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Is it better to call in sick or go to work?: A guide to making the right choice for your health

4 min read

According to a 2022 poll by the U.S. Bureau of Labor Statistics, 14% of full-time employees lack access to paid sick leave, forcing many to question: is it better to call in sick or go to work? This decision impacts not only your personal well-being but also the health of your colleagues and overall workplace productivity.

Quick Summary

Deciding whether to take a sick day involves weighing personal health, contagiousness, and job performance, but resting is almost always the better choice for faster recovery and preventing wider illness spread. Pushing through an illness often prolongs it, diminishes work quality, and risks infecting colleagues, with mental health also being a valid reason for staying home.

Key Points

  • Presenteeism is Counterproductive: Working while sick, known as presenteeism, can prolong your own illness and spread germs, creating a broader health and productivity issue in the workplace.

  • Clear Symptoms Mean Stay Home: A fever, contagious cough, vomiting, or severe fatigue are definitive signals that you need to rest and not risk infecting others.

  • Mental Health is a Valid Reason: Taking a day off for severe stress, anxiety, or burnout is a legitimate and important form of self-care that prevents long-term health issues.

  • Remote Workers Need Rest Too: Even if working from home, it is crucial to take a sick day to recover fully. Pushing through an illness remotely can still hinder your recovery and productivity.

  • Communicating is Key: When calling in sick, inform your supervisor as early as possible and keep the reason brief, but be honest about your health needs to manage expectations effectively.

In This Article

The Hidden Dangers of Presenteeism

Presenteeism—the act of showing up to work while sick—is a common workplace phenomenon driven by factors like heavy workloads, job insecurity, or a sense of dedication. However, this mindset is counterproductive and harmful. When you attempt to work through an illness, your body is already in a compromised state, diverting energy toward fighting off infection rather than focusing on tasks. This not only impairs your own recovery but also exposes your immune system to additional stress, which can prolong your sickness or lead to more serious complications.

Furthermore, presenteeism can have a severe domino effect on the workplace. A single contagious employee can infect multiple colleagues, leading to a broader outbreak. The resulting absenteeism and collective dip in productivity can far outweigh any perceived benefit of one person's 'dedication.' Instead of helping, working while sick can create a more significant and widespread disruption for the entire team.

When to Call in Sick: Clear Medical Indicators

There are several definitive signs that indicate it's time to stay home and focus on recovery. Recognizing these signals protects both your health and the well-being of those around you. The Centers for Disease Control and Prevention (CDC) provides clear guidance on many of these conditions.

  • Fever: A temperature of 100.4°F (38°C) or higher is a clear sign your body is actively fighting an infection. You should stay home until you've been fever-free for at least 24 hours without using fever-reducing medication.
  • Contagious Symptoms: If you're exhibiting symptoms like a persistent cough, frequent sneezing, or a runny nose, you are likely contagious. These symptoms are common with illnesses like the flu, COVID-19, and the common cold, and staying home is essential to prevent germ spread.
  • Gastrointestinal Issues: Vomiting and diarrhea are strong indicators that you should not be at work. These symptoms are not only debilitating but also highly contagious and pose a risk, especially in food service or healthcare settings.
  • Severe Fatigue: Feeling overwhelmed with weakness or fatigue is a signal from your body that it needs rest. Pushing through can hinder your recovery and lead to mistakes or accidents at work.

The Importance of Mental Health Days

Just as with physical ailments, mental health is a critical component of overall wellness and can be a valid reason for taking a sick day. Severe stress, anxiety, or burnout can significantly impair your ability to function and be productive. A mental health day is not a sign of weakness; it is a proactive step toward preventing a more serious breakdown. Prioritizing your mental well-being is a legitimate form of self-care that contributes to long-term productivity and happiness. If you need support, organizations like the National Alliance on Mental Illness (NAMI) offer valuable resources: NAMI Website.

Should I Work When Sick? A Comparative Look

Factor Going to Work Sick Calling in Sick
Your Health Risk of prolonging illness, hindering recovery, and developing complications. Speeds up recovery by allowing your body to rest and heal effectively.
Colleague Health High risk of spreading germs and infecting others, especially those who are immunocompromised. Protects coworkers from exposure to illness, maintaining a healthier work environment.
Productivity Lowered performance, increased risk of errors, and reduced focus. Taking a day off leads to a quicker return to peak performance and higher quality work.
Burnout Risk Increases mental and physical stress, contributing to chronic burnout. Provides a necessary break to rest and manage stress levels, preventing burnout.
Professional Image Seen by some as dedicated, but increasingly viewed as irresponsible and inconsiderate. Increasingly recognized as a responsible action that values collective health.
Contagion Puts vulnerable populations at risk, such as those with underlying health conditions. Prevents widespread illness in the workplace and community.

How to Handle Being Sick as a Remote Worker

While working from home might seem like a way to avoid spreading germs, it is still crucial to take a sick day when needed. The temptation to 'power through' is strong, but working while unwell—even from your couch—can prolong your illness and lead to subpar performance. If you can't focus or your symptoms are severe, you still need to rest. Communicate with your manager and team, just as you would if you were in the office, to ensure a smooth workflow and manage expectations. Your remote status does not negate your need for rest and recovery.

Conclusion: Prioritize Your Well-being

The choice between going to work or calling in sick is ultimately a health-related decision, not a productivity challenge. The pervasive cultural notion of 'toughing it out' has been proven to be counterproductive, leading to decreased performance, prolonged illness, and the unnecessary spread of infection. By staying home when you are truly sick—whether physically or mentally—you are making a responsible choice that benefits not only your own recovery but also the health and safety of your coworkers. Prioritizing your well-being allows you to return to work fully recovered, more focused, and ready to perform at your best. When in doubt, err on the side of caution; a sick day is an investment in your future health and productivity.

Frequently Asked Questions

While your boss may have questions, they generally cannot force you to come in if you are genuinely unwell and following company sick leave policies. If you have a contagious illness, most employers will prefer you stay home to protect others. Check your company's specific policies and local laws regarding sick leave.

You are typically most contagious in the early stages of an illness, sometimes even before you feel the worst. A fever is a strong indicator of an active infection. For illnesses like the flu, the CDC recommends staying home for at least 24 hours after your fever breaks without medication.

Even if you work remotely, your body needs rest to recover. Working while sick can prolong your illness and lead to lower-quality work. If you are too unwell to concentrate or your symptoms are severe, it is better to take a full sick day to rest.

Always follow your company's protocol. If none is specified, a call is often preferred for urgent notifications. However, a text or email is acceptable in many modern workplaces. Just be sure to notify the right person as early as possible.

It's normal to feel guilty, but remember that taking a sick day is an investment in your health and your team's health. You will recover faster and return to work more productive. Staying home when contagious is the responsible thing to do.

Yes, absolutely. Mental health is a critical part of your overall well-being. If you are experiencing severe stress, anxiety, or burnout that is impacting your ability to work, a mental health day is a valid and necessary reason to take time off.

For 'at-will' employees, termination is possible for many reasons, but laws exist to protect employees. If you consistently call in sick without following company policy, or if you are caught faking an illness, you could face consequences. Always check your employee handbook and understand your rights.

References

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Medical Disclaimer

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