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Park MB, Huh J, Woo BL. Nicotine exposure from packaged cigarettes in tobacco retail settings. Drug Alcohol Depend 2024; 258:111271. [PMID: 38579606 DOI: 10.1016/j.drugalcdep.2024.111271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Revised: 02/21/2024] [Accepted: 03/13/2024] [Indexed: 04/07/2024]
Abstract
BACKGROUND Although many studies on exposure to environmental tobacco smoke from passive smoking have been conducted, most of such studies have only focused on the chemicals produced by active combustion. The current study examined the extent to which uncombusted and packaged cigarettes in cigarette racks at retail stores diffuse airborne nicotine. METHODS Airborne nicotine samples were collected for 15 days on passive monitors mounted near the indoor cigarette racks (Point 1) and farthest point from the cigarette racks (Point 2) in tobacco retailer stores (N=95) in South Korea (5 months, data collection from January to May in 2022. RESULTS The average airborne nicotine level was 0.0908 ug/m3 at Point 1 and 0.0345 ug/m3 at Point 2. We found a positive correlation (r=0.647, p <0.001) in nicotine concentration between the two measurement points. The interior size of the target stores was positively correlated (r=0.334, p <0.001) with the within-store difference in nicotine concentration between the two measurement points. The airborne nicotine concentration at Point 1 was statistically significantly higher than at Point 2 (z=-2.326, p=0.020, effect size: 0.2215), especially at larger stores. CONCLUSIONS Our findings indicate that packaged, unopened, and uncombusted cigarettes in cigarette racks at tobacco retailers emits airborne nicotine, which is a previously unrecognized source of nicotine exposure. This result has implications for policy considerations, such as the potential installation of ventilation systems on cigarette racks or the exploration of alternative packaging methods.
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Affiliation(s)
- Myung-Bae Park
- Division of Health Administration, Yonsei University, Gangwon, Wonju, Republic of Korea.
| | - Jimi Huh
- Department of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, USA.
| | - Byung Lyul Woo
- Department of Health and Safety, Daegu Catholic University,Hayang-eup, Kyongbuk,Gyeongsan-si,Republic of Korea.
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Moyo YM, Jeebhay MF, Baatjies R, Dadabhai S, Adams S. Obstructive Lung Disease Linked to Occupational Exposures in Malawian Tobacco Farmers. J Agromedicine 2023; 28:867-880. [PMID: 37194463 DOI: 10.1080/1059924x.2023.2215256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Nicotine and pesticide exposure in agricultural settings have been linked to the development of chronic respiratory disease in workers. However, this has not been extensively studied in Africa. The aim of this study was therefore to determine the prevalence of obstructive lung disease and its relationship to concurrent nicotine and pesticide exposure among small-scale tobacco farmers in Malawi. For this purpose, sociodemographic characteristics, occupational and environmental exposures were evaluated in relation to work-related respiratory symptoms and lung function impairment. A cross-sectional study was conducted enrolling 279 workers in flue-cured tobacco farms in Zomba, Malawi. The study instruments used for assessing the health outcomes were a standardised European Community Respiratory Health Survey II (ECRHS) questionnaire and Spirometry testing. The questionnaires were aimed at collecting relevant data on sociodemographic factors and self-reported respiratory health outcomes. Data were also collected on potential pesticide and nicotine exposures. Spirometry was done to evaluate objective respiratory impairment in accordance with American Thoracic Society guidelines. The mean age of participants was 38 years with 68% being male. The prevalence of work-related ocular nasal symptoms, chronic bronchitis, and work-related chest symptoms was 20%, 17%, and 29%, respectively. Airflow limitation (FEV1/FVC <70%) was found in 8% of workers. Self-reported exposure to pesticides varied from 72%- to 83%, whilst the prevalence of recent green tobacco sickness was 26%. Tasks linked to nicotine exposure, such as sowing (OR: 2.5; CI 1.1-5.7) and harvesting (OR: 2.6; CI 1.4-5.1), were significantly associated with work-related chest symptoms. Pesticide application (OR:1.96; CI 1.0-3.7) was associated with an increased risk of work-related oculonasal symptoms. Duration of pesticide exposure was also associated with obstructive impairment FEV1/FVC
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Affiliation(s)
- Yotam M Moyo
- Occupational Medicine Division and Centre for Environmental and Occupational Health Research, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Mohamed F Jeebhay
- Occupational Medicine Division and Centre for Environmental and Occupational Health Research, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Roslynn Baatjies
- Occupational Medicine Division and Centre for Environmental & Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa
- Department of Environmental and Occupational Studies, Faculty of Applied Sciences, Cape Peninsula University of Technology (CPUT), Cape Town, South Africa
| | - Sufia Dadabhai
- Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, USA
| | - Shahieda Adams
- Occupational Medicine Division and Centre for Environmental and Occupational Health Research, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
