Patients were then invited to take part in an exit interview, carried out in a private location within the practice to assure confidentiality

Child labor is high in some areas during tobacco peak season which leads to high absenteeism rate among local schools.[90] In a letter to Human Rights Watch, Alliance One International described how it allowed growers contracted with its subsidiary, Mashonaland Tobacco Company, to retain a portion of their earnings from tobacco sales prior to paying off their debts to the company, in order to allow growers to pay their hired laborers and to have money for school fees and other educational costs for their children: This mitigates the risk of child labor and enables the children of both the farmer and his/her labor to attend school, the company said.[91] Missing School to Work Some teachers in tobacco growing regions told Human Rights Watch that their students often missed classes during the tobacco growing season, particularly during the labor-intensive periods of planting and harvesting, making it difficult for them to keep up with their school work
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(Endoh et al., 1994) However, a proportion of respondents do not face any GI issues while chronic nicotine exposure has been linked to abdominal pain, bloating, hyperacidity and ulcers