2017
DOI: 10.4103/ijoem.ijoem_160_17
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Green Tobacco Sickness: A Brief Review

Abstract: Green tobacco sickness (GTS) is the condition that mainly affects the tobacco harvesters. The condition is prevalent in Asian and South American tobacco harvesters. The present review was conducted to discuss the etiology, epidemiology, symptoms, 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… Show more

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Cited by 38 publications
(46 citation statements)
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“…The use of socks during work with tobacco is associated with a 6.32-fold increase in the chance of developing GTS, as presented in Table 3. wet tobacco and wet clothes. These socio-environmental factors increase nicotine absorption and are well described in ancient and recent studies (3,5,13,18,22) . In this same perspective, the relationship between inhalation of tobacco dust in sheds during curing and GTS can be highlighted, as evidenced in a study in Korea, which reports the presence of high concentrations of nicotine in the air in the work places evaluated in cultivation, harvesting and tobacco curing (6) .…”
Section: Resultsmentioning
confidence: 84%
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“…The use of socks during work with tobacco is associated with a 6.32-fold increase in the chance of developing GTS, as presented in Table 3. wet tobacco and wet clothes. These socio-environmental factors increase nicotine absorption and are well described in ancient and recent studies (3,5,13,18,22) . In this same perspective, the relationship between inhalation of tobacco dust in sheds during curing and GTS can be highlighted, as evidenced in a study in Korea, which reports the presence of high concentrations of nicotine in the air in the work places evaluated in cultivation, harvesting and tobacco curing (6) .…”
Section: Resultsmentioning
confidence: 84%
“…Meanwhile, some studies claim that because of the tobacco harvest period, when temperatures are high, associated with wet tobacco handling and wearing boots and socks, sweating is increased, favoring the increase of transdermal nicotine absorption, as described in different international and national studies (5,9,22) .…”
Section: Resultsmentioning
confidence: 99%
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“…(Arcury et al 2003a, b) In a recent review, conducted on GTS, the prevalence of GTS varies from 8.2 to 47% globally (Fotedar and Fotedar 2017). …”
Section: Introductionmentioning
confidence: 99%