Pueblo Colorado, Cost of Marijuana Legalization

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Increase Youth Use and Harms to Children

https://www.publichealth.columbia.edu/public-health-now/news/major-uptick-reported-cannabis-vaping-all-adolescents

https://onlinelibrary.wiley.com/doi/epdf/10.1111/add.15895

Increases Road Fatalities

Drugged driving surpassed drunk driving as the cause of fatalities in motor vehicle crashes. The #1 drug in those crashes is marijuana- page 9 and 10 https://rosap.ntl.bts.gov/view/dot/56125

In Colorado Traffic deaths with drivers who test positive for marijuana doubled from 2013 to 2020. – https://www.thenmi.org/wp-content/uploads/2021/09/RMHIDTA-Marijuana-Report-2021.pdf

The body count will continue to climb if there is Federal legalization as one study estimates an additional 6,800 traffic fatalities per year. – https://thecrimereport.org/2020/07/22/recreational-pot-linked-to-rise-in-traffic-deaths/

Increases Crime and Violence

https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2020.19101008

https://jamanetwork.com/journals/jamapediatrics/fullarticle/2775255

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461328/

https://www.tandfonline.com/doi/abs/10.1080/07418825.2019.1567807

Increases The Black Market

https://www.dea.gov/sites/default/files/2020-01/2019-NDTA-final-01-14-2020_Low_Web-DIR-007-20_2019.pdf

Increases Drug Use and Overdoses, Suicides, and Mental Illness.

Early initiation of marijuana is a dominant predictor of Opioid Use Disorder. https://www.sciencedirect.com/science/article/abs/pii/S0376871620300041

https://www.publichealth.columbia.edu/public-health-now/news/major-uptick-reported-cannabis-vaping-all-adolescents

Higher potency=more psychosis and more cannabis use disorder

https://pubmed.ncbi.nlm.nih.gov/35901795/


1. Circumstances, Toxicology, and Injury location  2. Select the year slide from 2014 to present  3. Age (dropbox): check only 10-14 and/or 15-18.

https://cohealthviz.dphe.state.co.us/t/HSEBPublic/views/CoVDRS_12_1_17/Story1?%3Aembed=y&%3AshowAppBanner=false&%3AshowShareOptions=true&%3Adisplay_count=no&%3AshowVizHome=no#4




Please refer to the front page of Every Brain Matters and hover over the information icons to find the resources.


THC: The Human Consequences

We oppose the federal legalization of marijuana, the Cannabis Administration and Opportunity Act. Some elected officials say legalized states regulate THC safely, but emergency room visits due to marijuana have risen sharply. Doctors say todayā€™s high potency THC is a public health failure. Do you know the risks? You should. Emergency Room Data: When compared with people who did not use marijuana, cannabis users were 22% more likely to visit an emergency department or be hospitalized, the study revealed.


Fatalities on the Roads from Stoned Driving

Drugged driving surpassed drunk driving as the cause of fatalities in motor vehicle crashes. The #1 drug in those crashes is marijuana- page 9 and 10 https://rosap.ntl.bts.gov/view/dot/56125

In Colorado Traffic deaths with drivers who test positive for marijuana doubled from 2013 to 2020. – https://www.thenmi.org/wp-content/uploads/2021/09/RMHIDTA-Marijuana-Report-2021.pdf

The body count will continue to climb if there is Federal legalization as one study estimates an additional 6,800 traffic fatalities per year. – https://thecrimereport.org/2020/07/22/recreational-pot-linked-to-rise-in-traffic-deaths/

Social Justice

https://scholarship.law.upenn.edu/cgi/viewcontent.cgi?article=1060&context=jlpa

https://learnaboutsam.org/wp-content/uploads/2019/01/26840902_1842031249142726_5079672392301664434_o.jpg

Crime

https://news.ucdenver.edu/do-marijuana-dispensaries-increase-neighborhood-crime/

According to 2012-2016 data from the NIBRS:

ā€¢ The total number of criminal offenses in Colorado increased by 27 percent;

ā€¢ The total number of criminal offenses in Oregon increased by 177 percent;

ā€¢ The total number of criminal offenses in Washington increased by 46 percent;

ā€¢ The total number of criminal offenses in the U.S. increased by 9 percent.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663469/

