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According to Alliance One, PT.AOI technicians conduct 20 to 24 scheduled visits and one unannounced visit to each contracted grower per year to provide guidance on ALP, including written information

At the end of the day, natural tobacco can even be worse because you still inhale fumes into your lungs, and youre under the false impression its healthy so you dont feel the urge to quit

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It hurts my back because I have to hunch over and stand up over and over again.[167] Sharon, a 14-year-old from the same village who wore a red scarf and purple-rimmed glasses, said she suffered back pain while weeding in tobacco fields: I feel tired in my muscles, [especially] in my back because I have to bend over so many times

PMID 29543907