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The cracking would really hurt.[77] Public health research has shown a high prevalence of skin conditions among farmworkers.[78] A 2007 study of tobacco workers found that they may be particularly susceptible to skin conditions as both the tobacco leaf itself and pesticides used in tobacco cultivation have been identified as possible causes of contact dermatitis, an inflammatory skin disease.[79] Human Rights Watch could not determine the exact cause of the skin irritations or rashes reported by child tobacco workers

The ill effects of smoking cigarettes do not only affect people who smoke

"Demographic Characteristics, Cigarette Smoking, and e-Cigarette Use Among US Adults"