The 138-page report documents conditions for children working on tobacco farms in four states where 90 percent of US tobacco is grown: North Carolina, Kentucky, Tennessee, and Virginia. Children reported vomiting, nausea, headaches, and dizziness while working on tobacco farms, all symptoms consistent with acute nicotine poisoning. Many also said they worked long hours without overtime pay, often in extreme heat without shade or sufficient breaks, and wore no, or inadequate, protective gear.