{"id":16914,"date":"2024-02-13T20:02:48","date_gmt":"2024-02-13T20:02:48","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=16914"},"modified":"2024-04-23T18:31:32","modified_gmt":"2024-04-23T18:31:32","slug":"u-s-surgeon-generals-advisory-marijuana-use-and-the-developing-brain","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2024\/02\/u-s-surgeon-generals-advisory-marijuana-use-and-the-developing-brain\/","title":{"rendered":"U.S. Surgeon General\u2019s Advisory: Marijuana Use And The Developing Brain"},"content":{"rendered":"<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><em>I, Surgeon General VADM Jerome Adams, am emphasizing the importance of protecting our Nation from the health risks of marijuana use in adolescence and during pregnancy. Recent increases in access to marijuana and in its potency, along with misperceptions of safety of marijuana endanger our most precious resource, our nation\u2019s youth.<\/em><\/span><\/p>\n<p style=\"text-align: justify\"><span class=\"icon-text\" style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">BE PREPARED. GET NALOXONE. SAVE A LIFE.<\/span><\/p>\n<h2 id=\"background\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Background<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana, or cannabis, is the most commonly used illicit drug in the United States. It acts by binding to cannabinoid receptors in the brain to produce a variety of effects, including euphoria, intoxication, and memory and motor impairments. These same cannabinoid receptors are also critical for brain development. They are part of the endocannabinoid system, which impacts the formation of brain circuits important for decision making, mood and responding to stress.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana and its related products are widely available in multiple forms. These products can be eaten, drunk, smoked, and vaped. Marijuana contains varying levels of delta-9-tetrahydrocannabinol (THC), the component responsible for euphoria and intoxication, and cannabidiol (CBD). While CBD is not intoxicating and does not lead to addiction, its long-term effects are largely unknown, and most CBD products are untested and of uncertain purity.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana has changed over time. The marijuana available today is much stronger than previous versions. The THC concentration in commonly cultivated marijuana plants has increased three-fold between 1995 and 2014 (4% and 12% respectively). Marijuana available in dispensaries in some states has average concentrations of THC between 17.7% and 23.2%. Concentrated products, commonly known as dabs or waxes, are far more widely available to recreational users today and may contain between 23.7% and 75.9% THC.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The risks of physical dependence, addiction, and other negative consequences increase with exposure to high concentrations of THC and the younger the age of initiation. Higher doses of THC are more likely to produce anxiety, agitation, paranoia, and psychosis. Edible marijuana takes time to absorb and to produce its effects, increasing the risk of unintentional overdose, as well as accidental ingestion by children\u00a0and adolescents. In addition, chronic users of marijuana with a high THC content are at risk for developing a condition known as cannabinoid hyperemesis syndrome, which is marked by severe cycles of nausea and vomiting.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">This advisory is intended to raise awareness of the known and potential harms to developing brains, posed by the increasing availability of highly potent marijuana in multiple, concentrated forms. These harms are costly to individuals and to our society, impacting mental health and educational achievement and raising the risks of addiction and misuse of other substances.\u00a0 Additionally, marijuana use remains illegal for youth under state law in all states; normalization of its use raises the potential for criminal consequences in this population. In addition to the health risks posed by marijuana use, sale or possession of marijuana remains illegal under federal law notwithstanding some state laws to the contrary.<\/span><\/p>\n<h3 style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Watch the Surgeon General Answer FAQs on Marijuana<\/span><\/h3>\n<p>https:\/\/youtu.be\/OYZvUDbzUk8?si=_hDG7gAcem3esbvS<\/p>\n<h2 id=\"use-pregnancy\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana Use during Pregnancy<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Pregnant women use marijuana more than any other illicit drug. In a national survey, marijuana use in the past month among pregnant women doubled (3.4% to 7%) between 2002 and 2017. In a study conducted in a large health system, marijuana use rose by 69% (4.2% to 7.1%) between 2009 and 2016 among pregnant women. Alarmingly, many retail dispensaries recommend marijuana to pregnant women for morning sickness.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana use during pregnancy can affect the developing fetus.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">THC can enter the fetal brain from the mother\u2019s bloodstream.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">It may disrupt the endocannabinoid system, which is important for a healthy pregnancy and fetal brain development<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Studies have shown that marijuana use in pregnancy is associated with adverse outcomes, including lower birth weight.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The Colorado Pregnancy Risk Assessment Monitoring System reported that maternal marijuana use was associated with a 50% increased risk of low birth weight regardless of maternal age, race, ethnicity, education, and tobacco use.