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Green tobacco sickness (GTS), also known as nicotine poisoning, is a type of poisoning that occurs when nicotine is absorbed through the skin when working with tobacco leaves. This condition most commonly occurs among farm workers and tobacco harvesters. Preventing GTS requires farmers to wear gloves and to avoid short sleeve shirts and shorts to prevent skin contact with the tobacco leaves. Workers may also wear protective equipment and avoid staying outside working for too long to prevent GTS. Staying hydrated and making sure you are increasing your fluid intake is another way to help prevent this condition.

Symptoms

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The symptoms for green tobacco sickness consist of nausea, vomiting, diarrhea, dizziness, headaches and abdominal pain. In most cases, GTS usually lasts for about 1-3 days before it goes away with treatment. However, in severe cases, GTS can lead to dehydration, seizures, coma and even death.

Treatment

Treatment for GTS include:

• Staying hydrated
• Getting good rest
• Antiemetics
• Pain relievers such as ibuprofen and acetaminophen.

Epidemiology

GTS is a global public health issue that affects many workers in the tobacco industry in countries such as the USA, Japan, India, Poland and Brazil. Tobacco is usually harvested during the summer and the hot weather however this illness can still occur in colder climates. Women have a high risk of infertility and reproductive issues and kidney dysfunction can be present in young tobacco farmers.

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