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A handbook published in 2012 contains guidelines to growers for crop management, environmental management, and labor management, and has been endorsed by many of the companies approached by Human Rights Watch.[474] The US Tobacco GAP approach to labor emphasizes growers obligations under US law, and requires growers to provide a safe work environment, recognize workers rights to freedom of association, meet minimum standards for housing, and train workers on health and safety hazards, including nicotine poisoning.[475] Regarding child labor, the GAP Program handbook requires growers to: Follow all relevant contractual and legal requirements concerning the regulations on child labor, and advises growers to review federal and state laws governing the employment of children under 18 in agriculture.[476]A number of companies noted to Human Rights Watch that starting in 2013, third party auditors will be used to evaluate grower compliance with US GAP on an annual basis.[477] Multi-Stakeholder Initiative Since April 2012, three large tobacco product manufacturers began participating in a North Carolina-based multi-stakeholder initiative, called the Farm Labor Practices Group (FLPG).[478] The group now includes several leading tobacco manufacturers and leaf merchantsAltria Group, Philip Morris International, Reynolds American, Japan Tobacco International, Alliance One, and Universalalong with tobacco grower representatives, FLOC, the Interfaith Center on Corporate Responsibility (ICCR), and US Department of Labor representatives

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Vaping is a lesser evil as compared to cigarettes, as the possible harmful effects due to combustion and toxins produce significantly lower risk

Barrington-Trimis JL, Samet JM, McConnell R

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