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Conclusions One-fifth of the adolescents in our sample followed a pattern of occasional or regular cannabis use, and these young people were more likely to progress to harmful substance use behaviors in early adulthood.

study, longitudinal, PubMed

Aside from the changes to criminal law, legalization has implications for school safety policies, child abuse and neglect statutes, child care center regulation, advertising restrictions, substance abuse programs, employment law, traffic offenses, banking, state revenue, ports of entry and federalism, among many others.
These policy challenges have far-reaching implications, few have been easy to resolve, and most have drawn time and resources away from other policy areas. But most stakeholders have approached each issue with good faith and an earnest determination to find solutions that gain broad support.

Colorado, policy, Children

According to the Journal of American Medical Association, 50 percent of the people who have a severe mental condition also have a substance abuse problem. JAMA also found that 37 percent of alcoholics have a mental illness, as do 53 percent of drug addicts.
When people use marijuana regularly, the drug may reduce thinking, memory and learning functions. Marijuana's effects on these abilities may last a long time or even be permanent. There have also been increases in fatal car crashes due to marijuana use in states like Washington and Colorado that have legalized the practice.

mental health, Dual diagnosis

Authorities said a toddler nearly died from eating edible marijuana. The Rhode Island Department of Children, Youth and Families on Friday announced the 2-year-old girl had almost died Thursday and had been admitted to the pediatric intensive care unit at Hasbro Children’s Hospital.

Rhode Island, edibles, hospital

She said she only smoked marijuana about four hours before putting the girls in the bathtub after taking a nap at around 3:30 p.m., the affidavit states.

child abuse, Colorado

But he was also the teen who began smoking marijuana at 14 before turning to oxycontin two years later. He wrecked his mother's car while driving stoned, pilfered money from his friends, dropped out of high school and spent three weeks in jail after his parents turned him in for stealing their credit cards.

Consequences, pathway, gateway

Commissioners will consider banning anyone under 21, requiring dispensaries to keep visitor logs and extensive surveillance cameras, and even imposing "odor maintenance plans" on the three dispensaries the city plans to allow in designated zones.

zoning, moratorium, Miami, Florida

The town suddenly became a haven for recreational pot users, drawing in transients, panhandlers and a large number of homeless drug addicts, according to officials and business owners. Many are coming from New Mexico, Arizona and even New York.
He said he’s also noticed an uptick in crime in the area. Shoplifting, he said, has become a major problem in Durango and business owners are becoming fed up.

Colorado, homeless, zoning, crime

“So called medical marijuana in other states has become a farce and a sham. The average user of smoked medical marijuana has no chronic illness and is a white male in his mid-30s with a history of drug and alcohol abuse. . . In the last 20 years and due to market demand, constant genetic engineering has increased THC potency in marijuana plants, and extraction-concentration methods are becoming extremely popular and widespread. become addicted.”Marijuana is the 2nd leading cause of impaired driving arrests. One in six adolescents trying marijuana will become addicted.
“In the city of Denver since the legalization of marijuana Denver Police Department is dealing with a 900% increase in the unlawful cultivation and manufacture of marijuana concentrate, and a 99% increase in unlawful distribution of marijuana and marijuana concentrate.
Marijuana is the #1 problem in Colorado schools. In school year 2015-16, 63% of all drug related school suspensions were for marijuana. 58% of all drug related school expulsions were for marijuana. 73% of all drug related school referrals to law enforcement were for marijuana violations. Youth past month marijuana use is 74% higher than the national average.

Utah, postition statement, Sheriff, Black Market, youth usage, zoning, dropout
County commissioner

We want to prevent what happened with Big Pharma from happening with Big Marijuana in Florida. We want to avoid the pill mill scenario we experienced several years ago.  Given the number of people dying in our state from opioid abuse be it heroin or prescription drugs we do not want to add fuel to this fire by inadequately regulating ‘medical’ marijuana dispensary zoning, licensing and locations.

2017 Legislation, Testimony, County commissioner, Tampa City Council

The position that medical marijuana dispensaries are prohibited due to the conflict in federal law is not unique. Coral Gables, for instance, holds the same opinion.

Read more here: http://www.miamiherald.com/news/local/community/miami-dade/article151193...

zoning, Miami, dispensaries, pot shops

We should approach mass marijuana production and distribution as we would any other large-scale public health problem. We should do what we can to limit exposure, and we should provide clear, unbiased education. In the case of prevention efforts being unsuccessful, we need to provide immediate treatment and assistance in stopping use. If we are going to use this as a medication, then we should use it as we use other medications. It should have to undergo the same scrutiny, Food and Drug Administration approval, and regulation that any other medication does. Why are we allowing a pass on a medication that very likely would carry with it a black-box warning?

