title: Shade tobacco and green tobacco sickness in Connecticut.
abstract: The prevalence of Green Tobacco Sickness (GTS) among shade tobacco farmworkers in Connecticut is unknown. We conducted a study to determine the prevalence of GTS in farmworkers working in shade tobacco fields who presented for clinical care at medical student-run clinics. A retrospective chart review of the tobacco workers seen at Farmworkers' Clinics during 2001 was instituted in this study. Although GTS was not clinically diagnosed in any of the patients, we found 15% diagnoses that could be attributed to possible GTS by ICD-9 code review. Using a stricter GTS case definition, the frequency rate decreased to 4%. Nonsmokers were significantly more likely than smokers to report GTS-like symptoms (P < 0.01). Isolated symptoms of headache and dizziness were significantly more frequent among nonsmokers than smokers (P < 0.05). In conclusion, cases of possible GTS were found in Connecticut shade tobacco workers. Nonsmokers were more at risk to have possible GTS than smokers.
authors.affiliation: Division of Occupationa and Environmental Medicine, Department of Medicine University of Connecticut School of Medicine, Farmington Connecticut 06030-6210, USA. trape@nso.uchc.edu
authors.forename: Marcia
authors.initials: M
authors.lastname: Trapé-Cardoso
authors.forename: Anne
authors.initials: A
authors.lastname: Bracker
authors.forename: Michael
authors.initials: M
authors.lastname: Grey
authors.forename: Michael
authors.initials: M
authors.lastname: Kaliszewski
authors.forename: Cheryl
authors.initials: C
authors.lastname: Oncken
authors.forename: Christine
authors.initials: C
authors.lastname: Ohannessian
authors.forename: Laura Victoria
authors.initials: LV
authors.lastname: Barrera
authors.forename: Bruce
authors.initials: B
authors.lastname: Gould
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000382:Agricultural Workers' Diseases / Q000139:chemically induced / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology; D003237:Connecticut / Q000453:epidemiology; D006801:Humans; D038801:International Classification of Diseases; D008875:Middle Aged; D009538:Nicotine / Q000506:poisoning*; D015995:Prevalence; D012189:Retrospective Studies; D012869:Skin Absorption; D014026:Nicotiana / Q000737:chemistry / Q000506:poisoning*
chemical_list: D009538:Nicotine