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Cannabis use increases risk of psychotic cases

The Australian 7 October 2019
Family First CommentThe evidence is building, yet even Australian politicians want to put their head in the sand…
The review of medical literature also examined Australian research, which concluded that regular cannabis users doubled their risk of experiencing psychotic symptoms — including schizophrenia — and were at an increased risk of screening positively for psychosis. “The evidence base regarding adverse health effects linked to cannabis use has broadened considerably since the gradual decriminalisation, and in some cases legalisation, of the substance in certain international jurisdictions,” the department says. “Adverse health outcomes as a result of regular cannabis use are not limited to mental health and psychotic symptoms.”

Regular use of cannabis doubles the risk of psychotic symptoms ¬including schizophrenia and is closely associated with anxiety disorders, depression and -psychosis, says official advice to the Morrison government triggered by the passage of new laws in the ACT.

The briefing paper prepared for Health Minister Greg Hunt reveals extensive links between cannabis use and adverse mental health affects, which have “broadened considerably” as marijuana is decriminalised.

In the three-page brief obtained by The Weekend Australian, the Health Department lists five “key issues” or research findings to consider after the ACT Legislative Assembly passed a ¬private member’s bill allowing adults to possess 50gm of cannabis and grow two plants. Individual households can have up to four plants.

The department notes there has been a sizeable body of work analysing the adverse physio¬logical and mental health effects of recreational cannabis use, des¬pite marijuana being decriminalised only in a small ¬number of jurisdictions.

It points to research from the US state of Colorado that found daily or near-daily cannabis use was associated with the development of a psychotic disorder.

The review of medical literature also examined Australian research, which concluded that regular cannabis users doubled their risk of experiencing psychotic symptoms — including schizophrenia — and were at an increased risk of screening positively for psychosis.

“The evidence base regarding adverse health effects linked to cannabis use has broadened considerably since the gradual decriminalisation, and in some cases legalisation, of the substance in certain international jurisdictions,” the department says.

“Adverse health outcomes as a result of regular cannabis use are not limited to mental health and psychotic symptoms.”

The department advised that a 2018 Canadian Medical Association Journal report found an overwhelming volume of evidence outlining the biological harm of cannabis use, including brain changes, adverse cognitive outcomes, negative pregnancy outcomes and testicular cancer.

The briefing also says a psycho¬active component in cannabis called tetrahydrocannabinol, the main chemical responsible for the drug’s psychological effects, increased by almost 30 per cent throughout the late 1990s and early 2000s.

This was linked to exacerbated symptoms of anxiety, depression and psychotic symptoms in “naive” users and increased psychotic symptoms and dependence in “experienced” users.

In Colorado, the first US state to legalise marijuana, emergency department visits due to cannabis increased slightly while the acute effects of THC — including hallucinations, paranoia and delusional beliefs — markedly increased with higher doses.

Government sources said the departmental advice was a “devastating confirmation” of the health and mental health effects of recreational cannabis and urged ACT Chief Minister Andrew Barr to explain what health advice he received before supporting the legislation.

The federal government also wanted to know whether the territory government was aware of any studies that contradicted the broad global evidence of real and significant mental health effects from cannabis use.

Mr Hunt said he was “deeply concerned about the very real risks cannabis can pose to physical health and, in particular, to mental health”. “This is why cannabis is a highly regulated drug,” he said. “Legalising recreational cannabis is dangerous and medically irresponsible.”
https://www.theaustralian.com.au/nation/politics/cannabis-use-increases-risk-of-psychotic-cases/news-story/c95979450145c9a346e56c9a3192a7b0  (behind paywall)

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How the Drug Foundation has slowly shifted the goalposts (as per The Plan)…

We’ve always argued that the real agenda in the drug debate is a global commodity market for all drugs – i.e. creating a drug-friendly culture. And that the strategy has been well known – first medicinal, then decriminalisation, then legalisation, then legalise all drugs. This has been the strategy of groups like NORML and the Drug Policy Alliance since day one

“The key to it [legalising marijuana for recreational use] is to have 100s of thousands of people using it ‘medically’ under medical supervision, the whole scam is going to be blown. Once there is medical access and we do what we continually have to do, and we will, then we will get full legalisation.”

