Green Tobacco Sickness

Green Tobacco Sickness (GTS) is an occupational illness associated with the cultivation and harvesting of tobacco plants. It is caused by the dermal absorption of nicotine, which is present in the leaves of the Nicotiana tabacum plant. This condition primarily affects agricultural workers who handle wet tobacco leaves, especially during the harvesting season.

Symptoms

The symptoms of Green Tobacco Sickness are similar to those of nicotine poisoning and can include:

• Nausea
• Vomiting
• Dizziness
• Headaches
• Increased sweating
• Weakness
• Abdominal cramps

These symptoms can vary in severity depending on the level of exposure to nicotine and the individual's sensitivity to it.

Pathophysiology

The primary route of nicotine exposure in Green Tobacco Sickness is through the skin. When workers handle wet tobacco leaves, nicotine dissolves in the moisture and is absorbed through the skin. This transdermal absorption leads to elevated levels of nicotine in the bloodstream, resulting in the symptoms associated with the condition.

Risk Factors

Several factors can increase the risk of developing Green Tobacco Sickness, including:

• Working in wet conditions, such as after rain or in the early morning when dew is present on the leaves.
• Lack of protective clothing, such as gloves and long-sleeved shirts.
• Prolonged exposure to tobacco leaves during the harvesting season.
• Lack of awareness or training about the risks of nicotine exposure.

Prevention

Preventive measures to reduce the risk of Green Tobacco Sickness include:

• Wearing protective clothing, such as gloves, long-sleeved shirts, and waterproof aprons.
• Educating workers about the risks of nicotine exposure and the importance of personal protective equipment.
• Scheduling work to avoid handling wet tobacco leaves when possible.
• Providing access to clean water and facilities for washing hands and skin after exposure.

Treatment

Treatment for Green Tobacco Sickness is primarily supportive and symptomatic. It may include:

• Rest and removal from exposure to tobacco leaves.
• Hydration to prevent dehydration from excessive sweating and vomiting.
• Administration of antiemetic medications to control nausea and vomiting.

Related pages

• Nicotine poisoning
• Occupational safety and health
• Tobacco farming

Green Tobacco Sickness

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  Patch of Tobacco (Nicotiana tabacum) in a field in Intercourse, Pennsylvania.