>NTSB Recommendations: Obstructive Sleep Apnea

>On Oct. 20, the National Transportation Safety Board (NTSB) issued three safety recommendations to the Coast Guard concerning obstructive sleep apnea (OSA). The NTSB noted that the pilots involved in the 1995 grounding of a cruise ship in Alaska and the 1997 allision of a container ship with a bridge abutment in San Francisco Bay both suffered from OSA and the chronic fatigue accompanying OSA may have been a factor in both casualties. The NTSB thus recommends that the Coast Guard modify its Merchant Mariner Physical Examination Report to elicit specific information concerning OSA; implement a program to identify mariners who may be at high risk for OSA; and disseminate guidance regarding identification and treatment of OSA.