Colorado, Doctors, Roberts, black box warning

 All cannabis‐based and cannabinoid medications should be subjected to the  rigorous scrutiny of the Federal Food and Drug Administration (FDA) regulatory process.  This process provides important protections for patients, making medications available  only when they: 1) are standardized by identity, purity, potency and quality; 2) are accompanied by adequate directions for use in the approved medical indication; and 3)  have risk/benefit profiles that have been defined in well‐controlled clinical trials. 

asam, Potency, cannabis

“It’s not the job of the state government to create conditions in which private companies can be profitable for selling marijuana.”  Therefore regulate marijuana like it was a medicine with strict guidelines similar to the FDA process!

Minnesota, regulations

DO FLORIDIANS NEED INCREASED ACCESS TO HARD LIQUOR?

  1. Florida is ranked #3 in the nation for fatal DUI crashes- Not just statistics- Deputy John Kotfila died saving another drivers life when a driver with a .27 BAC hit Kotfila head on.

 Image result for john kotfila jr    Karan Khullar     http://www.madd.org/blog/2016/october/Template-21.png …..

  1. Binge drinking or excessive alcohol consumption is responsible for 88,000 deaths in our nation.

  2. Alcohol related deaths rank 3rd for preventable deaths behind obesity and cigarette smoking.

  3. ONLY 18 states allow hard-liquor to be sold inside grocery stores.  (National Alcohol Beverage Control Association)

    1. Unrestricted: California, Nevada, Arizona, New Mexico, South & North Dakota, Nebraska, Iowa, Wisconsin, Illinois, West Virginia, Maine, Washington D.C., Hawaii, Missouri, Massachusetts, New Jersey, Louisiana

    2. With restrictions: Florida, Colorado, Michigan, Ohio, Pennsylvania, Texas, Vermont, Wyoming, Washington

    3. Beer Only: Utah, Minnesota, Kansas, Oklahoma, Kentucky, Connecticut

    4. Beer and Wine: Oregon, Idaho, Montana, Arkansas, Mississippi, Alabama, Georgia, South Carolina, North Carolina, Tennessee, Virginia, Indiana, New York, Maryland (grandfathered in liquor sales), New Hampshire

    5. NONE:  Alaska, Delaware, Rhode Island

PLEASE NOTE those states allow hard liquor in grocery stores have very strict and enforced DUI laws.

Floridians do not want or need HB-81.  HB-81 takes away the added security system that separate stores provide with camera systems and ability to card everyone who enters their store AND hard-liquor will be available 24/7.  

 
HB-81, 2017 Legislation

Kirk’s children are seeking damages for negligence, failure to warn, wrongful death, deceptive trade, strict liability, breach of implied warranty, misrepresentation and consumer law  violations. They are represented by Gregory Gold, of Greenwood Village.
The effects of marijuana can be much more powerful when it is eaten rather than smoked. New York Times columnist Maureen Dowd, on a visit to Colorado, wrote a much-cited column about the misery induced by eating marijuana candy.

edibles, infused, Fatalities

The number of teenagers sent to emergency rooms more than quadrupled after marijuana was legalized in Colorado — mostly for mental health symptoms, researchers reported Thursday.
They found 639 teenagers who went to one hospital system in Colorado in 2015 had either cannabis in their urine or told a doctor they'd been using cannabis. That's up from 146 in 2005, before the use of marijuana was legalized in Colorado.

emergency room

Pediatricians are in a unique position to provide parents and teenagers with accurate information and counseling regarding the consequences of marijuana or cannabis use by children, teenagers, and adults. A number of strategies can be used to counsel families about preventing use and to intervene if marijuana is being used either recreationally or medically by the families for whom they provide medical care.

talking points, pediatricians, parents, Side-Effects

The driver, 18-year-old Darion Wheeler died from head and chest trauma. Coroner Stratmoen released toxicology results and determined Wheeler had “Cannabis by-product levels that were higher than 10 times the limit that is considered impaired driving by studies from the National institutes of Health and the Highway Traffic Safety Administration.”

Wyoming, Fatalities

Couture blamed "black ice" despite the nearly 50 degree weather at the time, according to the release. Police said the traveled portions of Pelham roads were clear of snow and ice. Couture admitted to smoking marijuana before driving and performed field sobriety tests. 

 

car crashes

My property value will decrease if a pot dispensary locates next door or in close proximately.  I already have camera and locked gate on my commercial property but believe I will need at least two full-time security guards.  This product is cash only sales.  I am concerned about the new cliental wandering through our neighborhoods.  As a small business owner, the increase security and insurance costs are going to greatly impact our profit and discourage us from expanding.  

2017 Legislation, Tampa City Council

In a new study, researchers in London, Ontario found that women who used marijuana while pregnant were almost three times more likely to have an infant with low birth weight than women who did not use marijuana.

