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January 13, 1999

Reducing Sleepiness on the Roads and on the Wards—Reply

Author Affiliations

Margaret A.WinklerMDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor

JAMA. 1999;281(2):134-135. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019

In Reply: Sleepiness is pervasive in modern 24-hour society and results from multiple identifiable factors. Excessive sleepiness increases the likelihood of making critical errors while working or driving, particularly at night and during the early morning hours. Certainly, as Dr Smith states, the common cold and many other illnesses, as well as certain medications, influence sleepiness and fatigue and thus may impair driving and work performance efficiency.