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This report follows extensive research by Human Rights Watch in 2013 on hazardous child labor in United States tobacco farming.[4] Human Rights Watch identified interviewees through outreach in farmworker communities, and with the assistance of a nongovernmental organization serving farmworker families

However, the active components of vaping devices still contain nicotine, the highly addictive substance that would cause unwanted health effects with long term use

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But the full effects of the oral product are not known as of yet, with more research needed to understand how nicotine usage might be associated with gum disease or cavities, said Yanfang Ren, a professor and chairman of the department of diagnostic sciences at the University of Rochester Eastman Institute for Oral Health in upstate New York