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Working night shifts is associated with several negative health outcomes, including an increased risk of infections.

Shift workers have a higher risk of severe Covid-19

Compared to day workers, shift workers have an almost six-fold higher risk of needing hospital care due to Covid-19, according to a recent study from the University of Bergen.

Working night shifts is associated with several negative health outcomes, including an increased risk of infections.

An international group of researchers has now investigated how shift work and working face-to-face with others, affects the risk of Covid-19 and the severeness of the infection.

7,141 workers from 16 countries answered an online survey about their work conditions, if they had been infected with the coronavirus, how serious the infection was and if they had been hospitalised because of Covid-19.

Those who worked face-to-face with others had a higher risk of Covid-19.

“However, they did not have a higher risk of developing a more severe outcome of the infection, compared to those not working face-to-face with others,” Bjørn Bjorvatn says.

He is first author of the article and Professor of Medicine at the Department of Global Public Health and Primary Care at the University of Bergen.

Bjørn Bjorvatn is a professor of Medicine at the University of Bergen.

Take the vaccine after a good night's sleep

Compared to daytime workers, shift workers did not have a higher risk of getting infected. Bjorvatn explains this by the fact that the virus is very contagious, and that the infection rate in the general society is high.

“Shift workers are not likely to be exposed to more virus than day workers,” he says.

Once infected, however, shift workers had an almost six-folded higher risk of being hospitalised due to Covid-19, compared to daytime workers.

This supports the hypothesis that sleep deprivation affects the immune system in a negative way.

“Other studies show that the response to vaccination is poorer in sleep-deprived individuals. Therefore, shift workers should take their vaccines after a good night's sleep,” Bjorvatn advises.

Reference:

Bjorvatn et al. Shift workers are at increased risk of severe COVID-19 compared with day workers: Results from the international COVID sleep study (ICOSS) of 7141 workers, Chronobiology International, 2022. DOI: 10.1080/07420528.2022.2148182

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