RT Journal A1 Lyznicki JM, Davis RM, Williams MA T1 REducing sleepiness on the roads and on the wards—reply JF JAMA JO JAMA YR 1999 FD January 13 VO 281 IS 2 SP 134 OP 135 DO 10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019 AB The public health consequences of long-term sleep deprivation can be profound and are a concern for health care workers, military and public safety personnel, nuclear power plant operators, and workers in transportation and manufacturing industries. We appreciate Dr Sloan's concern about the excessive work hours of house officers and the impact of sleep deprivation on physician job performance. While the consequences of long working hours among house staff are important and merit further study, this issue was beyond the scope of the Council on Scientific Affairs report.