Richard Cowen, former Director of NORML (National Organisation for Reform of Marijuana Laws), 1993

“The best answer is to move slowly but firmly to dismantle the edifice of enforcement. Start with the possession and sale of cannabis and amphetamines, and experiment with different strategies. Move on to hard drugs, sold through licensed outlets.”

Ethan Nadelmann – Drug Policy Alliance (DPA) The Economist (July 26, 2001)

This has now been taken up by the Global Commission on Drug Policy – of which former PM Helen Clark is a member. It has a flawed approach to drug use in our society, and is more focused on the rights of individuals to live in a drug-friendly society than it is in the welfare, safety and health of the community. The GCDP wants to legalise all drug use, and wants policies based on ‘human rights’ and which remove the ‘stigmatisation’ and ‘marginalisation’ of people who use drugs.

If you want to see the gradual progression of this master plan, look no further than the messaging of the Drug Policy Alliance’s ally in New Zealand – the taxpayer-funded Drug Foundation.

Here’s the timeline:

FIRST IT WAS MEDICINAL ONLY 2006

“Let’s be clear on this,” said Mr Bell. “This is not a backdoor for decriminalisation of cannabis, these are entirely separate issues. We are only interested in providing a compassionate form of pain relief for thousands of New Zealanders.”

Drug Foundation backs medical cannabisDrug Foundation Media Release (2006)

AND NO TO DECRIMINALISATION / LEGALISATION 2009 – 2011

“Mr Bell dismissed as ridiculous a newspaper report that the symposium has a secret agenda of pushing for drug legalisation… We’re quite open about our agenda which is to promote health-based drug policy and law, and not to create a Trojan Horse for decriminalisation.”

Drug policy symposium an unprecedented eventDrug Foundation Media Release (2009)

“The Government cannot shy away from this report. It is not a manifesto for the decriminalisation or legalisation of drugs, as some might suggest. Nor does it accept that the status quo should be maintained.” (Responding to the Law Commission’s recommendations for reforming the Misuse of Drugs Act 1975)

Review drags drug law into 21st Century – Drug Foundation Media Release (2011)

THEN IT WAS YES TO DECRIMINALISATION 2013

Decriminalisation does not mean a free-for-all and it does not mean that we’re soft on drugs, it means that we’re facing up to the problem and tackling it head on… A health focus has been proven to work overseas. Thirty countries have decriminalised, 17 US states have decriminalised…” Mr Bell said the debate around cannabis, decriminalisation and its health effects, needed to continue.

NZ ready for healthy drug law – Drug Foundation Media Release (2013)

Do you support decriminalisation of the possession of a small amount of cannabis, or do you feel the law should stay as it is? [Note: no questions around legalisation]

Drug Foundation Survey – Nov 2013

(Interestingly, the media statement referenced above says that only 46.4% of New Zealanders aged 16–64 have used cannabis at least once in their lifetime – similar to NZIER research. All the pro-drug groups now keep quoting 80%, which seems to suit their narrative better. Wonder why? (rhetorical question)

AND NOW, YES TO LEGALISATION (& DECRIMINALISE ALL OTHER DRUGS) 2017 – 2019

Our model drug law proposes:
Removing criminal penalties for the possession, use and social supply of all drugs
Developing a strictly regulated cannabis market

Drug Foundation – July 2017

This of course includes advising drug users (including students) how to use meth ‘discreetly’ and ‘safely’ and synthetic cannabis, and drug testing (not of employees to ensure they’re not a health and safety risk at work, but for party goers so they can take drugs at musical festivals.)

Ironically, in 2011, the Drug Foundation said in their media release that they wanted:

– introduction of a Police cautioning scheme for low level offending, such as simple possession, combined with diversion to health information and addiction treatment services

– balancing law enforcement and health activities, requiring greater investment into harm prevention, education, and addiction treatment services.

