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Thanking Truck Drivers Means Investing in Their Health—and Ours

During National Truck Driver Appreciation Week, the Alliance of Nurses for Healthy Environments joins people across the country in recognizing the professional truck drivers who keep our communities, economy, and health care system moving.

Truck drivers perform essential work every day. The food on grocery store shelves, medications in pharmacies, and equipment and supplies used in hospitals and clinics reach their destinations because professional drivers transport them. Their work supports nearly every part of daily life, often requiring long hours on the road and extended periods away from their families. As nurses, we believe that appreciation should be demonstrated through meaningful investments in their health, safety, and working conditions, and in the health of the communities along the routes they travel.

For generations, diesel exhaust has been treated as an unavoidable part of working in and around the trucking industry. Professional drivers may spend thousands of hours each year inside or near diesel-powered vehicles, freight facilities, warehouses, ports, and distribution centers. This occupational exposure is compounded by long hours, demanding schedules, and limited opportunities to avoid polluted air.

Diesel exhaust is classified as carcinogenic to humans. It also contains fine particulate matter and other pollutants associated with respiratory and cardiovascular harm. Nurses witness the human consequences of air pollution in clinics, hospitals, schools, and communities from children struggling to breathe during an asthma attack to adults experiencing worsening heart and lung disease.

The risks extend beyond the people behind the wheel. Communities located near highways, ports, warehouses, and heavily traveled freight corridors often face disproportionate exposure to transportation pollution. Many of these communities are already affected by cumulative environmental hazards, inadequate access to health care, and other social and economic conditions that increase their vulnerability to illness.

The good news is that we have the technology to begin changing this reality. The transition to cleaner, zero-emission trucks can reduce harmful tailpipe pollution, improve air quality, and protect the health of drivers, freight workers, and nearby communities. Clean air is a fundamental condition for protecting health and preventing disease. 

Transition to clean technologies also presents an opportunity to strengthen the trucking industry. Investments in cleaner vehicles, charging infrastructure, workforce development, and dependable supply chains can help create an industry prepared to compete in a rapidly changing global market. Drivers must be included in this process so that the technologies placed into service are safe, practical, reliable, and responsive to the conditions they encounter on the road.

Achieving a cleaner freight system will require leadership across the entire trucking sector. Truck manufacturers must fulfill their clean-vehicle commitments and make cleaner trucks available at the scale and pace necessary to reduce pollution. Fleet operators must prepare for the transition while ensuring that workers have appropriate training, workplace protections, and a meaningful voice in implementation.

Industry associations also have an important responsibility. The American Trucking Associations should help its members prepare for a healthier and more competitive future instead of opposing policies intended to accelerate clean-truck deployment. Efforts to weaken or delay protections such as California’s Advanced Clean Trucks framework risk prolonging harmful exposures for drivers and communities while creating uncertainty for businesses already investing in cleaner technology.

Accountability does not mean placing the burden of this transition on individual drivers or small operators. Policymakers and industry leaders must ensure that funding, infrastructure, technical assistance, and workforce protections are available so the transition is practical and equitable. The people who keep goods moving should benefit directly from cleaner vehicles and healthier workplaces.

National Truck Driver Appreciation Week is an important opportunity to celebrate the skill, dedication, and sacrifice of professional drivers. But appreciation cannot end when the week does. Truck drivers keep America moving throughout the year. They deserve an industry that values their health as much as their productivity and recognizes clean air as an essential workplace protection. Communities along freight routes deserve relief from pollution that has affected their health for far too long.

Nurses have a role in advancing this vision. We can educate patients and decision-makers about the health consequences of diesel pollution, support evidence-based clean-truck protections, advocate for equitable infrastructure investments, and elevate the experiences of drivers and communities most affected by freight-related pollution.

Investing in cleaner trucks is an investment in disease prevention, healthier workers, more resilient communities, and a stronger transportation system. It is also one of the most meaningful ways to recognize the people whose work connects our hospitals, businesses, and homes.

This week, we thank America’s truck drivers. For the years ahead, let us invest in their health—and ours.