Pregnancy

Cannabis use appears to increase rather than decrease the risk of developing nonmedical prescription opioid use and opioid use disorder.

psychiatryonline, opioid

Similarly, it can be anticipated that if introduced, the indications for the  use of medical cannabinoids would expand well outside of the initial indications. Hence, the medical profession cannot justify the use of medical cannabinoids that would be associated with an iatrogenic risk of serious adverse psychological events.  The use of medical cannabinoids for any purpose, including research under closely observed conditions, is incompatible with mental health promotion.

Research, mental health

“Instead of people seeing this as a medicine, a lot of people see it as a big business,” anti-drug activist Teresa Miller said. “And it will change our landscape if we end up with pot shops on every corner.”

miller, Tampa City Council, zoning, Amendment 2

Through his research, he believes there may be a link between chronic use of marijuana — especially when started at a young age — and Alzheimer’s. 
Moral issue:  In addition to the money and organizing efforts driving the legalization campaigns, Fortanasce said widespread ignorance has enabled the marijuana lobby to obfuscate the issue. While marijuana may have some medicinal properties (cannabidiol in pot, for example, can help decrease nausea and be used to treat seizures), Fortanasce noted that there are already medications on the market that are far more efficacious than marijuana.

alzheimers, Fortanasce, Legatus

Ask any Florida legislator if their phone has been ringing off the hook from constituents who can't get enough vodka or rum, and they would have to say "no." Then why are they pushing hard liquor into our grocery stores without public input or backing?
 
It appears the driving force behind this change are corporate executives at big box stores who will profit greatly. They don't care about Florida families and are too cheap to spend money building a separate entrance. The current separate entrance policy allows for ID verification at the door along with cameras monitoring every corner, provides an avenue to prevent underage drinking, and protects our friends in recovery from making an impulse purchase. Does anyone want our children growing up with liquor as part of the food shopping experience?
 
Binge drinking or excessive alcohol use is responsible for 88,000 deaths in our nation, and Florida is ranked third in the nation for fatal DUI crashes. Only 16 other states allow this type of distribution. Thirty-four states do not allow hard liquor to be mixed with grocery items.
 
Other than creating a one-stop shopping experience that includes alcohol, I can't think of any reason for passing this bill. Our state doesn't need it and the public, the few who are aware of this proposed change, don't want it.
 
Teresa Miller, Tampa

HB-81, alcohol, 2017 Legislation, miller
Colorado, rmhidta

Medical Marijuana is a very political, emotional and complex topic.  Now that amendment 2 has passed implementing it as a medication seems to be even more contentious.  I am sure we can all agree the goal, as with any medication, is to provide guidelines to make it as safe and beneficial as possible while at the same time preventing abuse or misuse.  Attempting to regulate prescription medications has proven to be very difficult and the lack of strict guidelines led to over prescribing, wide-spread misuse, addiction and overdose problems that devastated families and communities throughout our nation. 

2017 Legislation

Marijuana legalization also involves significant downsides to existing businesses.  As marijuana use has increased in states that have legalized its use, so has use by employees, both on and off the job.  Large businesses in Colorado now state that after legalization they have had to hire out-of-state residents in order to find employees that can pass a pre-employment drug screen.

SAM, Employer, Business
Utah, BAC

“It’s a craze, not an epidemic,” he said, adding that “epidemic” implies something beyond people’s control.

coroner, gateway, Fatalities

Findings suggest that marijuana use is associated with a 54% increase in the odds PDV (physical dating violence) victimization, and a 45% increase in the odds of perpetration. CONCLUSIONS: Findings suggest that dating violence is a correlate of marijuana use, and that association is strongest among adolescents (vs. emerging adults) and girls (vs. boys).

meta-analysis, PDV, adolescent, Studies, Research, ncbi

The existence of hallucinations, delusions, and organic brain dysfunction in heavy cannabis users seems to be associated with cannabinoid levels in hair. The continuation of persistent symptoms 3 months after the discontinuation of cannabis abuse, was a remarkable finding. SCIENTIFIC SIGNIFICANCE: We provide evidence that chronic and heavy cannabis abuse results in long-lasting brain dysfunction in all users and in long-lasting schizophrenia-like psychotic symptoms in more than half of all users. These findings suggest a reevaluation of the current classification of cannabis as a "soft narcotic" which erroneously, therefore, is typically considered harmless. (Am J Addict 2017;XX:1-8).

ncbi, chronic, impaired, delusions, Long-term, Studies, Research

"I think it's really important to remember that marijuana of any kind is illegal under federal law," Board Chairwoman Dianne Jacob said. "There have been comments made by the new administration in Washington that signs may point to action being taken in the near future to support federal law."

Ban, San Diego, california
new york

Adolescent marijuana use has significantly increased in our state post-legalization, as has been documented in numerous studies. Ask any teenager and they will tell you that marijuana use is rampant in our local high schools, which is obviously not surprising given its widespread availability and the perception of its safety. While we can debate the effects on adults, marijuana use clearly has a detrimental impact on a teenager.

