FMCSA and Sleep Apnea
January 28, 2011
We're staying with the sleep issue for two days on the run here - yesterday we dealt with the
FMCSA's proposed HOS rule changes and the listening session coming up on February 17th in Arlington,
Virginia. Today, we'll deal with a lesser known, but troubling issue of the FMCSA's sleep
apnea study.
Sleep apnea is the condition where someone has breathing issues during sleep. During sleep your body
relaxes and this affects the throat too - as the muscle and tissue structures around your throat
also relaxe, the airway may become blocked or partially obstructed. In extreme instances, breathing
may stop for several minutes and even in mild cases, the condition causes restless sleep. In other
words, sleep apnea is directly correlated to daytime driver fatigue - so the FMCSA appears to be
getting ready to say.
For an industry which has had to deal with a great deal of back room lobbying from vested interests
looking to sell trucking "safety" products - sleep apnea could be the "next big thing" facing
drivers and operators over the horizon. At the moment, having a sleep test conducted is not a
requirement for a CDL license, but it is not a far stretch to see how easy that could be imposed
(especially given the FMCSA's fixation on driver fatigue as the primary road safety issue facing the
trucking industry).
The current broohaha is focused on comments by FMCSA chief, Anna Ferro who claims that 30% of
truckers are suffering some form of sleep apnea. Her basis for saying this is a sleep apnea study
conducted by the Center for Sleep & Respiratory Neurobiology at the University of Pennsylvania.
A major issue with the study is the veracity of the results - the FMCSA appears to be throwing a 30%
figure around as set in stone, but there is conflicting information. AsktheTrucker.com covered this
in detail, including broadcasting on their radio blog, (just follow the link). The results from
their research indicate around half the number of truckers are sleep apnea sufferers, including
mild, moderate and severe cases and NOT the 30% so widely (and irresponsibly?) touted by the FMCSA.
Unfortunately, we live in a time when highly paid lobbyists really can convince legislators and
bureaucrats that black is white simply by waving the banner of public safety. What gets lost in
translation is just what is really responsible for road accidents involving truckers - for instance,
in 2002 the Automobile Association of
America conducted an accident study which showed that car drivers were responsible for 75%
of accidents involving trucks.
Who is Going to Pick up the Cost?
Sleep apnea requires a sleep test and the cost will vary somewhere in the $2-3,000 range.
That is not cheap.
If FMCSA gos down this road who is going to foot the bill? With the trucking industry looking to add
200,000 new truckers to the industry this year alone, that's $200-$300 million in testing alone
right there, and that's before we get to the cost of any treatment.
For some truckers, they will be covered by their insurance carrier for this kind of testing and
treatment, for others, the carriers are going to pick up the tab, but for the bulk of the truck
driving population they should start putting some money away for this sleep apnea testor think about
putting their truck for sale!