9 23 14 mj slides for website

Tetrahydrocannabinol (THC) • Stimulates release of dopamine • Euphoric effect • Stimulates appetite • Reduces nausea • Decreases pain & inflammation

Cannabidiol (CBD) • Non-intoxicating effects • Decreases pain & inflammation • Could have other medical benefits • Said to have “canceling effects” to THC

100+ Cannabinoids

National Institute on Drug Use & Health

SHORT TERM USE • Impaired short-term

memory • Impaired motor

coordination and sensory perceptions

• Altered judgment • Paranoia • Psychosis

LONG TERM USE • Addiction • Altered brain

development • Cognitive impairment • Diminished life

satisfaction • Symptoms of chronic

bronchitis • Increased risk of chronic

psychosis disorders

n engl j med 370;23 nejm.org june 5, 2014

n engl j med 370;23 nejm.org june 5, 2014

http://www.ohd.hr.state.or.us/cdpe/

Wagner, F.A. & Anthony, J.C. From first drug use to drug dependence; developmental periods of risk for

dependence upon cannabis, cocaine, and alcohol. Neuropsychopharmacology 26, 479-488 (2002).

Wagner, F.A. & Anthony, J.C. From first drug use to drug dependence; developmental periods of risk for

dependence upon cannabis, cocaine, and alcohol. Neuropsychopharmacology 26, 479-488 (2002).

Most people who use marijuana do not go on to use “harder drugs”

Of those who do use harder drugs, most used

tobacco, alcohol and marijuana first.

Marijuana increases risk factors that make youth vulnerable to addiction.

Wagner, F.A. & Anthony, J.C. From first drug use to drug dependence; developmental periods of risk for

dependence upon cannabis, cocaine, and alcohol. Neuropsychopharmacology 26, 479-488 (2002).

0%

5%

10%

15%

20%

25%

30%

35%

40%

Alcohol Marijuana SyntheticMarijuana

Cigarettes PrescriptionDrugs

8th

11th

30 Day Use: 8th & 11th

2014 Student Wellness Survey

0%

10%

20%

30%

40%

50%

60%

70%

80%

Alcohol Marijuana SyntheticMarijuana

Cigarettes PrescriptionDrugs

6th

8th

11th

Availability: 6th 8th & 11th

2014 Student Wellness Survey

Percent of students that said it would be “sort of easy” or “very easy” to get…

9%

20%

34%

35%

13%

10%

13%

9%

29%

Sources of marijuana for 11th grade youth who report using

Public event

Party

Friend 18+

Friend <18

Family

MM cardholder/grower

Shoulder tapping

Grew it

Other

Where Youth Access

2014 Student Wellness Survey

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Smoke cigarettes Drink alcohol Use marijuana Use prescriptiondrugs w/o orders

6th

8th

11th

Disapproval: 6th 8th & 11th

2014 Student Wellness Survey

Percent of students that “somewhat disapprove” or “strongly disapprove” for

someone their age to use…

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Smoke cigarettes Drink alcohol Use marijuana Use prescriptiondrugs w/o orders

6th

8th

11th

Perceived harm: 6th 8th & 11th

2014 Student Wellness Survey

Percent of students that think there is “moderate risk” or “great risk” of

harming themselves if they…

Nationally, kids’ perception of MJ’s risk is declining.

(Source: http://www.drugabuse.gov/publications/drugfacts/high-school-youth-trends)

• House Bill 3460: legalized sale of medical marijuana through Medical Marijuana Dispensaries (MMD)

• Senate Bill 1531: allows governing bodies of cities and counties to adopt ordinances that impose reasonable regulations on operation of medical marijuana facilities – May 2014: Temporary ban enacted

• MMDs:

– 24 approved, 1 provisional, 5 new

– 31 rejected

• Lane County Cardholders: 6,275

• Cities/Counties that passed 1 year moratorium:

– Cities in Lane County: 6

– Oregon cities: 146

– Oregon counties: 26

How do we prevent youth use, given the changing landscape?

1. Minimize access, availability, and use by youth;

2. Minimize drugged driving;

3. Minimize dependence and addiction;

4. Minimize consumption of marijuana products with unwanted contaminants and uncertain potency, and

5. Minimize concurrent use of marijuana and alcohol, particularly in public settings.

Framing Health Matters | Peer Reviewed | Pacula et al. American Journal of Public Health | June 2014, Vol 104, No. 6

1. Keep prices artificially high – Taxes – Fees (ex: City of Springfield)

2. Create a strong licensing system – Types of businesses that can sell – Location of retailers – Density – Hours of sale/minor restrictions – Credentialing/training for employees

3. Limit types of products sold – Products targeted at youth (ex: edibles) – Labeling requirements

Framing Health Matters | Peer Reviewed | Pacula et al. American Journal of Public Health | June 2014, Vol 104, No. 6

4. Attempt to Limit Marketing/Advertising

– Promotion & sponsorship

– Types & size of advertising

5. Restrict Public Consumption

– Secondhand exposure to smoked marijuana

– Perception of “normative behavior” by youth

6. Measure and Prevent Impaired Driving

– Difficulties in measuring impairment (blood/urine needed)

Framing Health Matters | Peer Reviewed | Pacula et al. American Journal of Public Health | June 2014, Vol 104, No. 6