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Thomas Arcury of Wake Forest School of Medicine, protective equipment such as rain suits and watertight gloves can reduce a workers contact with wet tobacco, but may increase the risk of heat stress and heat illness.[192] Human Rights Watch has concluded the use of personal protective equipment is impractical and insufficient to eliminate the health risks to children of working with tobacco plants or dried tobacco leaves in the US, and may present other unacceptable health risks

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In California, advocates organised community activities to show that industry solicited testimonials did not reflect the broader public sentiment that favoured smoke-free bars [74]

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In 2010 he underwent surgery to install a small heart pump to try to combat "increasing congestive heart failure"