…but not decriminalisation or legalisation. Exactly what we have been asking for!

You have been warned. The writing is on the wall. It’s all part of a global plan to normalise drugs.

Don’t buy it.

Vote NO.

My experience of cannabinoid hyperemesis syndrome (CHS)

Medical News Today 19 September 2019
Family First Comment: Yet CHS is a very real condition, and while it may only affect a small percentage of people, it can be deadly. It is my mission to raise awareness of CHS in the hope that others do not have to endure the same fate as Brian.

There is a new condition that is affecting marijuana users at a growing rate, and it’s called cannabinoid hyperemesis syndrome (CHS).

CHS causes abdominal pain, nausea, and vomiting, and the vomiting can result in dehydration.

This dehydration can lead to a type of kidney failure that experts refer to as cannabinoid hyperemesis acute renal failure, and in severe cases, it can even result in death. The reason why I know so much about this is that it happened to my son.

Brian’s legacy
At this point, I started my journey into CHS awareness. I joined a CHS Facebook group and created CHS Awareness in Brian’s memory. I contacted the news channel RTV6 Indianapolis and was interviewed on the station.

Through the creation of the Facebook page and the news coverage that I received, I have been able to reach many people. I have also heard stories of others who had CHS symptoms.

The emotional and physical toll of CHS has been devastating to some, as many sufferers were misdiagnosed and made many visits to the emergency room as a result. The financial and emotional effects of this are very stressful.

Marijuana has many benefits for those who don’t have CHS. Some people use it in low dosages to reduce depression, social anxiety, and post-traumatic stress disorder (PTSD), and it can help relieve nausea and vomiting that occur due to chemotherapy. It may calm the muscle spasms that multiple sclerosis can cause, and some claim that it reduces seizures.

There is also a belief that marijuana may help in opioid addiction recovery, and researchers are publishing new studies all the time, highlighting many other potential benefits.

Yet CHS is a very real condition, and while it may only affect a small percentage of people, it can be deadly. It is my mission to raise awareness of CHS in the hope that others do not have to endure the same fate as Brian.

Losing Brian has been the most traumatic event in our lives. He was such a positive person and always gave his friends good advice. He was a loving son whom I never thought I would have, and he was a best friend to his sisters.

I want Brian’s death not to be in vain, and I hope that he can continue to make an impact even in death.
READ MORE: https://www.medicalnewstoday.com/articles/326357.php

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Police minister’s plan to legalise pill testing at summer festivals derailed as NZ First says it encourages drug use

TVNZ One News 29 September 2019
Family First Comment: Well said, NZ First 🎉😄
NZ First law and order spokesperson Darroch Ball said drug testing could legitimise and encourage drug use. “We’re acting at the wrong end here. We’re being very reactionary if we think it’s okay to start saving lives or to start protecting people after the drug has been taken or after it’s been purchased,” 

Drug testing at music festivals will not be legal in time for the summer season, with Police Minister Stuart Nash struggling to get backing from New Zealand First.

Mr Nash said in January the move would save lives and hospitalisations, but has now said his plan to get it legalised has failed.

Festival owners are currently reluctant to openly back the drug testing as it is still illegal, but some events have the testing on-site.

“It is something I’m passionate about – I just can’t get it across the line,” Mr Nash said.

“It doesn’t mean I stop. It just means that we probably are not going to get it in place legally for this coming festival season.”

Drug testers are particularly worried about high-dose MDMA pills this summer, which has already led to deaths overseas.

NZ First law and order spokesperson Darroch Ball said drug testing could legitimise and encourage drug use.