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Ali M, Shahrier M, Kafy AA, Ara I, Javed A, Fattah M, Rahaman ZA, Tripura K. Environmental impact assessment of tobacco farming in northern Bangladesh. Heliyon 2023; 9:e14505. [PMID: 36967923 PMCID: PMC10036671 DOI: 10.1016/j.heliyon.2023.e14505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 03/04/2023] [Accepted: 03/09/2023] [Indexed: 03/13/2023] Open
Abstract
Tobacco farming in Bangladesh has significant and far-reaching environmental impacts, affecting the land, water, and air. While the country has implemented tobacco control measures, the lack of monitoring and enforcement has resulted in environmental degradation and public health concerns. This study aims to document the environmental impact of tobacco farming in Bangladesh, adopting a qualitative approach to collect and analyze data. The study used focus group discussions, key informant interviews, and a structured questionnaire survey to gather data, assessing the impact of tobacco farming on the environment, socioeconomic conditions, and human health using a five-point impact assessment scale. Results illustrated that tobacco cultivation contributes to the ecosystem and natural resource degradation, leading to a loss of habitat diversity and domestic animal death. Soil erosion, water pollution, and air pollution from excessive plowing and pesticide usage have also been observed, causing skin diseases and other health issues. Despite some economic benefits, social conditions have worsened due to drug addiction and conflicts among tobacco workers. The study will help policymakers and environmentalists by highlighting the need to take action in reducing the environmental and social impacts of tobacco farming in Bangladesh. It also informs the public about the potential tobacco production and consumption risks. This study provides important insights into the adverse effects of tobacco farming in Bangladesh and emphasizes the importance of implementing appropriate measures to reduce environmental and public health impacts.
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Dalberto D, Alves J, Garcia ALH, de Souza MR, Abella AP, Thiesen FV, Salvador M, Santos Branco CD, Marroni N, Bona S, Schemitt E, Da Silva FR, Da Silva J. Exposure in the tobacco fields: Genetic damage and oxidative stress in tobacco farmers occupationally exposed during harvest and grading seasons. MUTATION RESEARCH. GENETIC TOXICOLOGY AND ENVIRONMENTAL MUTAGENESIS 2022; 878:503485. [PMID: 35649679 DOI: 10.1016/j.mrgentox.2022.503485] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 04/11/2022] [Accepted: 04/14/2022] [Indexed: 06/15/2023]
Abstract
Agricultural workers engaged in tobacco cultivation are constantly exposed to large amounts of harmful agents, such as pesticides and nicotine. Furthermore, most of the flue-cured tobacco leaves are manually graded exposing workers to agents such as tobacco-specific nitrosamines. This study aimed to evaluate genetic damage and oxidative stress in tobacco farmers occupationally exposed during the harvest and grading seasons. We obtained data on DNA damage detected in Comet assay in blood cells and micronucleus experiment with buccal cells from 241 individuals. The serum cotinine levels and nitrates were also evaluated. The Comet Assay results showed a showed an increased visual score for males and females during harvest time and tobacco grading. An increase of micronucleated and binucleated cells was observed in the grading group compared to the control and harvest groups. The oxidative stress measurements showed a clear increase of thiobarbituric acid reactive substances (TBARS) in tobacco farmers during harvest time, and trolox equivalent antioxidant capacity (TEAC) in individuals during harvest and grading time compared to the controls. Significant increases of the cotinine levels were observed during the harvest and grading period (harvest>grading), and nitrates for the grading period compared to the control. In this study, tobacco farmers presented compromised DNA integrity associated with enhanced oxidative stress levels.
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Affiliation(s)
- Daiana Dalberto
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Jodel Alves
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Ana Letícia Hilário Garcia
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil; Laboratory of Genetic Toxicology, PPGSDH, La Salle University (UniLaSalle), Canoas, RS, Brazil
| | - Melissa Rosa de Souza
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Angélica Pich Abella
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Flávia V Thiesen
- Toxicology Institute, Catholic Pontificial University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil
| | - Mirian Salvador
- Biotechnology Institute, University of Caxias do Sul, Caxias do Sul (UCS), RS, Brazil
| | | | - Norma Marroni
- PPG Biological Sciences - Physiology and PPG Medicine - Medical Sciences at UFRGS, Porto Alegre, RS, Brazil; Laboratory of Pneumological Sciences and Inflammation - Hospital de Clínicas de Porto Alegre, RS, Brazil
| | - Silvia Bona
- PPG Biological Sciences - Physiology and PPG Medicine - Medical Sciences at UFRGS, Porto Alegre, RS, Brazil
| | - Elizangela Schemitt
- PPG Biological Sciences - Physiology and PPG Medicine - Medical Sciences at UFRGS, Porto Alegre, RS, Brazil
| | | | - Juliana Da Silva
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil; Laboratory of Genetic Toxicology, PPGSDH, La Salle University (UniLaSalle), Canoas, RS, Brazil.
