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Aug 31, 2016

TRUCKERS' SLEEP APNEA * USA: Gov't recommend screening/treatment

* DC - Recommendations would force at-risk truckers into sleep apnea screening/treatment

---  The Medical Review Board of the Federal Motor Carrier Safety Administration outlined this week its official recommendations to the agency on screening and disqualification criteria for truck drivers who are suspected of having moderate to severe obstructive sleep apnea... The board’s preliminary recommendations, which have not yet been approved by the board, encourage FMCSA to require a trucker to be screened for sleep apnea if he or she: 

 (1) has a body mass index greater than or equal to 40, or 

 (2) has a body mass index greater than or equal to 33 and meets at least three of the following criteria: 
**Is 42 or older 
**Is male 
**Is a postmenopausal female 
**Has diabetes 
**Has high blood pressure 
**Has a neck size greater than 17 inches (males) or 15.5 inches (females) 
**Has a history of heart disease 
**Snores loudly 
**Has had witnessed apneas 
**Has a small airway to the lungs 
**Has untreated hypothyroidism 
**Has micrognathia (undersized jaw) or retrognathia (clinical terminology for a kind of overbite) 

... The board also would recommend that FMCSA allow truckers with a sleep apnea diagnosis to continue to operate if they’re being “treated effectively,” which is defined as “the resolution of moderate to severe OSA to mild or better, as determined by a certified sleep specialist,” according to the board’s preliminary discussion report... 
Washington, DC, USA - Overdrive, by James Jaillet - August 23, 2016

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