“We’re acting at the wrong end here. We’re being very reactionary if we think it’s okay to start saving lives or to start protecting people after the drug has been taken or after it’s been purchased,” he said.
READ MORE: https://www.tvnz.co.nz/one-news/new-zealand/police-ministers-plan-legalise-pill-testing-summer-festivals-derailed-nz-first-says-encourages-drug-use

NZ First block drug checking: ‘Stick to things that are safe’
Radio NZ News 1 October 2019
Deputy Prime Minister Winston Peters says a proposal to legalise drug checks at music festivals would send the wrong message about drug use, which he believes is a “thoroughly bad idea” and should not be condoned.

New Zealand First put the brakes on the Labour and Green-supported plan, which would have allowed pill testing services at events this summer.

“Taking pills at festivals is a thoroughly bad idea,” Mr Peters said.

“Now it’s been suggested that we should provide all the mechanisms for people to take a whole lot of pills down there to find whether pill taking is safe or not.

“We at New Zealand First say it’s not safe, don’t do it. If you want to live, then stick to things that are safe,” he said.

“I think it’s better to tell people that drugs and drug experimentation is an awfully risky and dangerous thing to do.”
READ MORE: https://www.rnz.co.nz/news/national/400088/nz-first-block-drug-checking-stick-to-things-that-are-safe

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Pill testing is not the answer to drug deaths at music festivals

MercatorNet 25 September 2019
Family First Comment: Great commentary
“To really liberate adolescents and young adults from the dark realities of the festival narcotics culture, we need to remind them that they are not just victims of circumstance, nor are they inert actors within a broader culture of psychedelic escapism. They are the masters of their own lives, and they have a choice when it comes to drugs.”

Many Australians think that pill-testing will stop drug-related deaths at music festivals. The reality is that there’s no magic solution to stop narcotics abuse in our society. On the contrary, pill testing risks creating a culture of learned helplessness among post-Millennials, whereby adolescents and young adults believe that they are powerless to resist peer pressure and the pernicious overtures of a toxic festival drug culture. The working assumption of the Australian pill testing lobby is that it is inevitable that young people will inevitably consume drugs at rave concerts and alternative music festivals, and that the best approach is one of harm minimisation…..

….. While pro-drug politicians like Australian Greens leader Richard Di Natale are keen to describe “drug use as a health issue”, the reality is that teens and adolescents who consume drugs at festivals are typically not languishing in throes of drug addiction. Rather, these mature adolescents and young adults — let’s drop the pretense of childish naiveté — are casual, recreational drug users, who live an otherwise normal life.

Joseph Pham — who died after an MDMA overdose at Defqon.1 in Sydney last September — was a 23-year-old student at the Australian Catholic University whose interests included online games and Taekwondo. Diana Nguyen, 21, who died after consuming MDMA the same event, was a “vibrant, loving young woman” who was engaged to a boy she had known since she was 14. 

Furthermore, young people know the risks that they take when consuming illicit substances. And sadly, they still choose to proceed with what is manifestly destructive behaviour. Either that, or education in schools and community institutions is so woefully inadequate that teenagers can’t tell the difference between the risks involved in consuming over-the-counter paracetamol and the potentially deadly consequences of popping ecstasy pills in the middle of sweaty mosh-pit.

Granted, pill testing helps festival-goers to identify whether the drugs they have purchased are contaminated. But we are still left with the problem of festival-goers routinely consuming hard drugs — and all with the imprimatur of health authorities, should we proceed with state-sanctioned pill testing at music festivals.

If we completely medicalise the drug problem, we end up with a culture in which casual drug users are immune from any moral sanction whatsoever — even self-sanction when they reflect on their own behaviours and their responsibility for their actions.

It would also be naive at best to ignore the myriad of harmful effects of casual drug use and focus only on the problem of drug-related deaths at high-profile music events. Hard drugs like ecstasy and LSD, for example, are closely linked to a host of mental disorders, including psychosis, heightened anxiety, paranoia and severe depression.

According to 2016 Australian Institute of Health and Welfare data, 37 percent of people 18 or over who had used meth/amphetamines in the past 12 months experienced high or very high levels of psychological distress. It would be hypocritical for state governments to seek to fight the scourge of mental illness while capitulating to pressure from the pill-testing lobby.