Read more here: http://www.tri-cityherald.com/opinion/letters-to-the-editor/article13776...

adolescent, legalization, opinion

The state capital may be in Tallahassee, but the pot shop capital for the South may soon become Tampa. Hillsborough County commissioners stuck down a provision that would have limited the number of marijuana dispensaries/pot shops. What does that mean for citizens living in unincorporated Hillsborough?

opionion, miller, pot shops

Everyone should be concerned:  Voters, not medical practitioners or scientists, have been able to determine medical practice.
Beneath it all, however, we must pause to seriously consider the known, detrimental effects of repeated marijuana use on the developing adolescent brain.  We must act accordingly and responsibly in ways that promote the public health and safety, help delay initiation of use, and reduce, not increase, the accessibility of marijuana to this particularly vulnerable population.

Public Health, Brain, Long-term, short-term, Falkowski

The Washington Poison Center (WAPC) experienced another year of increased calls on marijuana exposures and poisonings. In 2016, there were 286 calls related to marijuana exposures*. Over 42% (n=120) of the total calls were regarding individuals 13-29 years who had been exposed to some form of marijuana. Highest marijuana exposure rates in 2016 were King, Spokane, Snohomish, and Pierce counties.

2016, Washington, poisoning

The Washington Poison Center (WAPC) saw a slight increase in calls regarding opioid exposures in 2016 (n=1,696) compared to 2015 (n=1,672). Of the calls received, over 70% (n=1,199) of the exposures occurred in individuals 20 years of age or older.

2016, Washington, opioid

Please review the following information to better understand how alcohol misuse impacts our families:

  1. Overview of Alcohol Consequences- NIAAA PowerPoint (easy reading)

Consequences

  • Physical Effects: Infectious disease, Cancer, Diabetes, Neuropsychiatric disease, Cardiovascular disease, Liver and pancreas disease, Unintentional and intentional injury Heart, liver, pancreas
  • Unintentional and Intentional consequences: fatal crashes, falls, drownings, burns, suicide, stabbing, shooting, HOMICIDE, assault, sexual assault, domestic violence, child abuse.
  • Social harm: family dysfunction, unemployment, criminal conviction, financial, child & family neglect

Cost of Alcohol Abuse:

  • Globally, alcohol is third leading risk factor for premature death and disability
  • $223.5 billion in 2006- estimated costs of alcohol abuse in U.S.
  • Nearly 60% costs paid by government and others
  • 15% of U.S. workforce drinks enough alcohol to lead to workforce impairment

     2.  Teen Theft
Teen shoplifting, liquor a bad mix

  • Several Capital High School students agreed with Graham’s assessment, " that teens are taking advantage of it being easier to shoplift liquor" than beer or wine.
  • “You’re not an automatic suspect when you walk in a grocery store,” said one student interviewed Tuesday in the school parking lot.

Doubly illegal: Qualitative accounts of underage alcohol access through theft

  • … In addition to 9% of respondents who reported stealing alcohol from commercial outlets themselves, a total of 26% respondents reported occasions when their close friends stole alcohol.

       3.  Florida Ranks 3rd in the Nation for DUI Fatalities
2015 DUI Arrest by County
2014 Summary State DUI arrests and Fatalities
      4.  16-18 other states allow hard liquor in grocery store ailses.
               2016 Issue Briefs for State Policymakers- Healthy Alcohol Market

 

2017 Legislation, HB-81

Illness should continue to be treated by health professionals employing scientific evidence. This is responsible policy. It is not appropriate or medically justified for family physicians to refer patients to medical marijuana clinics; instead, they should inform their patients that medical treatment must be based on scientific evidence.

'medicine'

But the complex details on how to get that done is now being hashed out in Tallahassee and as we uncovered, some key lawmakers in Florida's weed wars are already seeing the green from it.

follow the money

This study of 3,233 veterans in a cross-sectional, multi-site study by the VA found that cannabis use disorder (CUD) was significantly associated with both current suicidal ideation and lifetime suicide attempts compared to veterans with no lifetime history of CUD.

Veterans, suicide, science direct

UC Davis physician researchers have found that medical marijuana contains multiple bacterial and fungal pathogens that may cause serious and even fatal infections. They warn that smoking, vaping or inhaling aerosolized marijuana could pose a grave risk to patients, especially those with leukemia, lymphoma, AIDS or conditions requiring immune-suppressing therapies.
 
“Infection with the pathogens we found in medical marijuana could lead to serious illness and even death,” said Joseph Tuscano, a professor of internal medicine in the Division of Hematology and Oncology at UC Davis, and a lead study author. “Inhaling marijuana in any form provides a direct portal of entry deep into the lungs where infection can easily take hold.”

contaminated, UC Davis, study

"THC is an addictive drug," said Sen. William Ligon (R-Brunswick) during floor debate.  Its detractors in the Senate say it’s also a danger – not only to its users but also to the state of Georgia.
Ligon warned that higher THC levels in cannabis oil could lead "toward the liberalization of marijuana laws and making it available for recreational use."

