If he had apnea he should have been using a CPAP. They’ve been around for decades.
How do you know he was not, usually. But he had lain down for a nap, so the machine might not have been assembled for use yet from his luggage.
That said..many people have OSA..and are not diagnosed...OR..they are diagnosed and won't wear their machine.
I see this all the time..........
FWIW-