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Green Tobacco Sickness occurs when workers absorb nicotine through their skin while having prolonged contact with tobacco plants.[57] Researchers have documented dizziness, headaches, nausea, and vomiting as the most common symptoms of acute nicotine poisoning.[58] In some cases, these symptoms may be linked to or exacerbated by pesticide exposure or working in conditions of high heat and high humidity without sufficient rest, shade, and hydration.[59] Acute nicotine poisoning generally lasts between a few hours and a few days,[60] and although it is rarely life-threatening, severe cases may result in dehydration which requires emergency treatment.[61] Children are particularly vulnerable to nicotine poisoning because of their size, and because they are less likely than adults to have developed a tolerance to nicotine.[62] The long-term effects of nicotine absorption through the skin have not been studied,[63] although the long-term effects of consuming tobacco products containing nicotine has been well documented
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Data on covariates, including age, income level (lowest quartile, second quartile, third quartile, and highest quartile), body mass index, alcohol consumption and physical activity (does not do exercise, exercises 12 times per week, exercises 34 times per week, exercises 56 times per week, and exercises almost every day), were collected from the first wave in 20022003
