Calling ‘in,’ ‘out,’ or ‘off’ sick?

Q: Am I showing my age? Once upon a time, a couple of decades ago, when you were ill or had an emergency, you would “call in sick.” Now it’s “calling out.” When did that happen?

A: People have been calling “in,” “out,” and “off” sick for dozens of years, but “call in sick” is the oldest and by far the most common expression for reporting one’s absence from work because of illness.

The Oxford English Dictionary defines “call in sick” as “to contact one’s employer, school, etc., typically by telephone, to report one’s absence that day, esp. due to illness.” The OED’s earliest example is from the 1940s:

“This being a holiday weekend, employees in Treasury’s loans and currency section … were warned yesterday not to call in sick either today or Monday under any circumstances” (The Washington Post, July 3, 1943).

The dictionary’s first citation for “call off sick” is from a West Virginia newspaper: “Personnel who frequently call off sick … should be checked at their homes to ascertain the legitimacy of their absence” (Charleston Daily Mail, May 24, 1958).

The earliest OED example for “call out sick” is from a Massachusetts newspaper: “Bray said no one called out sick in the DPW at all this week … [due] to his demands that anyone out sick must have a doctor to certify illness” (Sentinel & Enterprise, Fitchburg, April 16, 1976).

A similar expression, “call off work,” has been around since the the mid-1960s and means “to report one’s absence from (work, school, etc.), typically by making a telephone call,” Oxford says.

The dictionary’s first citation is from a 1965 labor arbitration decision: “He would receive a final warning if he didn’t improve on the tardiness, absenteeism, and calling off work without notice” (from Labor Arbitration Awards, Vol. 65-2).

A search with Google’s Ngram Viewer, which compares words and phrases in digitized books, indicates that “call in sick” is clearly the most common of the four expressions.

We’ve seen suggestions online that “call out sick” may be especially popular in New York, New Jersey, and Connecticut, but we’ve seen no linguistic evidence to support this. The Dictionary of American Regional English doesn’t mention the usage.