Skip to main content
Log in

Assessments of occupational health hazards of tobacco farmworkers in Andhra Pradesh, India

  • Original Article
  • Published:
Toxicology and Environmental Health Sciences Aims and scope Submit manuscript

Abstract

Objective

The present study aims to find occupational health hazards during agricultural operations performed by tobacco farmworkers and their relationship with different personal and occupational parameters.

Methods

A study was carried out among 120 tobacco farmworkers in Andhra Pradesh, India. Two soil regions (Northern light and Southern light soils) were selected based on the Tobacco Board of India (2019–20) to collect data through personal interviews with the help of a developed survey proforma. Gender-stratified and odds ratio (OR) analyses were used to examine variables associated with occupational health problems.

Results

Tobacco farm workers frequently experienced symptoms of Green Tobacco Sickness (GTS), namely headache (14.2%), nausea (11.7%), dizziness and increased sweating (9.2%), weakness (7.5%), exposed running eyes (2.5%), and breathing difficulty (1.7%). They also occasionally had skin diseases, with the highest percentage of allergy (4.2), itching (3.33), rashes (2.5), and 1.0 % for superficial wounds, contact dermatitis, and traumatic skin lesions. The odds ratio (OR > 1) exposure was associated with higher odds of outcome; the values for the female gender, age (20–40 years), working months (1 to 4) per year, protective clothes, without protective gloves, headcovers, and footwear were 2.22, 1.80, 1.28, 5.39, 4.15, 3.39, and 5.78, respectively, showing higher odds of GTS.

Conclusions

GTS symptoms are a common illness that causes discomfort and loss of productivity. In tobacco cultivation, few operations involve working with bare hands, making the workers vulnerable to nicotine absorption and skin diseases. Few injuries were observed associated with the loading and unloading of tobacco leaves during curing in the barns. To prevent occupational health hazards, development of appropriate, cost-effective interventions suitable for farmworkers is needed, along with creating awareness of the potential hazards among them.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Tobacco board India, Ministry of commerce and industry. Tobacco board annual report. Guntur: Department of commerce; 2019–20

  2. Food and Agricultural organization of the united nations. FAOSTAT statistical database. (Rome): FAO, February 17, 2022

  3. Rs 11.79 lakh cr Indian tobacco sector employs 4.5 cr people. The Economic Times. November 20, 2021:2

  4. Weizenecker R, Deal WB (1970) Tobacco cropper’s sickness. J Flor Med Assoc 57(12):13–14

    CAS  Google Scholar 

  5. Gehlbach SH, Williams WA, Perry LD, Woodall JS (1974) Green-tobacco sickness: an illness of tobacco harvesters. J Am Med Assoc 229(14):1880–1883. https://doi.org/10.1001/jama.1974.03230520022024

    Article  CAS  Google Scholar 

  6. Gehlbach SH, Williams WA, Freeman JI (1979) Protective clothing as a means of reducing nicotine absorption in tobacco harvesters. Arch Environ Health 34(2):111–114. https://doi.org/10.1080/00039896.1979.10667379

    Article  CAS  PubMed  Google Scholar 

  7. Ghosh SK, Parikh JR, Gokani VN, Kashyap SK, Chatterjee SK (1979) Studies on occupational health problems during agricultural operation of Indian tobacco workers: a preliminary survey report. J Occup Med 21(1):45–47

    CAS  PubMed  Google Scholar 

  8. Ghosh SK, Parikh JR, Gokani VN, Rao MN, Kashyap SK, Chatterjee SK (1980) Studies on occupational health problems in agricultural tobacco workers. Occup Med (Chic Ill) 30(3):113–117. https://doi.org/10.1093/occmed/30.3.113

    Article  CAS  Google Scholar 

  9. Ghosh SK, Gokani VN, Parikh JR, Doctor PB, Kashyap SK, Chatterjee BB (1987) Protection against “green symptoms” from tobacco in Indian harvesters: a preliminary intervention study. Arch Environ Health 42(2):21–124

    Article  Google Scholar 

  10. Singh (2018) Injurious to farmers. Hindu Business line. February 2. https://www.thehindubusinessline.com/blink/know/injurious-to-farmers/article22631199.ece

  11. Spangler JG, Arcury TA, Quandt SA, Preisser JS (2003) Tobacco use among Mexican farmworkers working in tobacco: implications for agromedicine. J Agromed 9(1):83–91

    Article  Google Scholar 

  12. Satora L, Goszcz H, Gomolka E, Biedron W (2009) Diplopia in green tobacco sickness. J Agromed 14(1):66–69

    Article  Google Scholar 

  13. Gokani VN, Doctor PB, Parikh JR, Kulkarni PK, Saiyed HN (2004) Occupational health problems of tobacco harvesters and their prevention. Ahmedabad, India

  14. Parikh JR, Gokani VN, Doctor PB, Kulkarni PK, Shah AR, Saiyed HN (2005) Acute and chronic health effects. Am J Ind Med 47(6):494–499

