{"id":14209,"date":"2018-02-05T19:46:13","date_gmt":"2018-02-05T19:46:13","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=14209"},"modified":"2018-03-19T18:17:30","modified_gmt":"2018-03-19T18:17:30","slug":"can-we-please-stop-pretending-marijuana-is-harmless","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2018\/02\/can-we-please-stop-pretending-marijuana-is-harmless\/","title":{"rendered":"Can We Please Stop Pretending Marijuana Is Harmless?"},"content":{"rendered":"<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">The truth is it can indeed mean trouble, especially for young people.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">These days, it\u2019s become fairly square to criticize marijuana and its rush toward legalization. Twenty-three states have condoned the drug in some form, with four permitting recreational use, and Massachusetts is set to vote on permitting it next year. The proposed federal CARERS Act of 2015 would let states legalize medical marijuana without federal interference and demote pot from a Schedule I drug\u2009\u2014\u2009one with high abuse potential\u2009\u2014\u2009to Schedule II. The path toward nationwide decriminalization is looking unobstructed.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">But underscoring the incredible momentum to legalize marijuana is the misconception that the drug can\u2019t hurt anybody. It can, especially young people.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">The myth that marijuana is not habit-forming is constantly challenged by physicians. \u201cThere\u2019s no question at all that marijuana is addictive,\u201d Dr. Sharon Levy tells me. She is the director of the\u00a0<a href=\"http:\/\/www.childrenshospital.org\/centers-and-services\/adolescent-substance-abuse-program\">Adolescent Substance Abuse Program<\/a>\u00a0at Boston Children\u2019s Hospital, one of a few programs designed to pre-emptively identify substance use problems in teens. At least 1 in 11 young adults who begin smoking will develop an addiction to marijuana, even more among those who use the more potent products that are entering the market.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Levy speaks of an 18-year-old patient who had started smoking marijuana several times a day in 10th grade, dropped out of high school, and been stealing money from her parents. \u201cShe and her family were at their wits\u2019 end trying to find appropriate treatment in a health care system that doesn\u2019t consider addiction to marijuana a serious problem,\u201d Levy says. \u201cWe are simply not prepared for the fallout of marijuana legalization.\u201d<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Such perspectives have been obfuscated by those who might gain from legalization. \u201cPeople strongly defend marijuana because they don\u2019t want legalization to be derailed,\u201d says Jodi Gilman, an assistant professor at Harvard Medical School with the\u00a0<a href=\"http:\/\/www.massgeneral.org\/psychiatry\/services\/addiction_medicine_home.aspx\">Center for Addiction Medicine<\/a>.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">An insistence on the banality of the drug is especially dangerous among younger smokers, a population with an epidemic level of pot use. According to the most recent National Survey on Drug Use and Health, the use of tobacco and alcohol among 12-to-17-year-olds has fallen in the past year, but habitual use of marijuana among those 12 and up is increasing.\u00a0\u00a0 \u201cIf you go into a high school and ask the classroom, \u2018Are cigarettes harmful? Is alcohol harmful?\u2019 every kid raises their hands,\u201d Gilman says. \u201cBut if I ask, \u2018Is marijuana harmful?\u2019 not a hand goes up.\u201d<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">To bring balance to a narrative driven by pro-legalization campaigns, Gilman and others are interested in leveraging data to show pot\u2019s real effects. Last year, Gilman published research on 18-to-25-year-olds that showed differences in the brain\u2019s reward system between users and non-users. (\u201cI got a lot of hate mail after that,\u201d Gilman says.) And data supporting the hazards keep accumulating. Recently Gilman found that in a group of college students, smokers had impaired working memory even when not acutely high.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Physician concern for marijuana\u2019s acceptance isn\u2019t because doctors are a stodgy bunch\u2009\u2014\u2009their scepticism is rooted in science and in history. In the 1950s, nearly half of Americans smoked tobacco, a level of adoption that rendered its health hazards invisible. Meanwhile, the corporate forces that drove cigarette smoking to its ascendancy actively subverted those that governed public health.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">While marijuana has not been definitively shown to cause cancer or heart disease, its harmful cognitive and psychological effects will take time to capture in studies. The underlying biochemistry at work suggests deeply pathologic consequences. Tetrahydrocannabinol (THC) in marijuana attaches to receptors in the brain that subtly modulate systems ordinarily involved in healthy behaviors like eating, learning, and forming relationships. But THC\u2009\u2014\u2009which has been increasing in potency in legal products being sold in places like Colorado\u2009\u2014\u2009throws the finely tuned system off balance.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">\u201cSmoking pot turns the volume on this system way, way up,\u201d says Jonathan Long, a research fellow at the\u00a0<a href=\"http:\/\/www.dana-farber.org\/\">Dana-Farber Cancer Institute<\/a>.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Each hit of THC rewires the function of this critical cognitive system: Early evidence in mice has shown that repeated exposure to THC causes these receptors to disappear altogether, blunting the natural response to positive behaviors and requiring higher doses to achieve the same effect. Marijuana exploits essential pathways we\u2019ve evolved to retrieve a memory, to delicately regulate our metabolism, and to derive happiness from everyday life.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Medical science at its best operates independently of forces that drive the market and its associated politics. It was science that eventually curtailed the power of Big Tobacco and prevented nearly 800,000 cancer deaths in the United States between 1975 and 2000. As marijuana marches toward the same legal status as cigarettes, its potential hazards will require equal attention by science.\u00a0\u00a0\u00a0 The argument here isn\u2019t whether marijuana should be legal. There are champions on either side of that debate. Instead, should the drug become widely available, it\u2019s to our detriment to blindly consider marijuana\u2019s legalization a victory worthy of celebration. We must be cautious when societal shifts can affect health, especially among our most vulnerable populations.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt\">Source: <a href=\"http:\/\/www.bostonglobe.com\/magazine\/2015\/10\/08\/can-please-stop-pretending-marijuana-harmless\/MneQebFPWg79ifTAXc1PkM\/story.html\">http:\/\/www.bostonglobe.com\/magazine\/2015\/10\/08\/can-please-stop-pretending-marijuana-harmless\/MneQebFPWg79ifTAXc1PkM\/story.html<\/a><\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The truth is it can indeed mean trouble, especially for young people. These days, it\u2019s become fairly square to criticize marijuana and its rush toward legalization. Twenty-three states have condoned the drug in some form, with four permitting recreational use, and Massachusetts is set to vote on permitting it next year. The proposed federal CARERS [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,41,90,19],"tags":[],"class_list":["post-14209","post","type-post","status-publish","format-standard","hentry","category-cannabis-marijuana","category-drug-use-effects-on-foetus","category-global-drug-legalisation-efforts","category-usa"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/14209","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=14209"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/14209\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=14209"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=14209"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=14209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}