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This Human Rights Watch report documents an occupational health and safety crisis among tannery workers, both men and women, including skin diseases and respiratory illnesses caused by exposure to tanning chemicals, and limb amputations caused by accidents in dangerous tannery machinery. Residents of Hazaribagh slums complain of illnesses such as fevers, skin diseases, respiratory problems, and diarrhea, caused by the extreme tannery pollution of air, water, and soil. The government has not protected the right to health of the workers and residents, has consistently failed to enforce labor or environmental laws in Hazaribagh, and has ignored High Court orders to clean up these tanneries.