Karoshi

From WikiMD.com Medical Encyclopedia

Death caused by overwork in Japan



Karoshi (過労死) is a Japanese term that translates to "overwork death." It refers to sudden mortality due to work-related stress and exhaustion. The phenomenon is a significant social issue in Japan, where long working hours and intense work culture are prevalent.

Overview[edit | edit source]

Karoshi is primarily caused by heart attacks, strokes, or other stress-related conditions brought on by excessive work hours and pressure. The term emerged in the late 20th century as Japan's economy grew rapidly, leading to increased demands on workers.

Causes[edit | edit source]

The primary causes of karoshi include:

  • Long working hours: Many Japanese employees work significantly more than the standard 40-hour workweek, often without overtime pay.
  • High stress levels: The pressure to perform and meet high expectations can lead to chronic stress.
  • Lack of rest: Insufficient sleep and rest periods contribute to physical and mental exhaustion.

Symptoms[edit | edit source]

Symptoms preceding karoshi can include:

  • Chronic fatigue
  • Insomnia
  • Depression
  • Physical ailments such as headaches and stomach issues

Impact on Society[edit | edit source]

Karoshi has profound implications for Japanese society, affecting families, businesses, and the economy. It highlights the need for work-life balance and has led to calls for labor reform.

Protest against karoshi in Shimbashi, June 2018

Government and Corporate Response[edit | edit source]

In response to the karoshi phenomenon, the Japanese government and corporations have implemented measures such as:

  • Work-hour regulations: Laws limiting overtime and encouraging paid leave.
  • Mental health support: Initiatives to provide counseling and support for stressed workers.
  • Awareness campaigns: Efforts to educate the public and promote healthier work environments.

Statistics[edit | edit source]

Deaths from karoshi over the years

Statistics on karoshi-related deaths are difficult to compile due to varying definitions and reporting standards. However, it is estimated that hundreds of deaths each year in Japan are attributed to overwork.

International Perspective[edit | edit source]

While karoshi is a term specific to Japan, overwork-related deaths are a global issue. Many countries face similar challenges with work-related stress and its health impacts.

Annual working time in OECD countries

Prevention[edit | edit source]

Preventing karoshi involves:

  • Promoting work-life balance: Encouraging flexible work hours and remote work options.
  • Health monitoring: Regular health check-ups for employees to detect early signs of stress-related conditions.
  • Cultural change: Shifting societal attitudes towards valuing personal time and well-being.

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Contributors: Prab R. Tumpati, MD