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Jobs where workers directly handle pesticide-treated plants can increase exposure, particularly in the absence of effective protective gear and hand-washing.[124] Relatively few studies have examined pesticide exposure specifically in tobacco workers.[125] Following a request for data from Human Rights Watch, the National Institute for Occupational Safety and Health (NIOSH) indicated that there are no comprehensive federal statistics on the incidence of pesticide poisoning among tobacco farmworkers specifically.[126] Public health research in eastern North Carolina found high levels of biomarkers for pesticides in the bodies of adult farmworkers who had worked extensively in tobacco.[127] Extreme Heat All children interviewed by Human Rights Watch for this report stated that they often worked in high temperatures and high humidity typical for the summer months in North Carolina, Kentucky, Tennessee, and Virginia

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