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Furthermore, it may contribute to arterial blockages, reduce vitamin C levels in the body, and heighten the chances of pregnancy-related complications, including underweight infants or infant mortality

According to the CDC, cigar smoking can increase the risk of gum disease and tooth loss

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[467] In a March 2014 letter to Human Rights Watch, Universal stated that it has agreed with the fundamental positions contained in the International Labor Organizations Convention 138 on minimum age and Convention 182 on the worst forms of child labor. [468] Universal acknowledged that its approach presents challenges as many regions around the world have conflicting laws about minimum age or the definitions of child labor and hazardous work (or there are no laws at all). [469] Universal states that in its contracts with tobacco growers in the US it expressly forbids our growers to employ workers under the applicable minimum legal age for the specific work performed. [470] Universal also noted, as have some other tobacco manufacturing companies whom Human Rights Watch contacted in conjunction with this report, that it has limited agronomy personnel for support, training, and monitoring of its contracted growers in the US and that universities agricultural extension services fulfill these functions