Georgia

The mold and bacteria was so widespread and potentially dangerous that the UC Davis academics concluded that they cannot recommend smoking raw or dried weed. "We cannot recommend inhaling it," says George Thompson III, an associate professor of clinical medicine at the university who helped conduct the cannabis research.

smoking, Research, second hand smoke
2017 Legislation

Widely viewed as one of the most restrictive medical marijuana laws in the country, New York’s Compassionate Care Act’s list of qualifying conditions is relatively short, no flower or edibles are permitted, and only five registered organizations (ROs) are licensed to manufacture and sell products.
Governor Andrew Cuomo’s administration had initially projected $4 million in medical cannabis tax revenues in 2016. Instead, the state will see about $1 million.

new york, MM Regulations

Short-term side effects include impaired short-term memory, impaired motor function, altered judgment, and, in high doses, paranoia and psychosis. Not to mention that drivers who have recently smoked marijuana are twice as likely to get into a car accident than their sober counterparts.Approximately 9% of people who experiment with marijuana will become addicted.
If marijuana can meet all of the FDA requirements, including efficacy data, evidence of safety, and a meticulous quality control program, then the medicinal use of marijuana could be supported. Until then, we will need smoke and mirrors to make it appear that this drug not only makes people feel good, but is indeed good for you.

MM Regulations, Studies

Pennsylvania is getting ready to launch its new medical marijuana program next year, but state regulations could keep dispensaries from opening in Philadelphia. But regulations requiring these facilities to be at least 1,000 feet from schools and daycare centers leave little room for the industry to set up shop here, said City Councilman Derek Green.
Pennsylvania medical marijuana.

Pennsylvania, MM Regulations

Since medical marijuana as legalized by popular vote and/or legislation is not a prescription drug as many people seem to believe it cannot be sold in drug stores.  This is not an evidence-based medicine and should not be referred to as a medicine. It is not supported by any medical association to include the organizations that proponents claim marijuana cures or helps.
 
Since only 5% of people in other states that have legalized marijuana for medical purposes actually use it as a medicine, I assume many of the same clientele that embraced the accessibly of pills will be in pursuit of marijuana.  I am concerned about the safety of my neighborhood or any neighborhood in the vicinity of a dispensary pot shop.
 
With all the recent medical breakthroughs does anyone really believe there isn’t a safer and evidenced based alternative that we should be offering our loved ones? They deserve better.  

Letters
gw pharm, Studies, cancer

Researchers at UC Davis are warning some medical marijuana users after identifying potentially lethal bacteria and mold on cannabis samples from 20 Northern California dispensaries.

california, mold, fungus

After his death, testing of 20 medical marijuana samples from across the state found the vast majority were contaminated with dangerous bacteria and fungi.

contaminated, Death, cancer

Cannabis potency has risen significantly over the past several decades, with available evidence pointing to an increased risk of Cannabis use disorder, psychosis, acute cognitive impairment, and structural brain changes with use of high-potency Cannabis. Clinicians should consider asking patients who use marijuana about potency to better assess risk of psychiatric adverse effects.

Potency

Marijuana use during pregnancy can be harmful to your baby’s health. The chemicals in marijuana (in particular,tetrahydrocannabinol or THC) pass through your systemto your baby and can negatively affect your baby’s development.

Pregnancy, 2017 Legislation, CDC
CDC, 2017 Legislation

“There is some misinterpretation that employers can’t fire employees now that [cannabis is] legal, but employers can still enforce their policies as there is nothing in the law that says they have to accommodate that,” said Robin Largent, partner at Carothers Disante & Freudenberger LLP in Sacramento.
However, employers who do not have a well-documented cannabis policy could expose themselves to allegations of discrimination.   “I advise clients to modify their policy if necessary to make clear it’s illegal, giving employees clear expectations,” Daniel said.

workplace, Employer

Here are just a few of the health effects you may want to know:

  • Marijuana use directly affects the brain—specifically the parts of the brain responsible for memory, learning, and attention.
  • The compounds in marijuana can affect the circulatory system and may increase the risk of heart attacks and strokes.
  • Smoking marijuana can lead to a greater risk of bronchitis, cough, and phlegm production.
  • Marijuana users are significantly more likely than nonusers to develop chronic mental disorders, including schizophrenia. Schizophrenia is a type of mental illness where people might see or hear things that aren't really there (hallucinations).
  • Eating foods or drinking beverages that contain marijuana have some different risks than smoking marijuana, including a greater risk of poisoning.
  • About 1 in 10 marijuana users will become addicted. For people who begin using before the age of 18, that number rises to 1 in 6.
  • Some research shows that using marijuana while you are pregnant[288 KB] can cause health problems in newborns—including low birth weight and developmental problems.
  • Marijuana use can slow your reaction time and ability to make decisions when driving[271 KB].

