With the rise of remote work as a staple in modern employment, the traditional concept of taking a sick day has undergone a significant transformation. While working from home was initially encouraged to protect colleagues during the pandemic, the return to hybrid and full-time office environments has shifted expectations. Many employees now feel pressured to work through illness, a trend that could have costly implications.
Dr. Kieran Le Plastrier, a medical professional, notes that although some workplaces support remote work during illness, many patients report feeling expected to persevere and show up, even when unwell. This shift in workplace culture raises concerns about the impact on both individual health and organizational productivity.
The Economic Impact of Presenteeism
Not everyone has the luxury of working from home. Essential workers like nurses, teachers, and tradespeople must be onsite, and showing up sick can create more significant problems than simply leaving colleagues in the lurch. Presenting at work while contagious not only risks infecting co-workers but also comes with a hefty price tag for businesses.
Current estimates suggest that ‘presenteeism’—the act of working while sick—costs over $30 billion annually in lost productivity.
This staggering figure arises from a combination of contagion, increased workforce absences, errors made while unwell, and reduced staff productivity. Even for those who can work remotely, it doesn’t always mean they should.
Guidelines for Managing Illness
Applying the ‘Neck Rule’
When faced with symptoms like fever, body aches, and fatigue, rest is crucial for recovery. The ‘neck rule’ offers a practical guideline: if symptoms are below the neck—such as a severe cough or muscle aches—rest is essential. Conversely, if symptoms are above the neck, such as a runny nose or sore throat, light activity might be beneficial and could even have positive psychological effects.
However, if getting out of bed feels like a struggle, it’s a clear sign to prioritize rest.
Exercise and Recovery
Exercise is another area where individuals may push themselves too hard. While light movement can boost mood and maintain routine, intense workouts during a viral illness should be avoided. This is particularly important for young men aged 18 to 40, who are at higher risk of heart conditions like pericarditis and myocarditis and often engage in high-intensity workouts.
Excessive exertion can weaken the immune response, prolonging illness. It’s advisable to stick to light exercise, keeping the heart rate around 65% of its maximum.
If symptoms are below the neck, moderate exercise should be avoided until full recovery, which may take five to seven days. If symptoms are above the neck and manageable, wait a day or two before resuming lighter activities.
Preventative Measures and Health Advice
Complementary therapies, such as raw honey, zinc supplements, and olive leaf extract, can aid recovery from viral respiratory illnesses. Consulting with a pharmacist or healthcare provider can expedite the return to work and wellness.
For those needing to interact with others while symptomatic, preventative measures like wearing masks, using hand sanitizers, and maintaining physical distance are crucial to minimize infection spread. Vaccinations remain a powerful tool in reducing the severity and complications of infections, with Australians having access to vaccines for RSV, influenza, and COVID-19, some of which are offered for free.
In a fast-paced world, sometimes the best course of action is to pause and allow the body to heal. As Dr. Le Plastrier emphasizes, understanding when to rest can prevent long-term health issues and protect workplace productivity.
