Stay home. Recover faster. Protect others.

When you don't feel well, making the decision to stay home from work or school can be challenging. Many of us prefer to tough it out when we aren't our best. But whether or not you can push through the day isn't the only thing you should consider. COVID-19 reminded us that when you are ill, you should stay home so that you can recover faster, but also to protect others from getting ill. 

Unfortunately, knowing whether you might be contagious is not very straightforward. Below are some suggestions to help you make your decision on whether or not to stay home—including how students and employees should update instructors and supervisors.

What to do if you are sick:

Employees who are sick (including those who test positive for COVID-19) should (a) leave campus immediately, taking care to avoid contact with other people (or, if they are not on campus, they should stay home) and (b) notify their immediate supervisor that they are ill. 

Employees who test positive for COVID-19 are also encouraged to complete the COVID-19 Report Form. Employees are not required to notify anyone else about a positive test for COVID-19. Other individuals on campus are notified as appropriate pursuant to government protocols for contact tracing and notification. 

Email [email protected] if you have questions.

Students who are sick (including those who test positive for COVID-19) should (a) leave campus immediately or return to their on-campus housing residence, taking care to avoid contact with other people (or, if they are not on campus, they should stay home), (b) notify their instructors that they are ill, and (c) review this website for addtional assistance from the Office of the Dean of Students. Students who work on campus should also notify their on-campus supervisor that they are ill.

Students who test positive for COVID-19 are also encouraged to complete the COVID-19 Report Form. Students are not required to notify anyone else about a positive test for COVID-19. Other individuals on campus are notified as appropriate pursuant to government protocols for contact tracing and notification.

Email [email protected] if you have questions.

Questions to ask yourself:

  • Why do you think you should stay home? 

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    • Do you feel sick?
    • Do you feel tired? 
    • Is a chronic condition acting up?
  • Is your chronic condition acting up?

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    “Six in ten adults in the US have a chronic disease and four in ten adults have two or more” (CDC, 2022).

    • Heart disease
    • Lung disease
    • Cancer
    • Stroke
    • Alzheimer's disease
    • Diabetes
    • Kidney disease

    Chronic diseases are conditions that last greater than a year and require healthcare management. While your condition is not contagious, consider if you are safe to get to work or be at work. Will you be able to focus today.

    If symptoms are acting up today, decide how severe they are. You may not be as productive today or you may be distracting to others. You may want to rest and allow your symptoms to subside or contact your primary care provider to let them know what you are experiencing.

A person too tired to get up.

  • If you think you are sick, do you have any of the following symptoms?

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    • Fever with or without chills

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      Having a fever (a temperature greater than 100 degrees F) is a sign that your body is fighting some kind of infection. Most likely, it is contagious. It would be best to stay home until your temperature is normal for at least 24 hours without any fever reducing medication such as Acetominophen or Ibuprofen.

      There is great variation in how long you may be contagious based on the specific germ you may be infected with. For example, with some infections you are contagious before the fever starts (e.g. chicken pox and COVID-19) for others, you may be infectious for up to a week (influenza) after it starts. You may even want to stay home or work from home until you feel better. 

    • Headache Expand dropdown

      Headaches may be a common occurrence for some, a rare occurrence for others, or a symptom of an infection. For migraine sufferers, headaches are generally accompanied by sensitivity to noise and light. This can be debilitating. Other headache sufferers may have them on a more everyday basis, such as those who suffer from tension headaches. These may go away more quickly after some rest and relaxation, but may return. You probably will not be at peak performance today at school or work,  so consider staying home - at least for a few hours until pain and sensitivity improves. 

      When headaches are a symptom of an infection, there is a high likelihood that the infection is contagious. If you are experiencing a headache that developed along with other symptoms (fever, body aches, stuffy nose, cough) you should probably stay home until you see what this develops into. 

      *Common causes of headaches

      Noncontagious causes
      Contagious causes

      Cluster headaches

      Concussion

      Migraine headaches

      Stroke

      Tension headaches

      Common cold

      COVID-19

      Encephalitis

      Influenza

      Meningitis

      Viral infection

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Body aches Expand dropdown

      Waking up in the morning stiff or achy is very common. But if you suddenly develop this and it is uncharacteristic for you and accompanied by fatigue or other symptoms, it may  be an early symptom of an infection -such as the flu. ou may want to take it easy today and rest or try to reduce your workload or duration of work for the day.

