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"Croppers" or "primers" pull the leaves off in handfuls and pass these to the "stringer" or "looper", which bundles the leaves to a four-sided pole with twine

Researchers at Ben-Gurion University of the Negev and Soroka-University Medical Center in Beersheva combined overnight sleep laboratory testing with a biological marker of tobacco smoke exposure, allowing them to directly measure the relationship between secondhand smoke exposure and childrens sleep

I imagine that the residues from this process are still in the leaf and contribute to many unhealthy effects