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24/7 Health

Naomi L Rogers and Ronald R Grunstein
Med J Aust 2005; 182 (9): . || doi: 10.5694/j.1326-5377.2005.tb06782.x
Published online: 2 May 2005

Accidents, such as the Exxon Valdez grounding, show how long work hours and fatigue can affect health and performance — pharmacological, behavioural, technological and legal countermeasures are available

Thanks to Edison and other 19th century inventors, we now live in a 24/7 society. Electric lighting keeps factories, supermarkets and airports operating around the clock. Planes fly across multiple time zones. Trucks are driven all night. Health care delivery is a 24-hour business. The price we pay is that lack of sleep and circadian disruption are contributing to work, parenting, social and family pressures, sleep and other medical disorders, and voluntary sleep curtailment.


  • Sleep & Circadian Research Group, Woolcock Institute of Medical Research, University of Sydney, and Royal Prince Alfred Hospital, Sydney, NSW.


Correspondence: 

  • 1. Knutsson A, Hallquist J, Reuterwall C, et al. Shiftwork and myocardial infarction: a case-control study. Occup Environ Med 1999; 56: 46-50.
  • 2. Knutsson A. Health disorders of shift workers. Occup Med 2003; 53: 103-108.
  • 3. Van Dongen HP, Baynard MD, Maislin G, Dinges DF. Systematic interindividual differences in neurobehavioral impairment from sleep loss: evidence of trait-like differential vulnerability. Sleep 2004; 27: 423-433.
  • 4. Rogers AE, Hwang WT, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood) 2004; 23: 202-212.
  • 5. Baldwin DC Jr, Daugherty SR. Sleep deprivation and fatigue in residency training: results of a national survey of first- and second-year residents. Sleep 2004; 27: 217-223.
  • 6. Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns’ weekly work hours on sleep and attentional failures. N Engl J Med 2004; 351: 1829-1837.
  • 7. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns’ work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351: 1838-1848.
  • 8. Proceedings of the Fatigue and Performance Modeling Workshop. Aviat Space Environ Med 2004; 75: A1-A199.

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