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Lamp ACM, Rempe MJ, Belenky GL. Delta the value that matters in fatigue risk management. Aerosp Med Hum Perform. 2021; 92(2)127128.BACKGROUND Charcot-Marie-Tooth disease (CMT) is a rare hereditary motor and sensory neuropathy. This is a report of a pilot with this condition with a discussion of the challenges for the regulator in the assessment for medical certification of pilots with a neurological disability.CASE REPORT A pilot with CMTX1 declared his condition to the United Kingdom Civil Aviation Authority when his brother was diagnos