    Article  CAS  PubMed  Google Scholar 

  15. Arcury TA, Quandt SA, Preisser JS (2001) Predictors of incidence and prevalence of green tobacco sickness among Latino farmworkers located in Granville and Wake Counties. J Epidemiol Community Health 55(11):818–824

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Quandt SA, Arcury ÃTA, Preisser JS, Norton D, Austin C (2000) Migrant farmworkers and green tobacco sickness: new issues for an understudied disease. Am J Ind Med 315(3):307–315

    Article  Google Scholar 

  17. Arcury TA, Vallejos AQM, Schulz MR (2008) Green tobacco sickness and skin integrity among migrant Latino farmworkers. Am J Ind Med 203:195–203. https://doi.org/10.1002/ajim.20553

    Article  Google Scholar 

  18. Mcbride JVS, Altman DG, Klein M, White W (1998) Green tobacco sickness. Tob Control 7:294–298

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Kalyani KS, Singh KD, Naidu SK (2016) Occupational health hazards of farm women in tobacco cultivation. Indian Res J Ext Educ 8(1):9–12

    Google Scholar 

  20. Fassa AG, Faria NMX, Meucci RD (2014) Green tobacco sickness among tobacco farmers in southern Brazil. Am J Ind Med 735:726–735. https://doi.org/10.1002/ajim.22307

    Article  Google Scholar 

  21. Ehlers J, Ballard T, Ehlers J (1995) Green tobacco sickness: occupational nicotine poisoning in tobacco workers. Arch Environ Health 50(5):384–389

    Article  PubMed  Google Scholar 

  22. Arcury TA, Quandt SA, Simmons S (2003) Farmer health beliefs about an occupational illness that affects farmworkers: the case of green tobacco sickness. J Agric Saf Health 9(1):33–45

    Article  CAS  PubMed  Google Scholar 

  23. Schmitt NM, Schmitt J, Kouimintzis DJ, Kirch W (2007) Health risks in tobacco farmworkers—a review of the literature. J Public Health (Bangkok) 15(4):255–264

    Article  Google Scholar 

  24. Lonsway J, Byers M, Dowla H, Panemangalore M, Antonious G (1997) Dermal and respiratory exposure of acephate, methamidophos, and endosulfan during tobacco production. Environ Contam Toxicol 59:179–186

    Article  CAS  Google Scholar 

  25. Onuki M, Yokoyama K, Kimura K, Sato H, Nordin RB, Naing L, Araki S (2003) Assessment of urinary cotinine as a marker of nicotine absorption from tobacco leaves: a study on tobacco farmers in Malaysia. J Occup Health 45(3):140–145

    Article  CAS  PubMed  Google Scholar 

  26. Kumar A, Mathur NN, Varghese M, Mohan D, Singh JK, Mahajan P (2005) Effect of tractor driving on hearing loss in farmers in India. Am J Ind Med 47(4):341–348

    Article  PubMed  Google Scholar 

  27. Kumar AK, Kumar A, Ramasubramanian V, Kushwaha HL, Chakraborty D, Tomar BS (2023) Demographic and socio-economic of the tobacco farmworkers in Andhra Pradesh, India. Pharma Innov 12(5):1090–1092

    Google Scholar 

  28. Szumilas M (2010) Explaining odds ratios. J Can Acad Child Adolesc Psychiatry 19(3):227–229

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was supported by ICAR-Indian Agricultural Research Institute (IARI), New Delhi; facilities were provided by ICAR-Central Tobacco Research Institute, Rajahmundry, in Andhra Pradesh, India. We are also thankful to workers for sparing their time of interactions. The funding source from the Post-Graduate School ICAR-IARI, New Delhi is duly acknowledged.

Author information

Authors and Affiliations

Authors

Contributions

AKK designed the study, conducted survey, and helped in writing—original draft, data analysis, and interpretation of the work. AK designed the study, supervised the work, reviewed, and edited the original draft. RV helped in writing and editing of data, analysis and interpretation of the work. HLK contributed to managing the work, writing, and conceptualizing the interventions. DC contributed to suggestions for conducting the survey. BST conceptualized the interventions.

Corresponding author

Correspondence to Achugatla Kesav Kumar.

Ethics declarations

Conflict of interest

Achugatla Kesav Kumar, Adarsh Kumar, Ramasubramanian Vaidhyanathan, Hari Lal Kushwaha, Debashis Chakraborty, and Bhopal Singh Tomar declared that we have no conflict of interest.

Ethical approval

Most of the farmworkers were illiterate. However, they were explained about the study, and verbal consent was taken for their participation. Moreover, no treatment/interference was done in their routine work; only observations were recorded.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 349 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kumar, A.K., Kumar, A., Vaidhyanathan, R. et al. Assessments of occupational health hazards of tobacco farmworkers in Andhra Pradesh, India. Toxicol. Environ. Health Sci. 15, 335–344 (2023). https://doi.org/10.1007/s13530-023-00186-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13530-023-00186-5

Keywords

Navigation