U.N. News – Recreational cannabis poses ‘significant’ health challenges to youth: drugs control body
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The UN-backed International Narcotics Control Board (INCB) warned on Tuesday that poorly regulated medical cannabis programmes could step-up the “recreational” use of the drug while diminishing public concern over its harmful effects.
“Legalization of cannabis for recreational purposes, as seen in a small number of countries, represents not only a challenge to the universal implementation of the treaties and the signatories to the treaties, but also a significant challenge to health and wellbeing, particularly among young people”, INCB President Viroj Sumyai said, following the publication of the body’s latest Annual Report.
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In Amsterdam and London, specifically, there was a strong tie between the use of high-potency cannabis and the presence of psychosis. The researchers linked four in 10 (43.8 percent) new cases of psychosis in Amsterdam to daily cannabis consumption and five out of 10 (50.3 percent) of new cases with the use of highly potent versions of the drug.
In London, the researchers believe they could link 21.0 percent of new cases to daily use and 30.3 percent to a preference for highly potent cannabis.
"Our findings are consistent with previous studies showing that the use of cannabis with a high concentration of THC has more harmful effects on mental health than the use of weaker forms," notes lead study author Dr. Marta Di Forti.
"They also indicate for the first time how cannabis use affects the incidence of psychotic disorder at a population level," she adds.
"As the legal status of cannabis changes in many countries and states, and as we consider the medicinal properties of some types of cannabis, it is of vital public health importance that we also consider the potential adverse effects that are associated with daily cannabis use, especially high potency varieties."
Dr. Marta Di Forti
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JAMA Psychiatry. 2019;76(7):762-764. doi:10.1001/jamapsychiatry.2019.0076
Mirroring increases in the general population, the prevalence of past-month marijuana use among pregnant mothers in the United States increased by 75% between 2002 (2.85%) and 2016 (4.98%).1 Although cannabis use has been linked to psychosis, little is known about prenatal exposure.2,3 Unprecedented increases in marijuana use during pregnancy, alongside evidence that cannabis use is correlated with psychosis and that endocannabinoids play an important role in neurodevelopment, highlight the importance of evaluating potential long-term consequences of prenatal exposure.4
Thus, prenatal cannabis exposure may be associated with later psychosis proneness in offspring. Only when there is sufficient fetal endocannabinoid type 1 receptor expression, which may not occur until after many mothers learn they are pregnant. In the context of increasing cannabis accessibility and potency, perceptions of safety, and the potential use of cannabis to combat pregnancy-related nausea, these data suggest that cannabis use by pregnant women should be discouraged until more is known.
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Warning: Graphic and disturbing content
The court heard cannabis-induced psychosis, not a major mental disorder, spurred the brutal death of 67-year-old John Kehl by his then 31-year-old son Adam.
Adam Kehl voluntarily entered a plea of guilty to manslaughter in front of The Honourable Michelle Fuest in Barrie court on Nov. 22 who called the incident "horrifying and unusually brutal."
The following (not publicly reported) heinous drug-induced behaviour happened in Pueblo, Colorado earlier November 2019
A young man who used a cannabis wax and then experienced an excited delirium episode in which he ran in on coming traffic swinging a metal rod at cars. He was tazed and tackled by police and came in with 3 police officers and 5 paramedics working to hold him down. Prior to arrival EMS had given him 50 mg of diphenhydramine, 5 mg of Haldol, and 2 mg of Versed and he continued to be that combative. On arrival here he took all of the aforementioned personnel plus 3 of our security officers to hold and move him to the bed and hold him down. I gave 10 mg of Versed with plans to likely need to intubate him. He became more relaxed and calm following, never required intubation. UDS only positive for cannabis. He developed rhabdo and was admitted to the peds service for this following.
Patient was 17 years old
“High potency” is typically 10-12% THC. That simply does not exist in Colorado. It’s too weak.
Our kids have access to 17-20% THC easily to smoke as well as concentrates pushing 40-60% THC as well as the wax/shatters which are 90%+ THC. Easily and readily available to adolescents in Colorado.
We are at a tipping point in the US with our kids using these products.
Colorado Medical Doctor
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CONCLUSIONS AND RELEVANCE In this cross-sectional study, parental marijuana use was associated with increased risk of substance use among adolescent and young adult offspring living in the same household. Screening household members for substance use and counseling parents on risks posed by current and past marijuana use are warranted.
JAMA Network Open. 2019;2(11):e1916015. doi: 10.1001/jamanetworkopen.2019.16015
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