Dermal nicotine absorption and its effects on the health of tobacco workers
Keywords:
nicotine, green tobacco, poisoning, disease.Abstract
Introduction: Dermal absorption of the nicotine contained in tobacco leaves causes a type of poisoning called green tobacco sickness, which commonly affects green and wet tobacco harvesters.
Objective: Determine the incidence of green tobacco sickness among workers from the farm La Gloriosa in Nieves Morejón Credit and Services Cooperative, Cabaiguán, Sancti Spíritus.
Methods: A descriptive cross-sectional study was conducted of 50 workers exposed to green tobacco leaves at the farm La Gloriosa in Nieves Morejón CSC, Cabaiguán, Sancti Spíritus, from November 2017 to April 2018. Individual surveys were applied and work was done with focal groups. Statistical analysis was based on percentage estimation. Results are presented as tables.
Results: Of the cases studied, 72% were male and 84% were from the 25-59 years age group. The most common symptoms were dizziness, muscle weakness or languor, nausea, headache and vomiting, among others. Most of the workers had insufficient knowledge about the disease, its risk factors and the protection measures involved.
Conclusions: Most of the workers have presented some of the main signs and symptoms associated to this disease at least once. The workers are exposed to environmental conditions that strengthen the risks due to the high humidity in the fields. The main risk factors they are exposed to are humidity in the fields, sucker or bud removal and leaf collection, wet clothing, unprotected tobacco handling, and non-compliance with hygiene measures. There is insufficient knowledge about this disease among the personnel studied.
References
1. Weizenrecker, R., Deal W. B. Tobacco cropper’s sickness, J Fla Med Assoc., 57:13-14, 1970.
2. Arcury, T. A., S. A Quandt, J. S. Preisser: Measuring occupational illness incidence and prevalence in a difficult to study population: green tobacco sickness among Latino farmworkers in North Carolina, J Epidemiol Community Health, 55:818-824, 2001.
3. NIOSH. National Institute of Occupational Safety and Health: Issues Warning to Tobacco Harvesters. DHHS (NIOSH) Publication No. 93-115, Disponible en http://www.cdc.gov/niosh/93- 115.html Consultado en abril 2018, 1993.
4. CDC: Green Tobacco Sickness in Tobacco Harvesters-Kentucky, 1992. Froom the Centers for Disease Control and Prevention, Leads From the Morbidity and Mortality Weekly Report. Atlanta, Ga. JAMA, Vol 269, No 21: 2722, 2724, June- 2, 1993.
5. Wake Forest University Baptist Medical Center, Tobacco Farm Workers may Contract Tobacco Sickness, Study Shows. For Immediate Release 02/21/ 200011:44. Disponible en http:// www.wfubmc.edu/cgibin/newsEdit2/ viewNews.cgi..) Consultado en abril de 2018.
6. Trapé-Cardoso, M, A. Bracker M. R. Gray, M Kaliszewski, C Oncken, C Ohannessian, LV Barrera , B Gould. Shade tobacco framworkers and GTS in Connecticut. A retrospective Review 2003, 45(2)609-613.
7. Ghosh, S. K. et al.: Studies on Occupational Health, Problems During Agricultural Operation of Indian Tobacco Workers, A Preliminary Survey Report, Journal of Occupational Medicine, Vol 21. No 1, January 1979. 15.
8. Ghosh, S. K., et al.: Occupational Health Problems among Tobacco Processing Workers: A Preliminary Study, Archi- ves of Enviromental Health, Vol 40 No 6: 318-321, Nov/Dec 1985.
9. Ghosh, S., K. Gokani V. N. Parikh J. R. et al: Protection against «green symptoms» from tobacco in Indian harvesters: a preliminary intervention study, Arch Environ Health, 42:121- 123, 1987.
10. UM Médico. Detectan síntomas de ETV en Nayarit, Enero 2009 (http:/ www.universomedico.com.mx/noticias….)
11. D´Alessandro, A., Benowitz, N. et al.: Systemic Nicotine Exposure in Tobacco Harvesters. The Helen Dwight Reid Educational Foundation, Archives of Environmental Health, Vol 56(3): 257-263, May/Jun 2001.
12. Malawi: Child tobacco pickers suffernicotine poisoning, Agosto 31, 2009. (http:/ www.cigarettesreviews.com/malawi- child-tobacco….)
13. Wake Forest University Baptist Medical Center, Tobacco Farm Workers may Contract Tobacco Sickness, Study Shows. For Immediate Release 02/21/ 200011:44. Disponible en http:// www.wfubmc.edu/cgibin/newsEdit2/ viewNews.cgi..) Consultado en abril de 2018.
14. Satora, L., H. Goszcs, E. Gomoacutelka, W. Biedran: Diplopia in Green Tobacco sikness, J of agromedicine, 14(1):66-69, 2009.
15. Lin H. S. and Lee K. GTS on Tobacco Harvesters in a Korean Village, Korean J. Epidemiol., 24(1) 29-36. 2002.
16. Lee, K., H. S. Kim, H. Kim, S. H. Nam: Urinary cotinina concentration of cases with GTS. Korean J Occup. Environ Med 16(49 413-421, 2004.
17. Gehlbach, S. H., L. D Perry, W. A Williams, J. I. Freeman, J. J. Langone, L. V. Pela, H Van Vunakis: Nicotine absorption by workers harvesting green tobacco, Lancet 17(1)478-480, 1975.
18. Hipke, M.: Green tobacco sickness, South Med J., 86:989-992, 1993.
19. Ballard, T., J. Ehlers, E. Freund, Mauslander, V. Brandt, W. Halperinl. NIOSH: Green Tobacco Sickness: Occupational Nicotine Poisoning in Tobacco Workers, Archives of Environmental Health, Vol 50. No 5: 384-389, Sep/ Oct 1995.
20. Ruibal Brunet, I J.et al: Primer reporte de la enfermedad del tabaco verde en cuba. Revista Cuba Tabaco. Vol. 13, No. 2, 2012.