      *Common causes of body aches

      Noncontagious causes
      Contagious causes

      Chronic bone/joint/muscle pain

      Muscle or joint fatigue (exercise)

      Trauma

       

      Common cold

      COVID-19

      Influenza (the flu)

      Viral infections

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Pinkeye Expand dropdown

      If your eye is red with thick mucous in the corners or stuck to your eyelashes, you may have pinkeye. This is highly contagious, so don't go to work. Contact your primary care provider to see if you need any eye drops or medications to treat this. Be sure to you wash your hands to avoid sharing this with others.

      *Common causes of Pinkeye


      Noncontagious causes
      Contagious causes

      Allergies

      Chronic eye condition

      Eye trauma

      Fatigue

      Foreign Body in eye

      Common cold

      Influenza (the flu)

      Pinkeye (conjunctivitis)

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 
    • Earache Expand dropdown

      If you are having ear pain with or without changes in your hearing, you could have an ear infection. Ear infections can be the result of an infection in the canal (swimmer's ear), an infection in the tympanic membrane (classic ear infection), or the result of pressure and fluid changes in the inner ear associated with allergies or upper respiratory infections.

      Ear infections themselves are generally not contagious, but you may need treatment and may not be able to function well at work if you are in pain, you should contact your primary care provider. If however, your ear pain is associated with a head cold, you can spread this to someone else during the first 2 to 3 days. You should probably take precautions to avoid making others ill. 

      *Common causes of earaches


      Noncontagious causes
      Contagious causes

      Allergies

      Ear canal infection (swimmer's ear, aka otitis externa)

      Ear infection (aka otitis media)

      Sinus infection

      Common Cold

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Nasal congestion (stuffy or runny nose) Expand dropdown

      If you wake up in the morning sniffling, take stock of how you feel overall. If you don't have a fever and you otherwise feel fine, this might be allergies. An over-the-counter non-sedating antihistamine may help you get through the day. You should contact your primary care provider or even your local pharmacist to see if this may be a good and safe choice for you.

      On the other hand, if you have other symptoms, you feel lousy, and you are constantly sneezing and/or blowing your nose, you should probably stay home. But if you're only a little stuffy and it is better by the time you finish your morning coffee, it's probably fine to go to work or school.

      Be sure to wash your hands frequently, use hand sanitizer after blowing your nose and take care of your used tissues.

      *Common causes of nasal congestion

      Noncontagious causes
      Contagious causes

      Allergies

      Bloody nose

      Cluster headache

      Dry air

      Deviated septum

      Migraine headache

      Sinus infection

      Common cold

      Influenza (the flu)

      Viral Infections

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Sore throat Expand dropdown

      There are many reasons for you to have a sore throat. A sore throat can be the result of over use, such as straining your vocal chords,  it can be due to drainage down the back of your throat from sinuses, or it can be the result of an infection. Think about what you did in the past 24-48 hours. Might there be a reason for your sore throat. Next, take stock of how you feel, do you feel ill? Do you have other symptoms besides just a sore throat?  If you don’t have a runny nose and you haven't strained your vocal chords, your throat pain may be the result of an infection in your throat, tonsils, or lymph nodes. If you’re not sure what’s causing your sore throat, you should stay home and contact your primary care provider, so they can determine if you’re contagious or not. 

      *Common causes of sore throat

      Noncontagious causes
      Contagious causes

      Air pollution (smoke or chemical irritants)

      Allergies

      Dry or cold air

      Gastroesophageal reflux disease (GERD or heartburn)

      Neck or throat injury

      Post nasal drip

      Snoring or breathing with an open mouth

      Vocal cord strain

      Common cold

      Bacterial infection

      Fungal infection

      Influenza (the flu)

      Viral infections

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Cough Expand dropdown

      If you have developed a cough that is causing you difficulty with breathing, you should call 911 and go to the Emergency room.

      Cough can be a symptom of many different conditions. If you have a chronic health condition and are being treated for your cough, you can generally go to work. If however, your cough is much worse today than usual, you might not be at your peak and you might disrupt others. You may want to check with your primary care provider about what could be causing you to have a worse cough today.

      If you developed a cough overnight that kept you awake or your cough is severe enough that it is difficult to control, consider staying home today. You may be infectious, especially if you are having other symptoms in addition to the cough. 

      *Common causes of cough

      Noncontagious causes
      Contagious causes

      Air pollutants

      Any inhaled irritants

      Asthma

      Dry or cold air

      Foreign body

      Gastroesophageal Reflux Disease (GERD or heartburn)

      Bronchitis

      Common cold

      COVID-19

      Influenza (the flu)

      Pneumonia

      Tuberculosis

      Viral infections

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 
    • Stomach trouble (nausea, vomiting, or diarrhea) Expand dropdown

      Nausea, vomiting and diarrhea are miserable on their own. Trying to work with these symptoms is even worse. It also may put your coworkers at risk. Pregnancy, chronic stomach issues, and over indulgence can be some common causes of nausea, vomiting, and diarrhea that may keep you home from time to time, but are not infectious.

