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Can I get in trouble for going to work with a fever? Your legal and health risks explained

6 min read

According to a CDC survey, a significant percentage of American workers have reported going to work while sick with contagious illnesses. This raises the critical question: Can I get in trouble for going to work with a fever? Understanding the answer is crucial for both your health and your employment.

Quick Summary

Reporting to work with a fever can result in disciplinary action, including termination, depending on your employer's policies and state law. Doing so also poses significant health risks to yourself and your colleagues by potentially spreading illness.

Key Points

  • Legal Risks: In at-will employment states, you can face disciplinary action or termination for violating company sick leave policies, regardless of the medical reason.

  • Health Hazards: Attending work with a fever can prolong your own illness and increase the risk of spreading contagious diseases to coworkers and clients.

  • Check Company Policy: Your employee handbook outlines specific rules for sick leave and attendance; violating these can have serious consequences.

  • Follow CDC Guidance: The CDC recommends staying home for at least 24 hours after your fever breaks naturally, without the use of fever-reducing medication.

  • Communicate Effectively: Promptly notifying your supervisor and documenting all communication is the best way to avoid potential disciplinary issues.

  • Consider Remote Work: If your job allows, working from home while sick is a safer and more responsible alternative to being present in the office.

  • Safety Justification: An employer can be justified in sending a sick employee home to uphold their OSHA-mandated duty to provide a safe and healthy workplace.

In This Article

Understanding the Legal Landscape of Working While Sick

When you're dealing with an illness, the legal implications of going to work can be confusing. In the United States, the majority of employment relationships are considered "at-will," which means an employer can terminate an employee for any reason, or no reason at all, as long as it's not an illegal one, such as discrimination based on race or gender. This framework is the foundation for most workplace disciplinary decisions related to sick leave.

At-Will Employment and Employee Rights

In an at-will state, an employer is generally within their rights to fire an employee for violating a company's attendance policy, even if the absence is due to illness like a fever. While this may seem unfair, the law typically focuses on policy violations rather than the medical reason itself. However, an employer must apply policies consistently to all employees to avoid discrimination claims. The legal landscape becomes more complex if the illness qualifies under specific protective legislation, though a standard fever often does not meet these criteria.

The Family and Medical Leave Act (FMLA)

The FMLA is a federal law that provides certain employees with up to 12 weeks of unpaid, job-protected leave per year for specific family and medical reasons. However, FMLA only covers "serious health conditions." For a fever to qualify, it would typically need to be part of a more significant, ongoing medical issue, not a common short-term illness like the flu. Relying on FMLA for a simple fever is generally not a viable defense against a policy violation.

OSHA's Role in Workplace Safety

Under the Occupational Safety and Health Act (OSHA), employers are obligated by the General Duty Clause to provide a safe workplace free from recognized hazards. This can be a double-edged sword for employees with a fever. On one hand, an employer could argue that allowing a contagious employee to work violates this duty. On the other, an employee could, in a rare and specific circumstance, argue that they were forced to work in an unsafe environment during a wider public health crisis. However, for an everyday fever, the employer's obligation often justifies sending a sick employee home to protect the wider workforce.

Navigating Company Policy and Disciplinary Actions

Beyond federal and state law, your employment is governed by your company's specific policies, which are usually outlined in an employee handbook. These policies are your employer's primary tool for enforcing rules and can have a direct impact on your job security.

The Importance of the Employee Handbook

Your employee handbook details the proper procedures for calling in sick, any requirements for a doctor's note, and the potential consequences of failing to follow these rules. Disciplinary actions can range from a verbal or written warning to suspension or termination, depending on the severity of the infraction and the company's progressive discipline policies. An employee who fails to follow the correct procedure or has a history of attendance issues is more likely to face severe punishment.

The 'Presenteeism' Problem

Some employees feel pressure to come to work with a fever, a phenomenon known as "presenteeism," believing it demonstrates dedication. However, employers often view this as a serious liability. The sick employee's productivity is typically diminished, and they risk spreading the illness, causing a chain reaction of absenteeism among the team and greater productivity loss for the company as a whole. A smart employer will actively discourage this behavior and may even use it as grounds for disciplinary action.

Health Implications of Working with a Fever

Leaving legal and employment matters aside for a moment, the health consequences of working while sick are substantial and affect everyone in the workplace.

Your Own Health

Working while ill can hinder your body's ability to fight off the infection, leading to a prolonged recovery time. In some cases, it can even lead to more serious complications. Pushing through the symptoms of a fever places unnecessary strain on your body, potentially turning a minor illness into a more significant health issue.