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Ali MY, Kafy AA, Rahaman ZA, Islam MF, Rahman MR, Ara I, Akhtar MR, Javed A. Comparative occupational health risk between tobacco and paddy farming people in Bangladesh. SSM - MENTAL HEALTH 2022. [DOI: 10.1016/j.ssmmh.2022.100061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Alves J, Da Silva FR, Kahl V, Reyes J, Lima E, Abreu MB, Thiesen FV, Dos Santos DL, Salvador M, Dos Santos Branco C, Nersesyan A, Knasmuller S, Da Silva J. Impact of nicotine-induced green tobacco sickness on DNA damage and the relation with symptoms and alterations of redox status in tobacco farmers. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2020; 206:111397. [PMID: 33007538 DOI: 10.1016/j.ecoenv.2020.111397] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/11/2020] [Accepted: 09/21/2020] [Indexed: 06/11/2023]
Abstract
During the harvest period, tobacco workers are exposed to nicotine and it is known that absorption of the alkaloid via the leaves causes green tobacco sickness (GST). We investigated if GST and its symptoms are associated with DNA damage and alterations of the redox status. DNA damage was measured in lymphocytes of tobacco workers and controls (n = 40/group) in single cell gel electrophoresis assays. Exposure to nicotine was determined by plasma cotinine measurements, alterations of the redox status by quantification of the total antioxidant capacity (TEAC) and of thiobarbituric acid reactive substances (TBARS). The symptoms of GTS included nausea, abdominal cramps, headache, vomiting and dizziness, and 50% of the workers had more than one symptom. Cotinine levels were enhanced in the workers (111 ng/mL); furthermore, the extent of DNA damage was ca. 3-fold higher than in the controls. This effect was more pronounced in participants with GST compared to healthy nicotine exposed workers and increased in individuals with specific symptoms (range 22-36%). TBARS levels did not differ between workers and unexposed controls, while TEAC values were even increased (by 14.3%). Contact with nicotine present in tobacco leaves causes GTS and leads to damage of the DNA; this effect is more pronounced in workers with GTS symptoms and is associated with alterations of the redox status. Damage of the genetic material which was found in the workers may lead to adverse long-term effects that are caused by genomic instability such as cancer and accelerated ageing.
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Affiliation(s)
- Jodel Alves
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Fernanda R Da Silva
- Posgraduate Program in Evaluation of Environmental Impacts, La Salle University (UniLaSalle), Canoas, RS, Brazil
| | - Vivian Kahl
- Telomere Length Regulation Unit, Children's Medical Research Institute (CMRI), Sydney, NSW, Australia
| | - Juliana Reyes
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Elisiane Lima
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil
| | - Marina B Abreu
- Toxicology Institute, Catholic Pontificie University of Rio Grande do Sul (PUC), Porto Alegre, RS, Brazil
| | - Flávia V Thiesen
- Toxicology Institute, Catholic Pontificie University of Rio Grande do Sul (PUC), Porto Alegre, RS, Brazil
| | - Denise Leal Dos Santos
- Toxicology Institute, Catholic Pontificie University of Rio Grande do Sul (PUC), Porto Alegre, RS, Brazil
| | - Mirian Salvador
- Biotechnology Institute, University of Caxias do Sul, Caxias do Sul (UCS), RS, Brazil; Mestrado em Avaliação de Impactos Ambientais, Canoas, RS, Brazil
| | - Cátia Dos Santos Branco
- Biotechnology Institute, University of Caxias do Sul, Caxias do Sul (UCS), RS, Brazil; Mestrado em Avaliação de Impactos Ambientais, Canoas, RS, Brazil
| | - Armen Nersesyan
- Institute of Cancer Research, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria
| | - Siegfried Knasmuller
- Institute of Cancer Research, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria
| | - Juliana Da Silva
- Laboratory of Genetic Toxicology, PPGBioSaúde, Lutheran University of Brazil (ULBRA), Canoas, RS, Brazil; Posgraduate Program in Health and Human Development, La Salle University (UniLaSalle), Canoas, RS, Brazil.
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Cargnin MCDS, Cezar-Vaz MR, Getelina CO, Bonow CA. Socio-environmental risks associated with the green tobacco sickness in farmers: a case-control study. Rev Bras Enferm 2019; 72:1670-1676. [PMID: 31644759 DOI: 10.1590/0034-7167-2018-0803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 03/25/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to determine the presence of socio-environmental risk factors for the development of Green Tobacco Sickness in workers who grow Burley tobacco. METHOD matched case-control study. The data collection took place in two moments: from December 2016 to January 2017 and December 2017, when the Burley tobacco was collected, through a household survey with interview application and urine collection for urinary cotinine. RESULTS the socio-environmental risk factors that remained associated with the disease were: bundling tobacco (p=0.047) and wearing socks (p=0.011); with protective effect were found sticking tobacco seeding of the day (p=0.006) and number of tobacco harvested per day (p=0.021). CONCLUSION the steps in the Burley tobacco work process increase the exposure and risk of developing the disease. By identifying these factors, it is possible to address interdisciplinary control and prevention measures.