 

Brain, heart, lungs, mental health, poisoning, Pregnancy, driving, CDC, stroke, Side-Effects

"The study suggests that the effects of cannabis use on verbal intelligence are explained not by neurotoxic effects on the brain, but rather by a possible social mechanism," said lead author Natalie Castellanos-Ryan, Assistant Professor at Universite de Montreal in Canada

IQ, youth usage, Brain

The evidence reviewed by the committee suggests that cannabis use is likely to increase the risk of developing schizophrenia, other psychoses, and social anxiety disorders, and to a lesser extent depression.   Heavy cannabis users are more likely to report thoughts of suicide than non-users, and in individuals with bipolar disorder, near-daily cannabis users show increased symptoms of the disorder than non-users.

mental health, smoking, study, science engineering medicine, 2019 legislation

According to research studies, marijuana use causes aggressive behavior, causes or exacerbates psychosis and produce paranoias. These effects have been illustrated through case studies of highly publicized incidents and heightened political profiles.

Marijuana is currently a growing risk to the public in the United States. Following expanding public opinion that marijuana provides little risk to health, state and federal legislatures have begun changing laws that will significantly increase accessibility of marijuana. Greater marijuana accessibility, resulting in more use, will lead to increased health risks in all demographic categories across the country. Violence is a well-publicized, prominent risk from the more potent, current marijuana available.

Research, Journal of Addiction, crime, violence, mental health, withdrawal symptoms
2017 Legislation, driving, CDC

Some people think that marijuana is not truly “addictive” or that people can’t become “hooked” on the drug, but research shows that about 1 in 10 marijuana users will become addicted. For people who begin using before the age of 18, that number rises to 1 in 6.
Marijuana use directly affects the brain — specifically the parts of the brain responsible for memory, learning, attention, decision making, coordination, emotions, and reaction time.
 

CDC, 2017 Legislation, addiction
CDC, Teens, parents, 2017 Legislation

http://www.cqstatetrack.com/texis/redir?id=586a677b847&rtype=text&origin...
HB 158 - AS INTRODUCED    2017 SESSION   17-0115   01/09     HOUSE BILL 158
 AN ACT adding opioid addiction to qualifying medical conditions under therapeutic use of cannabis.
 SPONSORS: Rep. Schleien, Hills. 37; Rep. E. Edwards, Hills. 11; Rep. Fisher, Belk. 9; Rep. Zaricki, Hills. 6; Rep. Josephson, Graf. 11
 COMMITTEE: Health, Human Services and Elderly Affairs
ANALYSIS
 This bill adds opioid addiction to the qualifying medical conditions under therapeutic use of cannabis.
 Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
17-0115  01/09   STATE OF NEW HAMPSHIRE  
In the Year of Our Lord Two Thousand Seventeen   AN ACT adding opioid addiction to qualifying medical conditions under therapeutic use of cannabis.   Be it Enacted by the Senate and House of Representatives in General Court convened:
 1  Use of Cannabis for Therapeutic Purposes; Definitions.  Amend RSA 126-X:1, IX(a)(1) to read as follows:
(1)  Cancer, glaucoma, positive status for human immunodeficiency virus, acquired immune deficiency syndrome, hepatitis C currently receiving antiviral treatment, amyotrophic lateral sclerosis, muscular dystrophy, Crohn's disease, multiple sclerosis, chronic pancreatitis, spinal cord injury or disease, traumatic brain injury, epilepsy, lupus, Parkinson's disease, Alzheimer's disease, ulcerative colitis, opioid addiction, or one or more injuries that significantly interferes with daily activities as documented by the patient's provider; an
2  Effective Date.  This act shall take effect 60 days after its passage.

HB 158, New Hampshire, Medical

Now, as citizen groups attempt to put the brakes on the growing industry, a heated debate has emerged about the drug’s societal impact. Doctors report a spike in pot-related emergency room visits—mostly due to people accidentally consuming too much of potent edible pot products. Police face new cartel-related drug operations. Parents worry about marijuana being sold near their homes and schools. And less affluent communities like Pueblo struggle with the unintended consequences of becoming home to this emerging and controversial industry.
Groups serving the poor in Pueblo report a flood of homeless people arriving from other states. Local homeless shelter Posada, for instance, has witnessed a 47% jump in demand since 2014, including 1,200 people who reported to shelter workers that they came to smoke pot or get jobs in the industry, says Posada’s director, Anne Stattelman. She says her funding is tapped out. “It’s changed the culture of our community,” she says.
Since 2013, law officials say, they have busted 88 drug cartel operations across the state, and just last year law-enforcement made a bust that recovered $12 million in illegal marijuana. Adds Coffman: “That’s crime we hadn’t previously had in Colorado.”
Another surprise to many Coloradans is that a promised huge tax windfall to benefit schools hasn’t materialized. Of the $135 million generated in 2015, for example, $20 million goes to regulatory and public-safety efforts related to cannabis, $40 million funds small rural school construction projects, and the rest goes to youth drug prevention and abuse programs. That’s a drop in the bucket for a $6.2 billion education budget.
For a growing number of her neighbors, however, legalized marijuana is starting to feel like a really bad high.

