GREEN TOBACCO SICKNESS - OCCUPATIONAL NICOTINE POISONING IN TOBACCO WORKERS
GREEN TOBACCO SICKNESS - OCCUPATIONAL NICOTINE POISONING IN TOBACCO WORKERS
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DOI：
10.1080/00039896.1995.9935972
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发表时间：
1995-09-01
期刊：
影响因子：
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通讯作者：
HALPERIN, W
中科院分区：
文献类型：
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作者：
BALLARD, T;EHLERS, J;HALPERIN, W
在这项研究中，作者描述了1992年绿色烟草病爆发的调查，这是一种皮肤接触尼古丁中毒的形式，发生在肯塔基州中部和中南部的五个县的47名烟草工人中。病例是通过在参与医院的医疗记录搜索以及提交给农业社区职业健康护士方案的报告确定的。进行了一项病例对照研究，以评估绿色烟草病的危险因素。在20分钟的电话采访中，40例和83名对照回答了问卷中的问题。1992年，47人（3人年龄在16岁以下）在研究区域寻求治疗绿色烟草病。12人住院，2人需要重症监护治疗。1992年的粗发病率为10.0/1000烟草工人。1993年，在研究区域确定了66例绿色烟草病（7例年龄在16岁以下）（即，年发病率为14.0/1000）。一项病例对照研究表明，与未患病的工人相比，患病工人更年轻，更有可能在潮湿的条件下工作。绿色烟草病是烟草工人的常见问题，可以通过避免在湿烟草中工作或使用防护服来预防。1992年和1993年，16岁以下的儿童占绿色烟草病病例的9%。目前的职业安全和健康法律没有涉及对烟草工人的绿色烟草病的保护。
In this study the authors describe the investigation of a 1992 outbreak of green tobacco sickness, a form of nicotine poisoning from dermal exposure, among 47 tobacco workers in a five-county region of central and south-central Kentucky. Cases were identified through medical record searches at participating hospitals, as well as from reports submitted to the Occupational Health Nurses in Agricultural Communities program. A case-control study was undertaken to assess risk factors for green tobacco sickness. In a 20-min telephone interview, 40 cases and 83 controls responded to questions contained in a questionnaire. In 1992, 47 persons (3 were under age 16 y) in the study region sought medical treatment for green tobacco sickness. Twelve persons were hospitalized and 2 required intensive-care treatment. The crude incidence in 1992 was 10.0/1 000 tobacco workers. In 1993, 66 cases (7 were under age 16 y) of green tobacco sickness were identified in the study region (i.e., annual incidence of 14.0/1 000). A case-control study demonstrated that ill workers were younger, and were more likely to have worked in wet conditions, compared with workers who were not ill. Green tobacco sickness is a common problem among tobacco workers that may be prevented by avoiding work in wet tobacco or by use of protective clothing. Children younger than 16 y of age represented 9% of the green tobacco sickness cases in 1992 and 1993. Current occupational safety and health laws do not address protection of tobacco workers with respect to green tobacco sickness.