HGV drivers

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A new Australian study published in Sleep Journal has highlighted the dangers of sleep apnoea in commercial drivers:

As obstructive sleep apnea (OSA) is associated with a higher risk of motor vehicle crashes, there is increasing regulatory interest in the identification of commercial motor vehicle (CMV) drivers with this condition. This study aimed to determine the relationship between subjective versus objective assessment of OSA in CMV drivers.

Drivers were interviewed regarding their driving experience, personal health, shift schedules, payments, and various questions on sleep and tiredness in order to describe their sleep health across a range of variables. In addition, home recordings using a flow monitor were used during one night of sleep. Only 4.4% of drivers reported a previous diagnosis of sleep apnea, while our at home diagnostic test found a further 41% of long-distance heavy vehicle drivers likely to have sleep apnea. The multivariable apnea prediction index, based on self-report measures, showed poor agreement with the home-monitor detected sleep apnea (AUC 0.58, 95%CI = 0.49-0.62), and only 12% of drivers reported daytime sleepiness (Epworth Sleepiness Scale score > 10). Thirty-six percent of drivers were overweight and a further 50% obese; 49% of drivers were cigarette smokers.

The study concluded:

Sleep apnea remains a significant and unrecognized problem in CMV drivers, who we found to have multiple health risks. Objective testing for this sleep disorder needs to be considered, as symptom reports and self-identification appear insufficient to accurately identify those at risk.

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Carole Upcraft has launched an e-petition calling for the government to pressure lorry drivers to have tests for sleep apnoea, which causes daytime sleepiness and fatigue.

Her son Daniel, 32, suffered brain damage and his fiancée Nicola Culshaw, 33, was killed when their car was hit by a lorry while queuing for the Dartford tunnel on the M25 in April last year. The lorry driver, 40-year-old David Thomas from Upminster, was initially charged with causing death by dangerous driving, but the case was dropped when it was discovered he had undiagnosed sleep apnoea.

Library supervisor Mrs Upcraft, of Knoll Rise, Orpington, said: “There is no point in being vengeful here. We just need to find a positive out of what happened. We do not want another family to go through what we have gone through. Research shows that 41 per cent of HGV drivers have a sleep disorder of one kind or another, but most of them won’t be aware of it.”

The petition reads:

Tired drivers cause violent deaths & horrific injuries

Responsible department: Department for Transport

I would like a debate to raise awareness for the early diagnosis of HGV drivers with sleep apnoea. Last year my son and his fiancee were crashed into by a driver who had undiagnosed sleep apnoea. My son was left with serious brain injuries and his fiancee was killed. The driver was charged with death by dangerous driving but days before the trial the case was dropped by the CPS as he was driving unaware of this medical condition. There are clear criteria and indicators as to who is likely to suffer this condition. Please help raise awareness with haulage employers and GP’s. So that no other person is killed by a condition that is treatable.

To sign the petition, which needs 100,000 signatures to be considered by the government, go to epetitions.direct.gov.uk/petitions/5851

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