Colorado, Pueblo, homeless, crime, Taxes, video

Colorado Assistant Attorney General Michael Song:

  • Song cautioned that doctors have to be tightly regulated, with means to punish those abusing the ability to recommend medical marijuana.
  • Song said problems are arising as people, for example, eat a whole cookie, or worse, several, while they wait for the effects to hit. Then they wind up in emergency rooms stoned way over the edge.
Colorado, Legislation, Song

Detailed Information
. Patients freely share their “medicine” with family and friends, and parents are self-diagnosing, and subsequently dosing their children with high-concentration marijuana products for conditions that may simply not exist (attention-deficit/hyperactivity disorder, anxiety, etc.); or allow their medical cards to expire and continue to grow their own.
The use of marijuana for medical conditions, including pain, needs robust studies, and subsequent products need more regulation and consistency for public consumption. Colorado is an example of the societal effect across a wide spectrum of arenas that comes with rampant cannabis use, particularly in youth use and impaired driving fatalities. The problems Colorado is seeing completely transcend “responsible use” or “marijuana as medicine.” 

 

Potency, Studies, driving, Finn, MD, 2017 Legislation

“But the bottom line is that long-term, heavy cannabis use may impair the dopaminergic system, which could have a variety of negative effects on learning and behavior,” said Dr. Anissa Abi-Dargham, professor of psychiatry and a lead author of the paper.
 
“I used to be able to read a book and even after a couple years I would still know most of the book,” she said. “Now I have to read something four or five times to remember.”

Studies, dopamine, Skywood

As Dr. Meng reported at the 2016 annual meeting of the American Society of Regional Anesthesia and Pain Medicine (abstract 2909), management of chronic neuropathic pain with available pharmacotherapy is associated with a high failure rate.

“Given the void of effective therapy, there’s been an increase in use and popularity of cannabis and cannabinoid for treating this type of pain,” Dr. Meng said. “The concern that we have, however, is that recent pain guidelines provide contradictory recommendations.”
 

pain, Meng

Ref: Rules on pot remain hazy
If doctors, dispensaries and patients are confused now just wait until a patient begins to ask their doctor typical questions about ‘medical’ marijuana. Such as:  How often should I take it, for how long, what strength, interactions with other drugs, expected side-effects, driving under the influence, research and validation that it will help specific symptoms, follow-up appointment … and the list goes on.  Most if not all these questions will be impossible to answer from a medical perspective.  Amendment 2 circumvented the science and medical fields.  Many voters seemed to be confused and misled - This was not legalizing a prescription drug but allowing Big Marijuana into our state.  Sounds more like “Pot Luck” than a medication.
In essence, Florida has legalized drug dealers and addicts to recommend marijuana to the 20 million patients who apparently are in dire need of it.  With all the medical breakthroughs does anyone really believe there isn’t something better we could give our loved ones?  That would be the first question I would ask before considering ‘medical’ marijuana.  
As for Monica Russell of Surterra who is “anxiously awaiting” for the implementation of Amendment 2, maybe she needs to take her “own medicine” as I hear it helps with anxiety.
 
Teresa Miller
Community Substance Abuse Volunteer
StopRxDrugAbuse & No2Pot Founder
#ProtectOurFamilies

Amendment 2, miller
Public Health, policy, e-cig

Excessive alcohol use accounts for 1 of 10 deaths among working-age adults in the United States.

alcohol, CDC

"Every time we destroy a field ... the locals come back to plant after our personnel has left the area," said Colonel Cipriano Cruz Quiroz, chief of staff of a special narcotics eradication unit based in Badiraguato, Sinaloa state.
 

opioid, Mexico

Marijuana use skyrocketed under President Obama, up 27 percent among kids, according to the National Institutes of Drug Abuse. Phoenix House reports that up to 50 percent become addicted.
 
Nearly 100,000 parents lose their children to drugs annually

The answer was cannabinoid hyperemesis syndrome, or CHS. It’s caused by heavy, long-term use of various forms of marijuana. For unclear reasons, the nausea and vomiting are relieved by hot showers or baths.
“They’ll often present to the emergency department three, four, five different times before we can sort this out,” said Dr. Kennon Heard, an emergency room physician in Aurora, Colorado.