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McMahon LR. Green tobacco sickness: mecamylamine, varenicline, and nicotine vaccine as clinical research tools and potential therapeutics. Expert Rev Clin Pharmacol 2019; 12:189-195. [PMID: 30650314 PMCID: PMC6786486 DOI: 10.1080/17512433.2019.1570844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 01/14/2019] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Green tobacco sickness occurs from transdermal absorption of chemicals from freshly harvested, green tobacco leaves. Signs and symptoms include nausea, vomiting, headache, and abdominal cramps. Prevalence has shifted from the United States and Europe to China, India, and Brazil. Worldwide 8 million individuals are afflicted, including women and children. Areas covered: Mecamylamine (Inversine®, Vecamyl®), a nicotinic acetylcholine receptor (nAChR) antagonist, should be tested as a remedy for green tobacco sickness. Mecamylamine is approved as an oral tablet for the treatment of hypertension, is safe, and is off-patent. Mecamylamine attenuates many of the effects of nicotine and tobacco including seizures, thereby supporting its use as an effective pharmacotherapy for tobacco dependence. Varenicline (Chantix®) and cytisine (Tabex®) are low efficacy (i.e. intrinsic activity) nAChR agonists, are used as smoking cessation aids, and are viable options to test as remedies against green tobacco sickness. Nicotine immunization strategies may provide further options for future testing. Expert commentary: Efforts to demonstrate reversal and/or prevention of green tobacco sickness by mecamylamine will underscore the importance of nicotine in this illness and highlight a new medication for effective treatment of tobacco poisoning.
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Affiliation(s)
- Lance R McMahon
- a Department of Pharmacodynamics, College of Pharmacy , University of Florida , Gainesville , FL , USA
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Muñoz Martínez H, Pederson A. Global frameworks, local strategies: Women's rights, health, and the tobacco control movement in Argentina. Glob Public Health 2018; 14:1020-1030. [PMID: 29473460 DOI: 10.1080/17441692.2018.1442488] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The article examines how civil society organisations in Argentina used the United Nations Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW) to frame the country's failure to enact strong national tobacco control legislation as a violation of women's rights in the late 2000s. We analyze this case study through the politics of scale, namely the social processes that produce, reproduce, and contest the boundaries of policies and socio-economic relations. This approach understands how multiple scales overlap and connect to obstruct or enhance the right to health in Latin America. In Argentina, the global organisation of tobacco companies, the reach of international financial institutions and the national dynamics of economic austerity and export-orientation promoted the local production and use of tobacco (leaf and cigarettes) and reproduced health inequalities in the country throughout the 1990s and the early 2000s. Yet, the visible legacy of local and national human rights struggles in the adoption of international human rights treaties into Argentina's national constitution allowed the tobacco control movement to link the scale of women's bodies to the right to health through the use of CEDAW to change national legislation, tackling the social determinants of the tobacco epidemic.
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Affiliation(s)
| | - Ann Pederson
- b Population Health Promotion, BC Women's Hospital & Health Centre , Vancouver , Canada
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da Mota e Silva MS, da Glória da Costa Carvalho M, Moreira JC, de Oliveira Barreto E, de Farias KF, Nascimento CA, da Silva FMN, de Andrade TG, Luiz RR, de Moura Neto RS, Ribeiro FL. Green Tobacco Sickness among Brazilian farm workers and genetic polymorphisms. BMC Res Notes 2018; 11:20. [PMID: 29329603 PMCID: PMC5767002 DOI: 10.1186/s13104-018-3135-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Accepted: 01/06/2018] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVE Green Tobacco Sickness (GTS) is an occupational illness caused by dermal absorption of nicotine from tobacco leaves. It affects thousands of farm workers worldwide. Brazil is the second tobacco producer in the world; despite this, there are few studies on GTS among Brazilian harvesters. This study aimed to determine the prevalence of GTS among a population of tobacco workers from a producing area in northeastern Brazil and investigate whether the occurrence of the disease was influenced by factors such age, gender and smoking status. In addition, it was investigated if there was association between the onset of GTS and genetic polymorphisms in genes that encode some detoxification enzymes. A semi-structured questionnaire was used to collect demographic, behavioral and occupational data from the referred workers. Polymorphisms were tested through the Polymerase Chain Reaction technique. RESULTS The total prevalence of GTS found was 56.9%, with a significant difference between genders (71.7% for women and 35.3% for men, p < 0.0001). No association was identified between the investigated polymorphisms and GTS. This study confirms the occurrence of GTS among tobacco harvesters in Brazil with high prevalence. The investigation suggests the need to take preventive measures to protect tobacco workers against this disease.
