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A 2007 review of public health studies found that non-smoking adult tobacco workers have similar levels of nicotine in their bodies as smokers in the general population, althoughindividual variation would be expected based upon the use of personal protective equipment, season and contact with tobacco, and abrasions on the skin, as well as other factors.[66] Working in excessive heat and engaging in heavy physical activity, which are typical for workers, including child workers, engaged in tobacco farming in the United States, also increase the risk of nicotine poisoning as the increase in surface blood flow to help reduce body temperature facilitates nicotine absorption.[67] Though public health research has most often looked at nicotine poisoning among adult workers handling mature tobacco leaves, nicotine is present in tobacco plants and leaves in any form