Hyperemesis Syndrome, Colorado

If the changes observed in Washington are attributable to legalization, why were there no changes found in Colorado? The authors suggest that this may have been because Colorado’s medical marijuana laws were much more liberal before legalization than those in Washington. After 2009, Colorado permitted medical marijuana to be supplied through for-profit dispensaries and allowed advertising of medical marijuana products. This hypothesis is supported by other evidence that the perceived risks of marijuana use decreased and marijuana use increased among young people in Colorado after these changes in 2009.

youth usage, legalization

CHS has only been recognized for about the past decade, and nobody knows exactly how many people suffer from it. But as more states move towards the legalization of marijuana, emergency room physicians like Dr. Heard are eager to make sure both doctors and patients have CHS on their radar.

Hyperemesis Syndrome, CHS
Amendment 2
college

Western Colorado law enforcement officials say that Colorado has now become a magnet for criminals coming to take advantage of the state's marijuana laws.
A little over a week later, a 51-year old Palisade man was shot and killed in different incident related to a large pot grow operation. So far, there have been no arrests in the case.
“Legalization was supposed to get rid of the black market – it hasn’t done that – I would estimate that the black market has grown 20 fold since legalization,” said Gaasche.
 

Colorado, Legislation, crime, Black Market

The Medical Examiner’s toxicology report stated that both Lavin and Higgins had THC, or tetrahydrocannabinol, in their system. THC is the chemical compound found in marijuana.    

Cape Cod, Fatalities
heroin, Florida, opioid
Florida, DUI, Arrest, county

Past-Month Marijuana Use Mostly Steady 
From 1996 to 2016, past-month marijuana use was mostly steady among 8th, 10th, and 12th graders.

In 2016, past-month use for each grade was:

12th grade: 22.5%
10th grade: 14.0%
8th grade: 5.4%

68.9 percent of high school seniors do not view regular marijuana smoking as harmful, but 68.5 percent say they disapprove of regular marijuana smoking.

2016, monitoring the future, marijuana use, youth use
SAM, opioid

This year, daily marijuana use exceeded cigarette use among 10th (2.5 vs. 1.9 percent) as well as 12th (6.0 vs. 4.8 percent) graders.

monitoring the future, 2016, youth usage
fentanyl
addiction, epidemic, surgeon General

After careful consideration of all comments, the DEA is hereby amending 21 CFR 1308.11(d) to include a new subparagraph (58) which creates a new code number in Schedule I as follows:
“(58) Marihuana Extract—7350
“Meaning an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant.”
The creation of this new drug code in the DEA regulations for marihuana extracts allows for more appropriate accounting of such materials consistent with treaty provisions. Such marihuana Start Printed Page 90196extracts remain in Schedule I. Entities registered to handle marihuana (under drug code 7360) that also handle marihuana extracts, will need to apply to modify their registrations to add the new drug code 7350 to their existing DEA registrations and procure quotas specifically for drug code 7350 each year.

DEA, Code, Federal Register
2016 FL Senate

"If we don't aggressively seek to limit the use and sale of marijuana, our country and state as we know it will never be the same. Florida will be trading our beautiful white, sandy beaches filled with vacationing families for a hazy, skunk-smelling coastline laden with unemployable, unmotivated homeless people," said Teresa Miller, a drug prevention activist and founder of the "no2pot.org" website.

 

 

Amendment 2, Senate, Florida, 2016, miller

Ellen Snelling, chairwoman of the Tampa Alcohol Coalition and member of the Hillsborough County Anti-Drug Alliance, added that marijuana isn’t harmless, telling the panel of her teenage daughter’s decline into drug use after trying pot.

Senate, 2016, Snelling, Amendment 2

Research findings on the topic of marijuana use and its impact on people’s health and on society have been mixed; however, in the midst of diverse conclusions, it is essential to err on the side of caution for our community’s youth. According to a publication by the American Psychological Association (APA), short-term marijuana use has been shown to impair attention, memory, learning and decision-making.

Read more here: http://www.miamiherald.com/opinion/op-ed/article120529268.html#storylink...

academics, Amendment 2, school board, School

Is it possible to regulate a plant that people can grow in their backyards? Questions to consider and recommendations for implementing Amendment 2 (legalizing 'medical' marijuana in Florida).
Written document

Amendment 2, Senate, video

For example, 13 percent of the staff members in the study said they had recommended types of marijuana that are high in levels of THC — marijuana's main psychoactive component — to patients who intended to use the marijuana to treat anxiety, the researchers found. However, previous research has shown that THC may make anxiety worse, Haug told Live Science.
And 7 percent of the staff members recommended THC for treating epilepsy, whereas research has shown that another marijuana compound, called CBD, may work to treat epilepsy, Haug said.
#Scam  Legalized Drug Dealers

Legalized drug dealers

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