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2019 | 24 | 209-214
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Green tobacco sickness – A brief review

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Green Tobacco Sickness (GTS) has been one of the unexplored areas of occupational health safety. Green Tobacco Sickness is caused by the absorption of nicotine through the skin from wet tobacco plants who have direct contact with tobacco plants during cultivation and harvesting. The present review was carried out to discuss the etiology, symptoms, diagnosis, treatment and prevention of GTS. It is caused by the absorption of nicotine through the skin while the workers are engaged in handling the uncured tobacco leaves. The symptoms include nausea, vomiting, pallor, dizziness, headaches, increased perspiration, chills, abdominal pain, diarrhea, increased salivation, prostration, weakness, breathlessness, and occasional lowering of blood pressure. The use of personal protective equipment like water‑resistant clothing, chemical‑resistant gloves, plastic aprons, and rain‑suits with boots should be used by the tobacco farmers to prevent its occurrence. An international‑level awareness campaign has to be taken up and more stringent workers safety regulations have to be formulated.
Physical description
  • [1] McKnight RH, Spiller HA. Green Tobacco Sickness in Children and Adolescents. Public Health Reports 2005; 120: 602-605
  • [2] Achalli S, Shetty SR, Babu SG. The Green Hazards: A Meta-Analysis of Green Tobacco Sickness. International Journal of Occupational Safety and Health 2012; 2(1): 11-14
  • [3] Ballard T, Ehlers J, Freund E, Auslander M, Brandt V, Halperin W. Green tobacco sickness: occupational nicotine poisoning in tobacco workers. Arch Environ Health 1995; 50(5): 384-389
  • [4] Vanakoski J, Seppala T, Sievi E, Lunell E. Exposure to high ambient temperature increases absorption and plasma concentrations of transdermal nicotine. Clin Pharmacol Ther 1996; 60(3): 308-315
  • [5] Singh JK, Rana SVS, Mishra N. Occupational Health Problems Amongst Women Beedi Rollers in Jhansi, Bundelkhand region, Uttar Pradesh. J. Ecophysiol. Occup. Hlth. 2014; 14 (2): 17-22
  • [6] McBride JS, Altman DG, Klein M, White W. Green tobacco sickness. Tobacco Control 1998; 7: 294-298
  • [7] Gehlbach SH, Williams WA, Perry LD, Woodall JS. Green-tobacco sickness: an illness of tobacco harvesters. JAMA 1974; 229: 1880-1883
  • [8] Arcury TA, Quandt SA, Preisser JS, Norton D. The Incidence of Green Tobacco Sickness Among Latino Farmworkers. J Occup Environ Med. 2001; 43: 601-609
  • [9] Fotedar S, Fotedar V. Green tobacco sickness: A brief review. Indian J Occup Environ Med 2017; 21(3): 101-104
  • [10] Ghosh SK, Gokani VN, Doctor PB, Parikh JR, Kashyap SK. Intervention Studies against “Green Symptoms” among Indian Tobacco Harvesters. Arch Environ Health 1991; 46 (5): 316-317
  • [11] Ghosh SK, Parikh JR, Gokani VN, Rao MN, Kashyap SK, Chatterjee SK. Studies on occupational health problems in agricultural tobacco workers. J SOC Occup Med 1980; 29: 113-117
  • [12] Centers for Disease Control and Prevention (CDC). Green tobacco sickness in tobacco harvesters - Kentucky, 1992. MMWR 1993; 42(13): 237‑240
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