Recently, we found an interesting paper on green tobacco sickness (GTS) in India.[1] Authors explored a number of risk factors and methods to prevent GTS. Therefore, we would like to discuss our study experience on GTS in Korea. We know that India is one of the largest producers of tobacco leaves, following China and Brazil. GTS is acute nicotinepoisoning, which occurs during tobacco leaf harvesting, in which the skin absorbs the nicotine.Our studies from South Korea have clearly indicated that nicotine intoxication was possible through the respiratory tract in addition to absorption through contact.[23]In order to prevent absorption by the respiratory tract, ventilation should be thoroughly carried out at least when drying the tobacco leaves, and this should be well made and well aware to the workers and other concerned authorities. Meanwhile, caution should be exercised while wearing a raincoat to protect tobacco absorption through skin since hot weather in India is likely to cause heat-related illness.Although many type of research from different parts of the world have reported the GTS as a major health issue, yet there is no internationally recognized cooperation and or guidance in its prevention and management. However, the production of tobacco leaves is still going on, and GTS in many parts of the world may be considered to be an important health problem among tobacco harvesters. We must make efforts in order to come together to engender a disease surveillance system up and running in order to prevent this outcome internationally.[4]