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The American College of Obstetricians and Gynecologists holds that \u201c[w]omen who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use. Women reporting marijuana use should be counseled about concerns regarding potential adverse health consequences of continued use during pregnancy\u201d. In 2018, the American Academy of Pediatrics recommended that \u201c\u2026it is important to advise all adolescents and young women that if they become pregnant, marijuana should not be used during pregnancy&#8221;.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Maternal marijuana use may still be dangerous to the baby after birth. THC has been found in breast milk for up to six days after the last recorded use. It may affect the newborn\u2019s brain development and result in hyperactivity, poor cognitive function, and other long-term consequences. Additionally, marijuana smoke contains many of the same harmful components as tobacco smoke. No one should smoke marijuana or tobacco around a baby.<\/span><\/p>\n<h2 id=\"use-adolescence\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana Use during Adolescence<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana is also commonly used by adolescents, second only to alcohol. In 2017, approximately 9.2 million youth aged 12 to 25 reported marijuana use in the past month and 29% more young adults aged 18-25 started using marijuana. In addition, high school students\u2019 perception of the harm from regular marijuana use has been steadily declining over the last decade. During this same period, a number of states have legalized adult use of marijuana for medicinal or recreational purposes, while it remains illegal under federal law. The legalization movement may be impacting youth perception of harm from marijuana.\u00a0<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The human brain continues to develop from before birth into the mid-20s and is vulnerable to the effects of addictive substances. Frequent marijuana use during adolescence is associated with:<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Changes in the areas of the brain involved in attention, memory, decision-making, and motivation. Deficits in attention and memory have been detected in marijuana-using teens even after a month of abstinence.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Impaired learning in adolescents. Chronic use is linked to declines in IQ, school performance that jeopardizes professional and social achievements, and life satisfaction.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Increased rates of school absence and drop-out, as well as suicide attempts.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Risk for and early onset of psychotic disorders, such as schizophrenia. The risk for psychotic disorders increases with frequency of use, potency of the marijuana product, and as the age at first use decreases.\u00a0<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Other substance use. In 2017, teens 12-17 reporting frequent use of marijuana showed a 130% greater likelihood of misusing opioids23.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana\u2019s increasingly widespread availability in multiple and highly potent forms, coupled with a false and dangerous perception of safety among youth, merits a nationwide call to action.\u00a0<\/span><\/p>\n<h2 style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">You Can Take Action<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">No amount of marijuana use during pregnancy or adolescence is known to be safe. Until and unless more is known about the long-term impact, the safest choice for pregnant women and adolescents is not to use marijuana.\u00a0 Pregnant women and youth&#8211;and those who love them&#8211;need the facts and resources to support healthy decisions. It is critical to educate women and youth, as well as family members, school officials, state and local leaders, and health professionals, about the risks of marijuana, particularly as more states contemplate legalization.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Science-based messaging campaigns and targeted prevention programming are urgently needed to ensure that risks are clearly communicated and amplified by local, state, and national organizations. Clinicians can help by asking about marijuana use, informing mothers-to-be, new mothers, young people, and those vulnerable to psychotic disorders, of the risks. Clinicians can also prescribe safe, effective, and FDA-approved treatments for nausea, depression, and pain during pregnancy. Further research is needed to understand all the impacts of THC on the developing brain, but we know enough now to warrant concern and action. Everyone has a role in protecting our young people from the risks of marijuana.<\/span><\/p>\n<h3 id=\"info-parents\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Information for Parents and Parents-to-be<\/span><\/h3>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">You have an important role to play for a healthy next generation.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Review the\u00a0facts\u00a0to understand the risks associated with marijuana use during pregnancy.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Check out these\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Marijuana-and-Pregnancy?IsMobileSet=false\">Frequently Asked Questions<\/a>\u00a0\u00a0about marijuana use and pregnancy.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Learn about\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/wicworks.fns.usda.gov\/resources\/marijuana-safety-children-and-pregnant-and-breastfeeding-women\">marijuana safety for children and pregnant and breastfeeding women<\/a>.