Amidst all the political rhetoric (bordering on moral panic), we would do well to reflect on the broader cultural implications of the way in which we frame the issue of recreational drug consumption in our society. Pill testing sends a message to young people that they are victims of their own drug culture, and that they cannot be expected to resist the pressure to consume drugs.

Rather than fuelling a victim culture among the post-Millennial generation, we need effective drug-education programs. These programs should not only focus on risks, but should also remind young people that they are the authors of their own lives, that they are respectable citizens and that they can resist (or exit) the bacchanalian culture surrounding contemporary music festivals.

To really liberate adolescents and young adults from the dark realities of the festival narcotics culture, we need to remind them that they are not just victims of circumstance, nor are they inert actors within a broader culture of psychedelic escapism. They are the masters of their own lives, and they have a choice when it comes to drugs.

Xavier Symons is a research associate at the Institute for Ethics & Society, University of Notre Dame.
https://www.mercatornet.com/features/view/pill-testing-is-not-the-answer-to-drug-deaths-at-music-festivals/22895

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Medical cannabis product approved for epilepsy

BBC News 23 September 2019
Family First Comment: Researched as effective and safe. Not smoked. Not grown at home.
The way medicine should be.

The EU has approved for the first time the use of a medicinal cannabis product aimed at patients with two rare, but severe, forms of childhood epilepsy.

Doctors can prescribe Epidyolex – an oral solution of cannabidiol, which comes from the cannabis plant – if they think it will help sufferers.

It has been approved for use in the UK and other European countries, but the NHS does not currently recommend it.

But some parents want alternatives that contain a component not in this drug.

Last month, the UK’s National Institute for Health and Care Excellence made an initial decision not to recommend prescribing Epidyolex, due to lack of evidence of long-term effectiveness.

Final guidance is due later this year.

What is Epidyolex?
The drug does not contain any of the psycho-active component of cannabis, a compound called tetrahydrocannabinol (THC).

Some parents, who have travelled to the Netherlands to buy cannabis medicines, feel the treatment will not help many children because it does not contain THC, which they argue has helped their children.

Epidyolex has been approved as a treatment option for children as young as two with Lennox-Gastaut syndrome or Dravet syndrome – difficult-to-treat conditions that can cause multiple seizures a day.

The medication, developed by GW Pharmaceuticals, will be used in combination with another epilepsy medication called clobazam.
READ MORE: https://www.bbc.com/news/health-49795260

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Cannabis addiction killed my 17-year-old son

Daily Mail 22 September 2019
Family First Comment: “Brian Smith Jr. suffered from cannabinoid hyperemesis syndrome (CHS) and died at the age of 17. CHS can arise in response to long-term cannabis use. Brian’s mother, Regina Denney, said her son started smoking at the age of 13”
But hey – cannabis never killed anyone, according to drug supporters…

A 17-year-old died in Indiana after suffering complications from prolonged use of marijuana as doctors say they’ve seen increase in ailments associated with using more potent strains of the drug.

Brian Smith Jr. died in October 2018 from dehydration as a result of cannabinoid hyperemesis syndrome (CHS), according to a March autopsy report.

Brian had first gone to the hospital with his mother Regina Denney to complain about severe vomiting and abdominal pain.

He had been losing weight in the months leading up to his death but continued smoking, even after he was told the cannabis may be the root cause.  

His death came as a shock to the mother.

‘He said mom I can’t breathe. I rolled him over, and my son was gone,’ the Denney explained to RTV6.
READ MORE: https://www.dailymail.co.uk/news/article-7489195/Mother-reveals-sons-four-year-addiction-cannabis-led-death-17.html

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Pot, alcohol most common cause of youth substance-use hospitalizations: report

CTV News 19 September 2019
Family First Comment: For youth who stayed in hospital for cannabis use, 81 per cent received care for a mental-health issue such as anxiety, says the report.

