the nostalgia and memories that flood from the book are punctuated by the analogue elements, including genuine vintage paper plane templates, old photographs and Kodak slides of planes that Trevor had been on. But most of all, these sick bags are indeed quite sick. They chart the analogue design choices (and the way that branding somehow finds itself in the most unexpected places) from China to the United States, sporting beautiful printed logo designs and uncomplicated layouts. One sick bag is advertising the 2005 videogame Star Wars: Episode III – Revenge of the Sith, another is a 1980s Qantas bag made in partnership with Kodak, so if one did not use it for an airborne vom, they could use it as a photo-development bag for their holiday (pretty genius if you ask me). “Now you’re lucky to even get a bag, let alone one that goes beyond just plain white paper,” says Elizabeth.

For Elizabeth, documentary is her life – it’s the perfect avenue for her genuine interest in life and all of its bizarre characters. Archiving is an extension of that lust for life, even if it’s trivial or disposable objects such as sick bags. Simply put: if one person loves sick bags, thousands of others probably do too. From Peter to Trevor to Elizabeth and finally: to us. As we continue to experience the “paperless future” we were promised in the 2000s, we find ourselves missing the strangest of objects. “Every single one of Trevor’s memories were sparked from him holding onto a bag and seeing what came to him. Ephemera is an important snapshot of history and whatever people collect, however trivial it might seem to someone else, is beautiful because passion is beautiful,” says Elizabeth. “While most people would throw an unused sick bag away without a second thought, Trevor’s remains as a sacred memory dedicated to living in the moment and embracing life after someone close to him died young; I feel we can all learn something from seeing beauty in something most other people fail to.”

Sicko is now available to be purchased from Elizaberth McCafferty’s online shop.

GalleryElizabeth McCafferty: Sicko (Copyright © Elizabeth McCafferty, 2026)

A blurred, close-up profile of a person looking upwards. A small yellow square in the bottom left corner contains the handwritten word “Sicko”.
A white paper bag with a red abstract logo in the centre. Text below the logo reads “WATERPROOF DISPOSAL BAG” and includes a Chinese translation.
An air sickness bag from Virgin Atlantic featuring a “Star Wars Episode III: Revenge of the Sith” video game cover. Handwritten notes at the top and bottom record a flight from “Manchester to New York” on “Boxing Day 2005” and anecdotes about the captain and a fellow passenger.
A white and green sick bag featuring the Balkan Bulgarian Airlines logo. Text at the bottom reads “ползувай при прилошаване”, “for air sickness” and “en cas de mal de l’air”. Handwritten notes at the top read “Zurich 1998”.
A white envelope featuring the Balkan Bulgarian Airlines logo in red and green. A green note is stuck to the bottom, with handwritten text describing the cabin crew’s uniforms as “very 1970’s Bond movie”.
A waterproof disposal bag for Shanghai Airlines featuring a graphic of stylised pink and grey mountains. White birds fly across the landscape, and the text “WATERPROOF DISPOSAL BAG” is printed in a box at the top.
A white air sickness bag for Lot Polish Airlines. It features the airline logo and the words “Air Sickness Bag” in English, alongside translations in Polish, German and French.
A vintage photo processing order form with a red border. The top reads “Please use this bag if you are affected by motion sickness.” and the bottom lists prices for “Glossy Develop and Print” and “Kodacolor Gold film saving”.
A printed brochure for National Photos, featuring a blue and white layout with a large numeral “5.95” at the bottom. Text at the top reads “Top quality photos at low, low price” and “Your guarantee of quality”. Handwritten notes in black ink at the top and bottom mention a “Flight to Melbourne 1988” and the repurposing of a Qantas vomit bag.
A brown paper bag featuring dark blue text and graphics. It reads “中國東方航空” and “CHINA EASTERN” above a triangular emblem containing stylised characters and floral illustrations.

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Elizabeth McCafferty: Sicko (Copyright © Elizabeth McCafferty, 2026)

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About the Author

Paul Moore

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Paul M (He/Him) is a Junior Writer at It’s Nice That since May 2025. He has a strong interest in graphic design, digital kitsch, multimedia painting, collage, nostalgia, analogue technology and all matters of strange stuff. pcm@itsnicethat.com

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