      However, there are many infectious causes of nausea, vomiting, and diarrhea that are highly contagious. In fact they are so contagious that simply sharing a hand towel can spread the infection. Ideally, you should stay home and close to the bathroom until your symptoms have subsided for 24 hours. 

      *Common causes of stomach trouble

      Noncontagious causes
      Contagious causes

      Antibiotics

      Chronic conditions

      Food allergies

      Lactose intolerance

      Menstrual symptoms

      Toxins

      Gastroenteritis ("GI bug" or "stomach flu")

      Bacterial (e.g. e coli, salmonella)

      Parasites (e.g. giardia)

      Viruses (e.g. adenovirus, norovirus)

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Unusual rash or itch Expand dropdown

      Usually a little rash or a small itchy patch of skin isn't something to worry about. But it can be a sign of some highly contagious conditions such as herpes, scabies, ringworm, and warts.

      Bacterial and viral skin infections tend to to spread quickly. The infection may be the skin irritation itself, or the rash could be a symptom of something more serious and systemic. It is a good idea to talk to your primary care provider before you go to work. 

      *Common causes of rash or itch


      Noncontagious causes
      Contagious causes

      Acne

      Dandruff

      Eczema

      Drug reaction

      Heat rash

      Hives

      Poison ivy

      Psoriasis

      Rosacea

      Bacterial infection (cellulitis)

      Chicken pox / Shingles

      Impetigo

      Measles / Rubella

      Meningitis rash

      MRSA

      Pityriasis rosea

      Ringworm

      Scabies

      Warts

      *This is not an exhaustive list of conditions and this list should not be used for self-diagnosis. If you are experiencing severe or life-threatening symptoms you should call 911 and go to the emergency department. All individuals are encouraged to consult with their primary care provider for proper diagnosis and treatment of all conditions and symptoms. 

    • Multiple symptoms Expand dropdown

      Generally speaking, the more upper respiratory symptoms you have, such as fever, congestion, sore throat, and cough, the more likely you are to have something that is contagious. 

      Common colds and other respiratory viruses (influenza and COVID-19) often take 10-14 days to run their full course. You may not be miserable the entire time, but there is a gradually worsening of symptoms followed by a gradual resolution. 

      Stomach bugs, on the other hand usually last 24 hours to 5 days and are usually most severe and contagious at or just before the onset. It may take several weeks for your bowel movements to return to normal. 

      In both of these situations you should stay home and avoid sharing this with others until you are fever free without fever reducing medication for 24 hours or for at least 24 hours after your last bout of vomiting or diarrhea. 

  • Do you feel too tired to go to work or school?

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    Common reasons that you may feel too tired to go to work or school include:

    • Allergies Expand dropdown
      • The medical term for allergies that cause nasal congestion, runny nose, itchy and watery eyes is allergic rhinitis. Allergic rhinitis is a common cause of being tired. But it is usually manageable. Your primary care provider can make this diagnosis and develop a treatment plan to minimize your symptoms. 
      • Allergic rhinitis can be triggered by many substances’ such as pollens, insects (dust mites or cockroaches), animal dander, molds and mildew, and even changes in the weather.
      • Avoiding allergens that trigger your symptoms is the best way to minimize your symptoms and help you get the rest you need. There are many over-the-counter medications that can help to alleviate or manage symptoms of allergic rhinitis. But you should always talk to your primary care provider or the pharmacist about selecting one that is safe for you and won’t make you sleepy.
    • Anemia Expand dropdown
      • Anemia is a very common blood condition.
      • Anemia is caused by low blood volume and can be the result of poor nutritional intake, chronic illness, or blood loss. 
      • For menstruating women, fatigue due to anemia is very common. Especially for women who have heavy menstrual cycles.
      • A blood test is required to diagnose anemia. 
      • If you have anemia, treatment is targeted at whatever the underlying condition is. You should talk to your primary care provider about this. While anemia is common, there are some serious causes of anemia that should not be ignored. 
      • If iron deficiency is the cause of your anemia and fatigue, treatment may include dietary changes and nutritional supplements.
    • Chronic illness Expand dropdown
      • There are a number of chronic health conditions that can cause fatigue. In fact, a health problem in just about any organ system from the brain, to the thyroid, heart, lungs, kidneys, immune system, or musculoskeletal system can result in fatigue. 
      • Sometimes, the treatments associated with conditions may be responsible for extreme fatigue. 
      • If it is chronic, ensuring that you get enough rest, eat well, and exercise may help. 
      • If this is new, getting worse, or you have never spoken to your health care provider about this, consider making an appointment. 
    • Depression/Mental Health Expand dropdown
      • Being tired or fatigued is often a symptom of depression and/or anxiety. 
      • While there can be triggers for depression such as life events, social issues, chronic illness, and medications, none of these are necessary to have depression. Depression is a medical condition and there does not need to be a reason for having it. 
      • Some people may be in a sad or anxious mood for a day. This is not by itself depression or anxiety. But if you are having more of these days than previously, or you feel this way most of the time, you should talk to your primary care provider, CAPS, or Community Mental Health
      • When you are in a depressed or anxious mood, you may have little interest in activities that you usually enjoy. You may sleep more than usual or less. You may eat more or less. And you may experience feelings of hopeless. These are all serious symptoms, and you should talk to your primary care provider, CAPS, or Community Mental Health
    • Illness Expand dropdown
      • Fatigue is a vague, but common symptom of many types of illnesses. It is often an early sign of influenza and COVID-19. It is also a common symptom associated with heart, lung, kidney, and most chronic illnesses.
      • Fatigue associated with acute viral, bacterial, and fungal infections are usually contagious (the common cold, COVID-19,  influenza, mononucleosis, pneumonia).
      • Fatigue can also be associated with a number of chronic viral, bacterial and fungal infections that can be highly contagious untreated (Cytomegalovirus, Hepatitis, HIV).
      • Typically, once the acute part of an illness has run its course, the fatigue begins to improve. But in illnesses such as Mononucleosis and post-acute sequelae of SARS CoV-2 infection (PASC, formerly COVID-19 long-haul syndrome), the fatigue can last weeks or months. 
      • As a rule of thumb, if you are acutely ill, you should probably stay home and contact your primary care provider. 
      • If you have a chronic condition and are experiencing a new onset of fatigue, you may want to contact your primary or specialty care provider. While you are probably not contagious, you may not be as productive as usual today.
    • Medication side effects Expand dropdown
      • Medications effect all people differently and these are generalizations. 
      • Most drugs have side effects. Fatigue is one of the more common side effects described for both prescription and over-the-counter medications.  Whether or not sleepiness is noted as a side effect, a medication can still cause it. 
      • The over-the-counter allergy medications Benadryl™ (diphenhydramine) can be very sedating. Consider selecting a non-sedating allergy medication like Claritin™ (loratadine) instead - but you should speak with your primary care provider or a pharmacist first. 
      • Prescription medications for treating cardiovascular, neurologic mental health, pain, and many other conditions may also cause sleepiness. Be sure to talk to your primary or specialty care provider. 
    • Sleep disorder Expand dropdown
      • Unfortunately, sleep difficulties are common. We need sufficient restorative sleep nightly to function well. Chronic sleeplessness can have negative long-term health consequences. Depending on your job, you could also place others at risk of harm. 
      • Sleep terminology:
        • Insomnia:  difficulty falling asleep or staying asleep.
        • Narcolepsy: Falling asleep abruptly during the day and feeling sleepy throughout the day.
        • Restless Leg Syndrome (RLS): Restless or unsettled legs that make you feel as though you need to move them when you are trying to fall asleep. 
        • REM sleep disorders: Sleep walking, taking, or other activities that prevent restorative sleep. 
        • Sleep apnea: Loud snoring or snoring with pauses in breathing that wakes you up and being tired throughout the day. 
    • Lack of self-care Expand dropdown
      • To have a good night's sleep, you must take care of yourself throughout the day and day-to-day. 
      • Eat well
      • Get regular exercise 
      • Get some exposure to sunlight (while taking precautions – sunglasses, protective clothing, sunscreen) as your body needs light to help regulate your sleep-wake cycle. 
      • Small changes can help, but you should also talk to your primary care provider. 
    • Sleep Hygiene Expand dropdown

      Eight tips to help you get a good night’s sleep. 

          • Keep a regular sleep routine
          • Avoid daytime naps
          • Don’t stay in bed awake more than 5-10 minutes
          • Don’t watch TV, use the computer or read in bed
          • Be careful drinking caffeine, the effects can last for hours
          • Avoid substances that interfere with sleep such as nicotine, alcohol, and some over the counter medications
          • Sleep with fresh air, open a window a little or try an air purifier
          • Keep your sleeping room quiet and comfortable
          • Develop a pre-bedtime wind down routine

      American Sleep Association (2022). Sleep Hygiene tips.

Special "Thank You!" to our reviewer:

David M Vandenberg MD, SFHM
Vice President and Chief Medical Officer
Trinity Health St Joe's Ann Arbor and Livingston Hospitals

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