Green Tobacco Sickness

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Green Tobacco Sickness (GTS) is an occupational illness that affects individuals who work with tobacco in its green, uncured state. It is a type of nicotine poisoning caused by the dermal absorption of nicotine from the wet tobacco leaves.

Symptoms[edit | edit source]

The symptoms of Green Tobacco Sickness typically begin 3 to 17 hours after exposure to wet tobacco leaves. Symptoms can include nausea, vomiting, headache, weakness, and dizziness. In severe cases, individuals may also experience fluctuations in blood pressure, heart rate, and respiratory rate.

Causes[edit | edit source]

Green Tobacco Sickness is caused by the absorption of nicotine through the skin from wet tobacco leaves. This can occur when workers are harvesting or handling the leaves, particularly if they are wet from rain or dew. The risk of developing GTS is higher in individuals who are not regular tobacco users, as they have a lower tolerance to nicotine.

Prevention and Treatment[edit | edit source]

Prevention of Green Tobacco Sickness involves reducing exposure to wet tobacco leaves. This can be achieved by wearing waterproof clothing when handling the leaves, and by washing exposed skin thoroughly after contact. Treatment for GTS is primarily supportive, and includes rest, rehydration, and the use of over-the-counter medications to manage symptoms.

See Also[edit | edit source]

Green Tobacco Sickness Resources
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Contributors: Prab R. Tumpati, MD