Green Tobacco Sickness

Green Tobacco Sickness (GTS) is a type of nicotine poisoning caused by the dermal absorption of nicotine from the surface of wet tobacco plants. Tobacco harvesters, whose clothing becomes saturated from tobacco wet with rain or morning dew, are at high risk of developing GTS. Workers can avoid getting this sickness by waiting to harvest until the tobacco leaves are dry, or by wearing a rain suit. Wet clothing that has come in contact with tobacco leaves should be removed immediately and the skin washed with warm soapy water.

Use of tobacco products such as cigarettes or smokeless tobacco, appears to reduce the risk of GTS.

Symptoms of GTS include nausea, vomiting, dizziness, and severe weakness. These symptoms may be accompanied by fluctuations in blood pressure or heart rate. Abdominal cramping, headaches, chills, increased sweating, salivation and difficulty breathing are also common. The illness will resolve on its own within one to two days, but symptoms may be so severe as to require emergency medical treatment.

In the United States, where tobacco is increasingly being farmed on large farms, seasonal or migrant farmworkers are disproportionately affected by this condition.

=References=
 * Learning About Green Tobacco Sickness, from the National Agricultural Safety Database.


 * Quandt SA, et al. Migrant farmworkers and Green Tobacco Sickness: New issues for understudied disease. Am J Ind Med. 2000;37:307-315.


 * Warning to tobacco harvesters, from the National Institute for Occupational Safety and Health.

=See also=
 * Nicotine poisoning