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Sickness absence due to influenza.

F W O'Reilly1, A B Stevens

  • 1Occupational Health Unit, Belfast City Council, Belfast, UK.

Occupational Medicine (Oxford, England)
|August 16, 2002
PubMed
Summary

Influenza significantly impacts work through sickness absence. Influenza immunization may offer modest benefits in reducing work disruption, but more research is needed to prove cost-effectiveness.

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Area of Science:

  • Occupational Health
  • Public Health
  • Health Economics

Background:

  • Influenza causes significant socio-economic consequences, including substantial sickness absence from work.
  • Limited data exist on influenza's specific impact on the workforce, with most research focusing on interventions like immunization.
  • The health sector presents unique challenges due to healthcare worker exposure and potential for nosocomial infections.

Purpose of the Study:

  • To review the impact of influenza on work and the effectiveness of influenza immunization as an intervention.
  • To explore the cost-effectiveness of influenza immunization in reducing sickness absence.
  • To identify knowledge gaps and suggest future research directions in occupational influenza management.

Main Methods:

  • Review of existing literature, focusing on randomized controlled trials of influenza immunization in the workplace.
  • Analysis of data concerning sickness absence rates attributed to influenza.
  • Consideration of specific factors within the healthcare industry relevant to influenza impact and prevention.

Main Results:

  • Five randomized controlled trials on workplace influenza immunization were identified, with mixed results on sickness absence reduction.
  • Influenza immunization may provide modest benefits, particularly when community incidence is high.
  • The cost-effectiveness of influenza immunization for reducing sickness absence is not definitively proven.

Conclusions:

  • Further research is necessary to establish the cost-effectiveness of influenza immunization and understand factors influencing its uptake.
  • A targeted approach to immunizing specific job categories may be a practical interim strategy.
  • Occupational health strategies should consider the unique risks and behaviors within the healthcare sector.

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