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Euro Surveill. Estimating influenza-related sick leave in Norway: Was work absenteeism higher during the 2009 A(H1N1) pandemic compared to seasonal epidemics?

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  • Euro Surveill. Estimating influenza-related sick leave in Norway: Was work absenteeism higher during the 2009 A(H1N1) pandemic compared to seasonal epidemics?

    [Source: Eurosurveillance, full text: (LINK). Abstract, edited.]
    Eurosurveillance, Volume 17, Issue 33, 16 August 2012

    Research articles

    Estimating influenza-related sick leave in Norway: Was work absenteeism higher during the 2009 A(H1N1) pandemic compared to seasonal epidemics?


    B F de Blasio ()<SUP>1</SUP><SUP>,2</SUP>, Y Xue<SUP>1</SUP><SUP>,2</SUP>, B Iversen<SUP>2</SUP>, J Michael Gran<SUP>1</SUP><SUP>,2</SUP>
    1. Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
    2. Department of Infectious Disease Epidemiology, Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway
    <HR>
    Citation style for this article: de Blasio BF, Xue Y, Iversen B, Michael Gran J. Estimating influenza-related sick leave in Norway: Was work absenteeism higher during the 2009 A(H1N1) pandemic compared to seasonal epidemics?. Euro Surveill. 2012;17(33):pii=20246. Available online: http://www.eurosurveillance.org/View...rticleId=20246
    Date of submission: 14 October 2011
    <HR>The impact of influenza on work absenteeism is poorly documented. We used data from the national registry and Norway Post AS (>14,000 employees) to explore sickness absence patterns from 2005/06 through 2009/10 in Norway. Annually, an estimated 2.868% (mean 95% confidence interval (CI): 2.405?4.820%) of the working population obtained sick leave for influenza, of whom 0.915% (mean 95% CI: 0.453?1.590%) had diagnoses for other respiratory illnesses with influenza as underlying cause. In the 2009/10 pandemic season, the absence rate increased 1.5-fold, mainly due to a 73% increase in influenza-diagnosed sick leaves. At Norway Post AS, absence related to seasonal influenza accounted for 0.351% (mean 95% CI: 0.126?0.704%) of total person-days annually (excluding parental care absence), of which 32?43% were estimated to be self-certified. Medically certified sick leave increased 1.3-fold in the pandemic season to 0.458% (95% CI: 0.176?0.856), while self-certified sick leave remained at a level typical for seasonal influenza. We found a significant four-fold increase in work loss to care for sick children, 0.048% (95% CI: 0.031?0.070%) of person-days, compared with 0.012% (95% CI: 0.004?0.028%) in 2008/09. In conclusion, GP-certified and parental care work absence were higher in the pandemic season. More studies are needed to quantify the burden of self-certified sick leave.
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