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Affiliation(s)
| | | | - Josino Costa Moreira
- Center for the Studies on Workers’ Health and Human Ecology-Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | | | | | | | | | | | | | - Fernanda Lattario Ribeiro
- Center for the Studies on Workers’ Health and Human Ecology-Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
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Reis MMD, Oliveira APND, Turci SRB, Dantas RM, Silva VDSPD, Gross C, Jensen T, Silva VLDCE. Knowledge, attitudes, and practices of women farmers concerning tobacco agriculture in a municipality in Southern Brazil. CAD SAUDE PUBLICA 2017; 33Suppl 3:e00080516. [PMID: 28954049 DOI: 10.1590/0102-311x00080516] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Accepted: 08/24/2016] [Indexed: 11/22/2022] Open
Abstract
The study aimed to explore the knowledge, attitudes, and practices of women farmers working in tobacco production concerning the social, environmental, and health impacts of this economic activity. Focus groups were used in this qualitative study, and themes were explored until reaching saturation. The study was conducted in a municipality (county) in southern Brazil in 2013 and included 64 women farmers. The discussions revealed participants' familiarity with health problems associated with workloads in tobacco production: green tobacco sickness, pesticide poisoning, musculoskeletal disorders, and others. The discussions also revealed a concern with the negative impacts of tobacco agriculture on the environment. They also revealed apprehension concerning decisions on switching to alternatives for sustainable agricultural production, emphasizing that on-going and systematic government support would be necessary for such a transition. Women farmers identified various factors that contribute to the persistence of tobacco farming: small holdings for cultivation, lack of guarantees for marketing crops, and indebtedness to tobacco companies. The study showed that an integrated approach is needed to deal with tobacco farmers' problems, considering a balance between farmers' beliefs and government decisions. This approach, in keeping with the recommendations of the WHO Framework Convention on Tobacco Control, may help strengthen policies and measures to promote health and sustainable local development.
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Affiliation(s)
- Marcelo Moreno Dos Reis
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | | | - Cátia Gross
- Sindicato dos Trabalhadores Rurais de Palmeira, Palmeira, Brasil
| | - Teresinha Jensen
- Superintendência de Atenção à Saúde, Secretaria de Estado de Saúde do Paraná, Curitiba, Brasil
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Kohrman M. Curating Employee Ethics: Self-Glory Amidst Slow Violence at The China Tobacco Museum. Med Anthropol 2016; 36:47-60. [PMID: 27050550 DOI: 10.1080/01459740.2016.1174227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Seen through the prism of public health, the cigarette industry is an apparatus of death. To those who run it, however, it is something more prosaic: a workplace comprised of people whose morale is to be shepherded. Provisioning employees of the cigarette industry with psychic scaffolding to carry out effective daily work is a prime purpose of the China Tobacco Museum. This multistoried exhibition space in Shanghai is a technology of self, offering a carefully curated history of cigarette production thematized around tropes such as employee exaltation. Designed to anchor and vitalize the ethical outlook of those working for the world's most prolific cigarette conglomerate, the museum is a striking illustration that industrial strongholds of 'slow violence' produce their own forms of self-care.
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Affiliation(s)
- Matthew Kohrman
- a Department of Anthropology , Stanford University , Stanford , California , USA
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Fiori NS, Fassa AG, Faria NMX, Meucci RD, Miranda VI, Christiani DC. Wheezing in tobacco farm workers in southern Brazil. Am J Ind Med 2015; 58:1217-28. [PMID: 26471879 PMCID: PMC4732558 DOI: 10.1002/ajim.22447] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2015] [Indexed: 11/08/2022]
Abstract
BACKGROUND Tobacco workers are exposed to several respiratory occupational sensitizers. METHODS A representative cross-sectional study was carried out on 2469 tobacco family farming growers. Gender-stratified multivariate analyses evaluated the association between wheezing and socio-demographic, behavioral, and occupational variables. RESULTS Wheezing prevalence was 11.0% with no difference between genders. Among men, age, smoking, strenuous work, pesticide use, contact with vegetable dust and dried tobacco dust, lifting sticks with tobacco leaves to the curing barns, and green tobacco sickness (GTS) were risk factors for wheezing. Among women, family history of asthma, tying hands of tobacco, strenuous work, contact with chemical disinfectants, and GTS were positively associated with wheezing. Harvesting lower tobacco leaves was a protective factor for the outcome in both genders. CONCLUSIONS Pesticides, dusts exposure, and GTS were risk factors for wheezing. The synergic effect of these factors needs to be better evaluated to improve prevention.
