Sleep loss and circadian disruption in shift work: health burden and management

Shantha M W Rajaratnam, Mark E Howard and Ronald R Grunstein
Med J Aust 2013; 199 (8 Suppl): S11-S15. || doi: 10.5694/mja13.10561

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  • Shantha M W Rajaratnam1,2
  • Mark E Howard3
  • Ronald R Grunstein2,4

  • 1 School of Psychology and Psychiatry, Monash University, Melbourne, VIC.
  • 2 NHMRC Centre for Integrated Research and Understanding of Sleep, Sydney, NSW.
  • 3 Victorian Respiratory Support Service, Austin Health, Melbourne, VIC.
  • 4 Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, NSW.


Competing interests:

Shantha Rajaratnam has served as a consultant through his institution to Vanda Pharmaceuticals, Philips Respironics, EdanSafe, National Transport Commission, Rail, Tram and Bus Union, Australian Workers' Union, Tontine Group, Meda Consumer Healthcare, and has, through his institution, received research grants and unrestricted educational grants from Vanda Pharmaceuticals, Philips Respironics and Cephalon, and reimbursements for conference travel expenses from Vanda Pharmaceuticals. His institution has received equipment donations or other support from Optalert, Compumedics, Philips Lighting and Tyco Healthcare. He has also served as an expert witness and consultant to shift work organisations. Mark Howard has undertaken consultancy work for the National Transport Commission and Victoria Police, and has received research grants and equipment support from ResMed Foundation, CRCMining and Sleep Diagnostics. He is a participant in the Cooperative Research Centre for Alertness, Safety and Productivity and a member of the boards of the Australasian Sleep Association and the Institute for Breathing and Sleep, which receives royalties from Prevention Express.

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