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Tobacco farming poses severe environmental and health risks in various low-middle- income countries 8

The Worst Forms of Child Labor Recommendation states that certain types of work in an unhealthy environment (outlined in subparagraph (d) above) may be permitted for children ages 16 and above on the condition that the health, safety and morals of the children concerned are fully protected, and that the children have received adequate specific instruction or vocational training in the relevant branch of activity.[287] Human Rights Watch has determined, based on our findings, that under the conditions present in farms in the US, there is no way to make exposure to tobacco plants or dried tobacco leaves safe for children under 18

Over time, these changes cause inflammation and may trigger the development of cancer

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Most strikingly, the smoking rate was highest among African-Americans (32 percent), as was the level of exposure to secondhand smoke