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Start a conversation with your kids:\u00a0<a style=\"color: #0000ff\">Marijuana: Facts Parents Need to Know.<\/a><\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Keep your adolescent from using marijuana and other drugs:\u00a0Keeping Youth Drug Free<span class=\"appended-pdf-link\">\u00a0&#8211; PDF<\/span>.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><a style=\"color: #0000ff\">Watch the\u00a0<\/a><a style=\"color: #0000ff\" href=\"https:\/\/www.youtube.com\/watch?v=hD03TpByqQA\">Message to Parents from NIH\/NIDA<\/a>\u00a0<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Information for Youth:<\/span><\/h3>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">You have an important role to play for a healthy next generation.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Want to know how marijuana affects brain development?\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/teens.drugabuse.gov\/drug-facts\/marijuana\">Get the facts<\/a>.\u00a0<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Learn key techniques on how to resist peer pressure:\u00a0<a style=\"color: #0000ff\" href=\"http:\/\/abovetheinfluence.com\/\">Above the Influence<\/a>\u00a0.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Learn how to help friends stop using marijuana with\u00a0<a style=\"color: #0000ff\">Letter to Teens<\/a><\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Get around-the-clock free advice and referrals:\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/www.samhsa.gov\/find-help\/national-helpline\">Substance Abuse and Mental Health Administration (SAMHSA) National Helpline<\/a>\u00a0(1-800-662-HELP (4357).<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Information for States, Communities, Tribes, and Territories:<\/span><\/h3>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">You have an important role to play for a healthy next generation.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Learn how communities and schools can act:\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/www.dea.gov\/sites\/default\/files\/2018-07\/DEA-Marijuana-Prevention-2017-ONLINE.PDF\">Preventing Marijuana Use among Youth &amp; Young Adults<\/a>.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Find key messages for communities at\u00a0<a style=\"color: #0000ff\" href=\"http:\/\/www.samhsa.gov\/marijuana\">www.samhsa.gov\/marijuana<\/a>.\u00a0<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Get training and educational resources for your community:\u00a0<a style=\"color: #0000ff\" href=\"http:\/\/www.samhsa.gov\/technology-transfer-centers-ttc\">Prevention Technology Transfer Centers.<\/a><\/span><\/li>\n<\/ul>\n<h3 id=\"info-health-professionals\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Information for Health Professionals:<\/span><\/h3>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">You have an important role to play for a healthy next generation.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Learn how you can integrate marijuana education into prenatal care visits:\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/www.colorado.gov\/pacific\/sites\/default\/files\/MJ_RMEP_Pregnancy-Breastfeeding-Clinical-Guidelines.pdf\">Marijuana Pregnancy &amp; Breastfeeding Guidance<span class=\"appended-pdf-link\">\u00a0&#8211; PDF<\/span><\/a>.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Get advice on talking with adolescents and parents about marijuana use from the American Academy of Pediatrics\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/pediatrics.aappublications.org\/content\/139\/3\/e20164069?utm_source=TrendMD&amp;utm_medium=TrendMD&amp;utm_campaign=Pediatrics_TrendMD_0\">guidance for clinicians<\/a>\u00a0.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Read the\u00a0<a style=\"color: #0000ff\" href=\"https:\/\/www.acog.org\/Clinical-Guidance-and-Publications\/Committee-Opinions\/Committee-on-Obstetric-Practice\/Marijuana-Use-During-Pregnancy-and-Lactation\">American College of Obstetricians and Gynecologists position on Marijuana use during pregnancy and lactation<\/a>\u00a0.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Source: <a style=\"color: #0000ff\" href=\"https:\/\/www.hhs.gov\/surgeongeneral\/reports-and-publications\/addiction-and-substance-misuse\/advisory-on-marijuana-use-and-developing-brain\/index.html\">Surgeon General\u2019s Advisory: Marijuana Use &amp; the Developing Brain | HHS.gov<\/a> August 2019<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I, Surgeon General VADM Jerome Adams, am emphasizing the importance of protecting our Nation from the health risks of marijuana use in adolescence and during pregnancy. Recent increases in access to marijuana and in its potency, along with misperceptions of safety of marijuana endanger our most precious resource, our nation\u2019s youth. BE PREPARED. GET NALOXONE. [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63,30,68,41,14,61],"tags":[],"class_list":["post-16914","post","type-post","status-publish","format-standard","hentry","category-brain-and-behaviour","category-cannabis-marijuana","category-drug-use-various-effects","category-drug-use-effects-on-foetus","category-social-affairs","category-youth"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16914","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=16914"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16914\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=16914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=16914"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=16914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}