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Affiliation(s)
- Nadia Spada Fiori
- Social Medicine Department, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Takemi Program in International Health, Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts
| | - Anaclaudia Gastal Fassa
- Social Medicine Department, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | | | - Rodrigo Dalke Meucci
- Social Medicine Department, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Vanessa Iribarrem Miranda
- Social Medicine Department, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - David C. Christiani
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts
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Saleeon T, Siriwong W, Maldonado-Pérez HL, Robson MG. Green Tobacco Sickness among Thai Traditional Tobacco Farmers, Thailand. THE INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE 2015; 6:169-76. [PMID: 26174993 PMCID: PMC6977054 DOI: 10.15171/ijoem.2015.540] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Accepted: 05/12/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Traditional Thai tobacco (Nicotiana abacus L.) is known as a non-Virginia type whose mature leaf contains three to four times more nicotine than that of a Virginia type. As such, the process of Thai traditional tobacco production may lead to adverse health effects such as green tobacco sickness (GTS). OBJECTIVE To investigate the prevalence of GTS and risk factors related to GTS among Thai traditional tobacco farmers in Nan province, northern Thailand. METHODS 473 Thai traditional tobacco farmers from rural areas in Nan province were randomly selected and interviewed in person by means of questionnaires and environmental survey. Statistical analyses were used to identify potential risk factors for GTS. RESULTS The prevalence of GTS was 22.6% (95% CI 19.1% to 26.6%). Multivariate analysis showed various risk factors associated with GTS including gender of the farmer (ORadj 0.44, 95% CI 0.26 to 0.73), smoking (ORadj 4.36, 95% CI 1.41 to 13.47), skin rash (ORadj 0.36, 95% CI 0.19 to 0.68), wearing a wet suit (ORadj 1.91, 95% CI 1.12 to 3.23), process of curing tobacco leaves (ORadj 0.06, 95% CI 0.02 to 0.16), and watering tobacco plants (ORadj 0.42, 95% CI 0.25 to 0.72). CONCLUSION The process of traditional Thai tobacco production can result in increased dermal exposure and can be considered a major risk factor for GTS. Body soaking during watering may further increase adverse health effects related to GTS.
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Affiliation(s)
- T Saleeon
- College of Public Health Science, Chulalongkorn University, Bangkok, Thailand.
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15
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Krawczyk N, Meyer A, Fonseca M, Lima J. Suicide mortality among agricultural workers in a region with intensive tobacco farming and use of pesticides in Brazil. J Occup Environ Med 2014; 56:993-1000. [PMID: 25046321 PMCID: PMC5240450 DOI: 10.1097/jom.0000000000000214] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVE To investigate whether suicide risk among agricultural workers is higher in regions with heavier pesticide use and/or presence of tobacco farming. METHODS Suicide mortality data were gathered from residents of the Brazilian state of Alagoas. Agricultural census data were used to arrange and classify Alagoas cities into distribution groups on the basis of variables concerning pesticide use and/or tobacco farming. Mortality odds ratio calculations were then used to compare suicide risk among agricultural and nonagricultural workers in different groups. RESULTS Suicide risk was higher among agricultural workers than among nonagricultural workers, elevated in regions that used more pesticides, and greatest in regions that produced more tobacco. CONCLUSIONS This is one of the first studies of its kind to suggest that combined effects of pesticide and tobacco exposure may be linked to higher suicide risk among agricultural workers.
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Affiliation(s)
- Noa Krawczyk
- From the Department of Preventative Medicine (Ms Krawczyk and Ms Fonseca), Icahn School of Medicine at Mount Sinai, New York, NY; Institute for Studies in Collective Health (Dr Meyer), Universidade Federal do Rio de Janeiro; and Department of Biochemistry (Dr Lima), Universidade Federal do Estado do Rio de Janeiro, RJ, Brazil
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Da Silva FR, Kvitko K, Rohr P, Abreu MB, Thiesen FV, Da Silva J. Genotoxic assessment in tobacco farmers at different crop times. THE SCIENCE OF THE TOTAL ENVIRONMENT 2014; 490:334-41. [PMID: 24867698 DOI: 10.1016/j.scitotenv.2014.05.018] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Revised: 05/01/2014] [Accepted: 05/05/2014] [Indexed: 06/03/2023]
Abstract
Agricultural workers engaged in tobacco cultivation are constantly exposed to large amounts of pesticides as well as to the nicotine present in raw tobacco leaves. Pesticides have been considered potential chemical mutagens: experimental data revealed that various agrochemicals possess mutagenic properties. Studies have affirmed that nicotine absorbed through the skin results in the characteristic green tobacco sickness (GTS), an occupational illness reported by tobacco workers. This study sought to determine genotoxic effects in farmers occupationally exposed to agrochemicals and nicotine. Peripheral blood samples were collected from 30 agricultural workers, at different crop times (off-season, during pesticides application and leaf harvest), and 30 were non-exposed. We obtained data on DNA damage detected by the Comet assay and Micronucleus test as biomarker of occupational exposure and effect. The serum cholinesterase level, which in general present relation with exposition to organophosphates and carbamates, as well as serum cotinine level, which is a metabolite of nicotine, were also evaluated. The results showed a significant increase in Damage index and frequency in tobacco farmers compared to the non-exposed group, for all different crop times; and a significant increase in micronucleated cells in the off-season group. No correlation was found between age and exposure time in relation to biomarker tests. The DNA damage was greater in males than in females, but with a significant difference only in off-season group. No difference, in cholinesterase activity, was seen among the group of farmers and non-exposed group. Elevated level of cotinine was observed in leaf harvest group. This investigation suggests increased DNA damage in all tobacco crop stages, calling attention to the significant increase during the off-season and tobacco leaf harvest.
