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Far too many Americans go to work sick, including in jobs that are supposed to demand top-notch hygiene, such as food preparation.

A recent study published in the Journal of Occupational Health Psychology that analyzed 61 prior studies involving over 175,000 people found, unsurprisingly, that employees in high-pressure jobs are more likely to work sick. Showing up despite an illness, or “presenteeism,” is linked to strict policies that seek to reduce absenteeism.

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