TY - JOUR AU - Markowitz,Sara AU - Nesson,Erik AU - Robinson,Joshua TI - Are Pink Slips Better Than Flu Shots? The Effects of Employment on Influenza Rates JF - National Bureau of Economic Research Working Paper Series VL - No. 15796 PY - 2010 Y2 - March 2010 UR - http://www.nber.org/papers/w15796 L1 - http://www.nber.org/papers/w15796.pdf N1 - Author contact info: Sara Markowitz Department of Economics Emory University 1602 Fishburne Dr. Atlanta, GA 30322 Tel: (404) 712-8167 E-Mail: sara.markowitz@emory.edu Erik Nesson Department of Economics Miller College of Business Ball State University Muncie, IN 47306 Tel: 608-358-1658 E-Mail: etnesson@bsu.edu Joshua Robinson University of Alabama at Birmingham E-Mail: jjr@uab.edu AB - The seasonal influenza virus afflicts between five and twenty percent of the U.S. population each year, imposing significant costs on those who fall ill, their families, employers, and the health care system. The flu is transmitted via droplet spread or close contact, and certain environments, such as schools or offices, promote transmission. In this paper, we examine whether increases in labor market activities are associated with an increased incidence of the flu. Flu data come from the Centers for Disease Control. We check the robustness of our results using unique data from Google Flu Trends. Using a first-difference two stage least squares estimation approach, we find that a one percentage point increase in the employment rate increases the number of influenza related doctor visits by about 8.1 additional flu-related doctor visits per 1000 doctor visits for all causes. To put this in perspective, on average, 33 additional people out of every 100,000 new employees will have a flu-related doctor visit. The results are robust across several specifications. ER -