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Moreover, education, distance from hospital, and precautionary measures affect health cost significantly. Results suggest that education should be improved in rural areas. Better cotton standard system should be promoted in Pakistan through education and other training programs. Women cotton pickers should be encouraged to use protective measures.Per- and polyfluoroalkyl substances (PFASs) are used in industrial production and manufacturing but were repeatedly detected in agricultural soils and therefore in cash crops in recent years. D