Obstructive Sleep Apnea (OSA) is a disease that not many people know about although they may even suffer from it.
Patients are unable to sleep and breathe at the same time: during sleep (and during sleep only) the throat collapses and air can no longer reach the lungs. Breathing stops despite frantic efforts and oxygen drops… until sleep is interrupted, the throat pops open with a loud snoring, breathing resumes and sleep proceeds until the next apnea. The average patient experiences 250 to 400 apneas per night, and is completely unaware that this is happening…
OSA leads to snoring and daytime sleepiness, high blood pressure as well as cerebral and cardiac accidents; it also increases the risk of traffic accidents by seven times. Data from Germany, Spain, Switzerland, Australia, Canada and the USA are concordant: OSA has been estimated to be responsible for 5 to 10 % of all motor vehicle accidents.
Despite clear evidence of this dangerous effect, and of its possible correction with an adequate treatment, only nine European Countries include sleep apnea among the diseases to be considered at the time of delivering a driving license. Moreover, there is no unique attitude among different countries on how to assess the severity of the disease, or the effects of treatment, or who is to decide on the fate of the potentially dangerous driver.
Every effort should be made to put Sleepiness and Obstructive Sleep Apnea on the agenda of European Transport Authorities. The Comitology procedure appears as a pragmatic and feasible approach. OSA could be included in the next amendment to Annex III while sleepiness could be addressed with information and education campaigns.