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Affiliation(s)
- Fernanda R Da Silva
- Centro Universitário La Salle, Mestrado em Avaliação de Impactos Ambientais, Canoas, RS, Brazil.
| | - Kátia Kvitko
- Postgraduate Programme in Genetics and Molecular Biology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Paula Rohr
- Laboratory of Cellular and Molecular Biology, Universidade do Extremo Sul Catarinense, Criciúma, SC, Brazil
| | - Marina B Abreu
- Toxicology Institute, Catholic Pontificie University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Flávia V Thiesen
- Toxicology Institute, Catholic Pontificie University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Juliana Da Silva
- Laboratory of Genetic Toxicology, Postgraduate Programme in Genetic and Applied Toxicology, Lutheran University of Brazil, Canoas, RS, Brazil.
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Fassa AG, Faria NM, Meucci RD, Fiori NS, Miranda VI, Facchini LA. Green tobacco sickness among tobacco farmers in southern Brazil. Am J Ind Med 2014; 57:726-35. [PMID: 24526387 PMCID: PMC4112803 DOI: 10.1002/ajim.22307] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2014] [Indexed: 11/08/2022]
Abstract
BACKGROUND Despite being the second largest tobacco producer in the world, Brazil does not have prevalence studies about green tobacco sickness (GTS). METHODS A cross-sectional study was carried out on a sample of Brazilian tobacco workers. The sample was described according to socio-demographic, behavioral, and occupational variables. Gender-stratified multivariate analyses examined variables associated with GTS. RESULTS GTS prevalence among men in the previous month was 6.6%, while among women it was 11.9%. Among men, age, being a non-smoker, hanging tobacco sticks in the barn, harvesting wet leaves, and exposure to physical exertion were risk factors for GTS. Among women, tying hands of tobacco, transporting bales, harvesting wet leaves, having had contact with pesticides, and exposure to physical exertion were positively associated with GTS. CONCLUSION Research is required to improve methods for GTS screening, as well as the ability to distinguish GTS from pesticide poisoning. Health professionals should be trained to diagnose and treat GTS.
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Affiliation(s)
- Anaclaudia G. Fassa
- Social Medicine DepartmentPostgraduate Program in Epidemiology, Federal University of PelotasBrazil
| | - Neice M.X. Faria
- Municipal Health Department of Bento GonçalvesRio Grande do SulBrazil
| | - Rodrigo D. Meucci
- Social Medicine DepartmentPostgraduate Program in Epidemiology, Federal University of PelotasBrazil
| | - Nadia Spada Fiori
- Social Medicine DepartmentPostgraduate Program in Epidemiology, Federal University of PelotasBrazil
| | | | - Luiz Augusto Facchini
- Social Medicine DepartmentPostgraduate Program in Epidemiology, Federal University of PelotasBrazil
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Child labor and environmental health: government obligations and human rights. Int J Pediatr 2012; 2012:938306. [PMID: 23316246 PMCID: PMC3536432 DOI: 10.1155/2012/938306] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2012] [Revised: 11/14/2012] [Accepted: 11/14/2012] [Indexed: 11/17/2022] Open
Abstract
The Convention concerning the Prohibition and Immediate Action for the Elimination of the Worst Forms of Child Labour was adopted by the International Labour Organization in 1999. 174 countries around the world have signed or ratified the convention, which requires countries to adopt laws and implement programs to prohibit and eliminate child labor that poses harms to health or safety. Nonetheless, child labor continues to be common in the agriculture and mining sectors, where safety and environmental hazards pose significant risks. Drawing upon recent human rights investigations of child labor in tobacco farming in Kazakhstan and gold mining in Mali, the role of international human rights mechanisms, advocacy with government and private sector officials, and media attention in reducing harmful environmental exposures of child workers is discussed. Human rights-based advocacy in both cases was important to raise attention and help ensure that children are protected from harm.
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Da Silva FR, Da Silva J, Allgayer MDC, Simon CF, Dias JF, dos Santos CEI, Salvador M, Branco C, Schneider NB, Kahl V, Rohr P, Kvitko K. Genotoxic biomonitoring of tobacco farmers: Biomarkers of exposure, of early biological effects and of susceptibility. JOURNAL OF HAZARDOUS MATERIALS 2012; 225-226:81-90. [PMID: 22614024 DOI: 10.1016/j.jhazmat.2012.04.074] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2011] [Revised: 04/23/2012] [Accepted: 04/27/2012] [Indexed: 06/01/2023]
Abstract
Tobacco farming presents several hazards to those who cultivate and harvest the plant. The genotoxic and mutagenic effects in tobacco farmers were investigated. In order to verify the relationship between genetic susceptibility and biomarkers GSTT1, GSTM1, GSTP1, CYP2A6, PON, OGG1, RAD51, XRCC1, and XRCC4 genes polymorphism were evaluated. Oxidative stress markers and trace elements content were determined. Peripheral blood cells samples were collected from 111 agricultural workers during pesticides application and leaf harvest, and 56 non-exposed subjects. Results show that farmers are exposed to mixture of substances with genotoxic and cytotoxic potential. Only GSTM1 null and CYP2A6*9 showed significant associations with cytokinesis-blocked micronuclei assay results. In pesticide application an increase in trace elements content was observed. The results indicated that exposure to pesticides and nicotine can influence antioxidant enzymes activity. Our study drives the attention once more to the need for occupational training on safe work environment for farm workers.
