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* Smoke from the cigarettes your drivers smoke. This is negligible if you smoke yourself of course, though it's also harder to quit smoking when you hitchhike a lot.
* Sunstrokes can occur if one can't take shelter in the shades.
* Through sweating your body looses water and minerals. It's a good idea to drink a lot of water to compensate for dehydration. Don't forget to restore your mineral levels, too.
Also don't overestimate these issues. Truck drivers have to deal with diesel fumes most of the time.