Public Health and Coworker Risk

The CDC and other public health organizations have made it clear that staying home is essential to controlling the spread of contagious illnesses, especially during flu season. By showing up with a fever, you are knowingly exposing your coworkers, customers, and business partners to your illness. This action is not only inconsiderate but can also have significant business consequences, such as a localized outbreak.

When is it Really OK to Go Back to Work?

So, what is the best practice for returning to the office after a fever? Health authorities provide clear guidance to minimize risks.

The CDC recommends that you stay home until you have been fever-free for at least 24 hours without the use of fever-reducing medication. This is a critical distinction; simply taking Tylenol to get through the day does not make you safe to return. You should also ensure that your other symptoms are improving significantly before you head back to work to prevent a relapse or further spread.

Comparison of Employer vs. Employee Perspectives

Aspect Employer's Perspective Employee's Perspective
Primary Concern Minimize risk and maintain productivity Job security and financial stability
Liability Responsible for providing a safe workplace for all employees Responsible for personal health decisions and following company rules
Company Policy Enforces sick leave rules to manage attendance Adheres to policy to avoid disciplinary action
Financial Impact Potential for lost productivity if illness spreads Pressure to work to avoid losing income
Health Risk Risks a widespread illness among the workforce Risks prolonging or worsening own illness

How to Communicate Effectively with Your Employer

If you find yourself with a fever, proper communication is your best defense against disciplinary trouble. Here is a step-by-step guide:

  • Notify your supervisor promptly: Use the company's designated method (phone call, email, or internal system) as soon as you know you'll be out. Don't wait until the last minute.
  • Follow company protocol: Check your employee handbook to confirm the correct procedure for reporting an absence. Do they require a specific form or notification to HR?
  • Communicate your expected return date: If possible, provide an honest estimate of when you expect to return, based on CDC guidelines. Inform them if the date needs to be extended.
  • Document all communications: Keep a record of when and how you contacted your employer about your illness, just in case any questions arise later.

The Rise of Remote Work and Illness

The COVID-19 pandemic has significantly changed workplace attitudes toward illness. Many companies have expanded remote work options, which can be a game-changer for someone who is feeling unwell but capable of working from home. If your company has a remote work policy, it may be a better and safer alternative to coming in while sick and risking the health of others. This flexibility removes the pressure to come in and rewards responsible behavior, turning presenteeism into a relic of the past.

Conclusion: Prioritize Health and Prudence

The short answer to the question "Can I get in trouble for going to work with a fever?" is yes. The legal framework of at-will employment, combined with employer policies designed to protect the business and its staff, means you can face serious consequences for violating attendance rules. However, the far greater risk is to your own health and the well-being of your colleagues. The prudent and ethical course of action is to stay home, rest, and recover fully before returning to the workplace, communicating clearly with your employer throughout the process. For more information on workplace health, consult authoritative sources like the CDC recommendations for staying home when sick.

Frequently Asked Questions

In most U.S. states, which operate under 'at-will' employment, an employer can terminate an employee for missing work, including for illness, as long as it doesn't violate specific federal or state laws or an employment contract. The Family and Medical Leave Act (FMLA) only covers serious health conditions, which a short-term fever typically is not.

You should inform your boss of your condition and the risk of spreading illness. Reference company policy or public health recommendations from the CDC regarding contagious illnesses. Document this communication. If they still insist, consider if you have legal protections under FMLA or state laws, but be aware of the risks in an at-will state.

Yes, in many cases, an employer can require a doctor's note to confirm an illness, especially for multi-day absences. However, some state or local laws have specific rules about when this is permitted, and they must handle this information discreetly to protect your privacy.

The CDC recommends staying home for at least 24 hours after your fever has subsided without the use of fever-reducing medication. It's also important to ensure your other symptoms are improving significantly before you head back to work.

'Presenteeism' is the practice of coming to work while sick. It's a problem because it leads to decreased productivity, risks your own health, and has a high potential to spread illness to colleagues, which can lead to even greater overall productivity loss.

While having paid sick leave may reduce the financial pressure to work while sick, it does not remove your obligation to follow company rules and public health guidance. Violating policy, even if you have leave available, can still lead to disciplinary action.

If you work in a role with high public contact or with vulnerable individuals (e.g., healthcare, food service), the risks and potential consequences of working with a fever are significantly higher. You are often legally and ethically required to stay home to prevent transmission, and failure to do so is a serious violation.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.