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Affiliation(s)
- Fernanda Rabaioli Da Silva
- Postgraduate Program in Genetics and Molecular Biology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
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Riquinho DL, Hennington EA. Health, environment and working conditions in tobacco cultivation: a review of the literature. CIENCIA & SAUDE COLETIVA 2012; 17:1587-600. [PMID: 22699649 DOI: 10.1590/s1413-81232012000600022] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2011] [Accepted: 10/26/2011] [Indexed: 11/21/2022] Open
Abstract
This study presents a review of the literature published between 1979 and 2010 on health and working conditions in tobacco cultivation, with particular emphasis on the Brazilian context. A review of computerized databases (PubMed, Scopus, WilsonWeb and Bireme/PAHO Virtual Health Library - Public Health) was carried out using the following search terms: tobacco, agricultural worker health, agricultural worker disease, working conditions, unsafe working conditions, occupational risk, occupational disease, and labor force. Articles published in English, Spanish and Portuguese were analyzed. Thirty-seven articles were selected from 214 references that were initially identified. Thirty-four additional publications (reports, etc.) were also analyzed. Among the many effects described in the literature, especially noteworthy are "green tobacco sickness," respiratory disorders, musculoskeletal injuries, mental disorders, and a negative environmental impact. Very few studies have been carried out in Brazil.
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Oliveira PPVD, Sihler CB, Moura LD, Malta DC, Torres MCDA, Lima SMDCP, Lima ALAD, Leite CE, Costa-e-Silva VLD, Sobel J, Lanzieri TM. First reported outbreak of green tobacco sickness in Brazil. CAD SAUDE PUBLICA 2010; 26:2263-9. [PMID: 21243221 DOI: 10.1590/s0102-311x2010001200005] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2009] [Accepted: 06/10/2010] [Indexed: 11/22/2022] Open
Abstract
Dermal absorption of nicotine by people harvesting tobacco may cause an acute intoxication called green tobacco sickness. Although Brazil is the second largest producer of tobacco in the world, green tobacco sickness had not been reported in the country to date. We conducted a 1:1 matched case-control study among persons involved in tobacco farming to determine the occurrence of green tobacco sickness in the northeast region of Brazil and to identify the risk factors involved. A case-patient was a person who received a diagnosis by health professional of acute intoxication during the study period and had a cotinine level over 10 ng/mL detected by High Performance Liquid Chromatography. We identified 107 case-patients. The main signs and symptoms observed were dizziness, weakness, vomit, nausea and headache. Independent risk factors identified were being male, a non smoker and having worked in the harvest of tobacco leaves. Case-patients had higher median urinary cotinine levels than controls (p < 0.05). Epidemiological and laboratory data indicate for the first time the occurrence of green tobacco sickness in Brazil.
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Otañez MG, Glantz SA. Trafficking in tobacco farm culture: Tobacco companies use of video imagery to undermine health policy. VISUAL ANTHROPOLOGY REVIEW 2009; 25:1-24. [PMID: 20160936 DOI: 10.1111/j.1548-7458.2009.01006.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The cigarette companies and their lobbying organization used tobacco industry-produced films and videos about tobacco farming to support their political, public relations, and public policy goals. Critical discourse analysis shows how tobacco companies utilized film and video imagery and narratives of tobacco farmers and tobacco economies for lobbying politicians and influencing consumers, industry-allied groups, and retail shop owners to oppose tobacco control measures and counter publicity on the health hazards, social problems, and environmental effects of tobacco growing. Imagery and narratives of tobacco farmers, tobacco barns, and agricultural landscapes in industry videos constituted a tobacco industry strategy to construct a corporate vision of tobacco farm culture that privileges the economic benefits of tobacco. The positive discursive representations of tobacco farming ignored actual behavior of tobacco companies to promote relationships of dependency and subordination for tobacco farmers and to contribute to tobacco-related poverty, child labor, and deforestation in tobacco growing countries. While showing tobacco farming as a family and a national tradition and a source of jobs, tobacco companies portrayed tobacco as a tradition to be protected instead of an industry to be regulated and denormalized.
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Affiliation(s)
- Martin G Otañez
- Center for Tobacco Control Research and Education, University of California, San Francisco, 530 Parnassus Ave, Ste 366, San Francisco, CA 94143-1390
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