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In 2013, a New York commuter train derailed not because of drugs or alcohol, but because the engineer’s brain was literally starved of oxygen while he slept. Untreated Obstructive Sleep Apnoea (OSA) is a silent, systemic threat that currently costs the US economy up to $165 billion annually—more than the budgets of NASA and the Department of Education combined. In this educational explainer, Sleep2DreamAnalytics investigates the staggering link between OSA and catastrophic workplace accidents. You will learn the biological mechanics of how an airway collapse prevents deep, restorative sleep, leading to profound daytime sleepiness that mirrors the effects of intoxication. We dive into the "Fear Factor"—the conflict between public safety and a worker's livelihood—which explains why 98% of at-risk drivers may stay silent when asked subjective questions about their sleep health. In this video, you will learn: • The Real-World Stakes: How untreated OSA has led to train derailments and is a factor in one in five large truck crashes. • The Biology of OSA: A look at why the airway collapses during sleep and why neck circumference over 17 inches is a major red flag for medical examiners. • Subjective vs. Objective Screening: Why asking "Are you tired?" fails, while objective measures like BMI are much more reliable for identifying high-risk individuals. • Treatment and Verification: The role of CPAP machines and the necessity of compliance monitoring to ensure a worker is truly fit for duty. • The Regulatory Patchwork: Why inconsistent rules across trucking, rail, and aviation leave the public vulnerable. • The FRMS Solution: How a Fatigue Risk Management System creates a proactive safety culture from the executive suite to the front lines. By shifting from a culture of silence to a system of objective data and support, we can prevent the next tragedy before it happens. If you value evidence-respectful insights into the science of sleep and professional safety, please subscribe to join our community, comment below with your thoughts on mandatory screening, and share this video with those in safety-sensitive industries. — Sleep2DreamAnalytics Education-first sleep science. Not medical advice.