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Many international studies found that fatigue can be a probable major cause of truck driver accidents. The primary goal of the current study was to assess the relation between sleep disorders and accidents by using Epworth sleepiness scale. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. All participants were male and their mean age was 42.51 ± 10.81 (range 18-74) years. Their experience in driving was 8.34 ± 3.56 years on average; which had no significant relationship with their crash history and was not found a confounding factor in this series. The mean duration of sleep was 6.78 ± 1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. The mean Epworth index was 13.23 ± 5.59. The simple linear regression showed a significant correlation between the Epworth sleepiness scale and education (P = 0.030), age (P = 0.017), marital status (P = 0.011), coffee consumption (P = 0.006), and water pipe (chicha) use (P = 0.01), but there was no significant correlation with history of crash in past years. The multivariate analysis (multiple linear regressions) found a significant association between Epworth scale and age (P = 0.024), coffee consumption (P = 0.023) and water pipe use (P = 0.027). In Morocco where road accidents are very frequent and number of serious injuries and death is very high. This is considered as one of the major public health problems and hence public health officials, legislators and the police should collaborate in multidisciplinary approach to have effective preventives measures. This study can be the start of many debates about the most efficient preventive measure to ameliorate professional drivers’ work condition and to reduce road accident and hence save thousands of lives from the “traffic war” in Morocco.

Moroccan Taxi Drivers Sleepiness Using Epworth Scale: A Cross-sectional Survey