Millions without sick leave fear swine flu

CHICAGO -- For millions of Americans the rule is simple: If you don't come to work, you don't get paid.

That idea drives an untold numbers of carpenters, day care workers, servers, shopkeepers and small-business owners to their jobs each day. Sniffles or not.

As the swine flu spreads across the nation -- and public health officials plead with the ill to, please, stay home in bed for several days until the fever goes away -- a large segment of the American work force will face a tough choice about whether to call in sick or simply muddle through. That's because when skipping work means skipping food on the table or missing a rent payment, staying in bed isn't as simple as it sounds.

Kara Knoche, 28, is worried about getting swine flu and the money she would lose by missing a week of work. The Atlanta waitress is downing Vitamin C supplements, going out of her way to eat immune system-boosting foods and avoiding friends with the sniffles or hacking coughs.

"If you don't save up, you're basically behind and you're broke. Every dollar you make after that is probably going to go to bills," she said. "That makes for a very hard month. A person has to eat."

Across the country employers of all sizes are making contingency plans for a hard-hitting flu season.

Some business owners are cross-training employees to fill in for absent colleagues. Others are relaxing sick leave policies that require a doctor's note. Many doctors' offices are advising swine flu patients to stay away unless their symptoms are severe to prevent overwhelming the health care system.

Some corporations are heeding advice from the U.S. Centers for Disease Control and Prevention to move desks farther apart, create more shifts to have fewer people on duty at a time and reduce employee travel.

But that advice doesn't do much for small businesses or those in the service industry where sick leave is almost unheard of or too costly for owners to afford.

About a third of the nation's workers don't have paid sick leave, according to the U.S. Department of Labor. But even some workers who do don't take it because they fear retribution from their bosses if they don't show up.

The problem can be worse for parents who worry not just about their own health, but their children's. After all, a sick child who got the flu from Mom or Dad can mean even more time off the job.

On the Net

* cdc.gov/h1n1flu/