The bicycle rickshaw is a widely used in many Asian countries for short distance travel, especially in eco sensitive areas and cities. The mode of transport is similar to carts pulled by horses; the sole difference being here is that the muscular animal is replaced by usually impecunious men whose impoverished condition has forced them to look for a physically strenuous job for some extra money. In India the rickshaw pullers are often people who have moved to urban areas to look for some extra money due to failure of income from their agricultural labour jobs. The lure is off course only the money they can make though the task is more physically demanding. The strenuous work of pulling the passengers in the cart, especially when they are going uphill takes its toll on the health of the rickshaw pullers who finally end up spending their earning on hospitals and medications.