Flu Season Can Wreak Havoc in the Workplace

-According to the Centers for Disease Control and Prevention (CDC), this year''s flu season has affected all 50 states with some regions hit hard.
Flu season is underway and will typically linger through March. According to the Centers for Disease Control and Prevention (CDC)1, this year´s flu season has affected all 50 states with some regions hit hard.

A short-term disability insurance carrier sees flu claims for employees that are typically out of work for at least five days. However, for employers that is just the tip of the iceberg for flu-related absences. Employers face the challenge of managing absences of those employees out on short-term disability as well as for those employees out ill for a shorter duration. In addition, it is difficult to schedule work projects around intermittent absences of employees who return to work when still ill and then have a relapse. Consider too the unscheduled absences of well employees who need to take days off to care for a sick dependent. For example, a young child or an elderly parent may be particularly vulnerable to strains of the influenza virus.

If those absences weren´t enough to worry about, consider also the financial toll of "presenteeism." This is the term for employees that are physically at work but not productive. Various flu symptoms and medications can affect an employee´s focus and concentration. Estimates place the cost of presenteeism at far exceeding the cost of absenteeism. For example, a study by Advance PCS, published in the June 2003 issue of the Journal of the American Medical Association, estimated that the cost per year for lost productive time due to depressive disorders was $8.3 billion due to absenteeism and $35.7 billion due to "presenteeism." The same study also estimated that 1.5 "productive" hours are lost each week due to individuals who are not suffering from depression but who come to work with other health problems.

The World Health Organization estimates that cost of influenza to the U.S. economy in terms of health care costs and lost productivity can range from $71 billion to $167 billion a year2.

An employee ill with the flu who comes to work is not only not productive but may spread the virus to colleagues causing the flu to become more widespread and linger longer within an employer''s workforce. Making matters worse, sometimes the flu may be undetected and an employee may even be contagious a day before developing symptoms.

According to the CDC, between 10% and 20% of people become ill with the flu each year. When germs are spread within the workforce, the number of flu incidences can rise and the durations may become longer. While the flu may put some employees on short-term disability for a week, these numbers are typically small.For example, for every 1,000 covered employees, MetLife typically receives one short-term disability claim for influenza and its related conditions. Influenza related short-term disability claims are also seasonal - the majority are received in January through March.

Suggestions for Employers

In preparation of the flu striking their workforce, employers may wish to consider taking the following steps:

·               Encourage employees to ask their physician about the appropriateness of receiving the flu vaccine especially if they are particularly vulnerable (such as those employees over age 50 or those suffering from lung diseases, diabetes, cancer, kidney or heart problems). One way to promote the vaccine is for employers to subsidize the cost if the health plan doesn´t cover it. An employer may also wish to subsidize the cost for the employee´s dependents if the flu shot is physician recommended.

·               Create a work environment where ill employees feel secure in taking several days off to recover from the flu rather than being present at work but not productive or, worse yet, passing along the virus to coworkers.

·               Make staffing contingency plans.   For example, make decisions now about the use of temporary agencies or other restaffing methods if necessary.

·               Consider whether flexible work schedules - such as telecommuting - can be accommodated.   This could be of assistance for well employees who are absent to take care of a sick dependent and help an employer keep a project on schedule.

·               Utilize an integrated absence management tracking system that can help manage unscheduled absences as well as disability, workers compensation and FMLA leaves.

By taking these steps, it is hoped that the affects of the flu on an employer´s workforce will be minimized and that employees who do fall ill will receive the proper rest and medical attention they need to recover quickly and return to the job well and ready to work.



1 Centers for Disease Control and Prevention Web site, December 2003.

2 World Health Organization, Influenza Fact Sheet, March 2003.

Dr. Leopold is vice president and national medical director for MetLife Disability.   He is the author of A Year in the Life of A Million American Workers, a reader-friendly research guide scheduled for release in early 2004, which is based on MetLife´s extensive disability claims database of more than 4 million employees.  

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