Marijuana and alcohol were the most common substances leading to hospitalization of youth aged 10 to 24 across the country, says a report that highlights the prevalence of mental-health conditions as contributing factors.

About 23,500 people in that age group were hospitalized for harm caused by substance use, amounting to an average of 65 hospitalizations every day between April 2017 and March 2018, says the Canadian Institute for Health Information in a report released Thursday.

Overall, cannabis was documented in almost 40 per cent of hospitalizations and alcohol was associated with 26 per cent of hospital stays, says the report that calls for improved access to initiatives that reduce risks and harms from substance use, more mental-health and support services as well as early treatment strategies.

For youth who stayed in hospital for cannabis use, 81 per cent received care for a mental-health issue such as anxiety, says the report. Meanwhile, 49 per cent of opioid-related stays also involved care for mental-health treatment.

Jean Harvey, director of the institute’s population and health initiative, said the data show only the “the tip of the iceberg” because they don’t include care in emergency rooms, family doctors’ offices, addiction centres or deaths from overdose.

The report is also based on data collected before cannabis was legalized last October, suggesting the information is a baseline for further research involving youth drug use, Harvey said.

“We need to be protecting kids, we need to be educating kids that just because it is legal doesn’t mean it’s safe,” she said. “I think it can be a bit of a wake-up call for parents and those who are working with youth.”
READ MORE: https://www.ctvnews.ca/health/pot-alcohol-most-common-cause-of-youth-substance-use-hospitalizations-report-1.4600322

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NZ psychiatrists stress potential harm of cannabis ahead of 2020 referendum

TVNZ One News 20 September 2019
Family First Comment: “Cannabis is not a harmless substance, and can result in dependency, as well as psychosis in serious cases.”

Leading psychiatrists across the country have stressed the harm of cannabis, which they say could lead to psychosis, ahead of a referendum to legislate its personal use at the 2020 general election.

It comes after a debate was held at the Royal Australian and annual Royal Australian and New Zealand College of Psychiatrists conference, which wrapped up in Nelson today.

The organisation, known by its acronym RANZP, said in a statement it believes that if cannabis is legalised it must be regulated – preferably by the Government – and underpinned by a stringent harm reduction strategy.

RANZCP’s New Zealand faculty of addiction psychiatry subcommittee chair, Dr Susanna Galea-Singer, added that a “a comprehensive educational campaign is initiated well in advance of the referendum”.

Ms Galea-Singer said the campaign “should inform the public of the various options around the supply and sale of cannabis and possible harms associated with each option”.

“It is important to note that all drug use – whether alcohol, tobacco, or other drugs – is first and foremost a health behaviour,” she said.

“Cannabis is not a harmless substance, and can result in dependency, as well as psychosis in serious cases.

“If the use becomes problematic, through abuse or dependence, impacting the individual or whānau’s life, it then becomes a health service issue.”
https://www.tvnz.co.nz/one-news/new-zealand/nz-psychiatrists-stress-potential-harm-cannabis-ahead-2020-referendum

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The problem with the PM’s ‘expert’ panel on weed

The Prime Minister has asked the Chief Science Advisor to provide an accessible summary of the evidence to inform the cannabis referendum, using an ‘expert’ panel. The ‘expert’ panel has been charged with pulling together as much information as we can about the impacts of cannabis, and to present it in a way that is easy to understand for voters.

Here’s the problem.

Of the 10 members of the ‘expert’ panel, SEVEN have declared that they support legalisation of cannabis – and not even one of the panel has expressed opposition.

If you think we’ll get a balanced report, we have a bridge to sell you.


For Legalisation 

Supports legalisation.

Supports legalisation

Supports legalisation Has advocated for legalisation in Canada (RNZ)

Supports legalisation

Supports legalisation – ”if there is no space in any reform to allow people to grow their own, discrimination against Māori will continue.” 3’s The Hui (March 2019)  The SpinOff


Board member Drug Foundation (!)

Supports legalisation

Supports legalisation   

Other

Researcher / Criminologist – including Pasifika and youth justice issue