In addition to concerns over subsidies, the cotton industries of some countries are criticized for employing child labor and damaging workers' health by exposure to pesticides used in production. The Environmental Justice Foundation has campaigned against the prevalent use of forced child and adult labor in cotton production in Uzbekistan, the world's third largest cotton exporter. The international production and trade situation has led to "fair trade" cotton clothing and footwear, joining a rapidly growing market for organic clothing, fair fashion or "ethical fashion". The fair trade system was initiated in 2005 with producers from Cameroon, Mali and Senegal.

What type of labor have some countries come under fire for employing?