Increase Use

https://nida.nih.gov/drug-topics/trends-statistics/infographics/monitoring-future-2019-survey-results-overall-findings

https://nida.nih.gov/drug-topics/trends-statistics/infographics/monitoring-future-2019-survey-results-vaping

https://nida.nih.gov/sites/default/files/nida_mtfinfographic2019_fullgraphic.pdf

https://riseaboveco.org/articles/RiseAboveCO_2020Summaryreduced.pdf

Pediatric Poisoning

https://2uy2kj3oe6hq2ui8ef2c6xnl-wpengine.netdna-ssl.com/wp-content/uploads/sites/3/2020/09/Lessons-from-Legalisation-SAM-NZ-Report-2020-web.pdf

https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2748051

The legal States have more cannabis exposure than non-legal states

https://www.publications.aap.org/pediatrics/article-abstract/147/4/e2020019893/180775/Edible-Cannabis-Exposures-Among-Children-2017-2019?redirectedFrom=fulltext

CONCLUSIONS:

Children are collateral victims of changing trends in cannabis use and a prevailing THC concentration. Intoxicated children are more frequent, are younger, and have intoxications that are more severe. This raises a real issue of public health.

https://www.publications.aap.org/pediatrics/article-split/140/3/e20170017/38341/Unintentional-Cannabis-Intoxication-in-Toddlers

Increase in youth vaping

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2785376?guestAccessKey=4df985fe-e703-49cc-a46f-

Substance Abuse and Mental Health Services Administration. (2019). Results from the 2018 National Survey on Drug Use and Health: Detailed tables. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/

https://cdphe.colorado.gov/center-for-health-and-environmental-data/survey-research/healthy-kids-colorado-survey-data

https://cdphe.colorado.gov/

https://cdphe.colorado.gov/hkcs

Black Market

Page 77 https://www.dea.gov/sites/default/files/2020-01/2019-NDTA-final-01-14-2020_Low_Web-DIR-007-20_2019.pdf

Seizures of marijuana reported to the El Paso Intelligence Center (EPIC) in Colorado increased 48% from an average of 174 parcels (2009-2012) when marijuana was commercialized to an average of 257 parcels (2013-2020) during the time recreational marijuana become legalized. https://www.thenmi.org/wp-content/uploads/2021/09/RMHIDTA-Marijuana-Report-2021.pdf

Fuller, T. (2019, April 27). Getting Worse, Not Better: Illegal Pot Market Booming in California Despite Legalization. New York Times. Retrieved April 5, 2021.

https://www.nopotshops.com/marijuana-and-crime

https://www.tandfonline.com/doi/abs/10.1080/15563650.2021.1939881

Increase in ER Visits and Medical Costs

Cannabis legalization has led to significant health consequences, particularly to EDs and hospitals in Colorado. The most concerning include psychosis, suicide, and other substance abuse. There are deleterious effects on the brain and some of these may not be reversible with abstinence. Other significant health effects include increases in fatal motor vehicle collisions, adverse effects on cardiovascular and pulmonary systems, inadvertent pediatric exposures, cannabis contaminants exposing users to infectious agents, heavy metals, and pesticides, and hash-oil burn injuries due to preparation of concentrates. Finally, cannabis dispensary workers not trained in medicine are giving medical advice that could be harmful to patients.- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625695/

The legalization of cannabis in a growing number of states coupled with the perception that marijuana is an innocuous drug has led to significant increases in cannabis consumption, both for its recreational properties and for its alleged medicinal properties. However, cannabis use is associated with adverse health effects (1), and cannabis-related emergency department (ED) visits and hospital admissions have increased (2).

In this issue, Monte and colleagues reviewed health records from patients presenting to the UCHealth University of Colorado Hospital Emergency Department from 2012 to 2016 and found a more than 3-fold increase in cannabis-associated ED visits over this period https://www.acpjournals.org/doi/10.7326/M19-0542

https://www.medpagetoday.com/meetingcoverage/acep/95356

https://www.researchgate.net/publication/314140400_The_Hidden_Costs_of_Marijuana_Use_in_Colorado_One_Emergency_Department’s_Experience

Suicides

Colorado -The percent of suicide incidents in which toxicology results were positive for marijuana has increased from 14% in 2013 to 29% in 2020. -https://www.thenmi.org/wp-content/uploads/2021/09/RMHIDTA-Marijuana-Report-2021.pdf

3] San Diego Medical Examiner Data, 2020.

https://www.nopotshops.com/er-hospitilizations

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625695/

https://onlinelibrary.wiley.com/doi/full/10.1002/wps.20170

Increase Addiction Crisis and Overdoses

Higher potency=more psychosis and more cannabis use disorder

https://pubmed.ncbi.nlm.nih.gov/35901795/

https://www.nber.org/papers/w29802

https://www.sciencedirect.com/science/article/abs/pii/S0376871620300041

https://www.pnas.org/doi/10.1073/pnas.1903434116

Colorado 54% https://www.coloradohealthinstitute.org/news/opioid-overdose-deaths-54-2020-fentanyl-fatalities-spike

https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm

Fentanyl was found in a vaping device seized at North Scott High School. https://qctimes.com/news/local/education/fentanyl-was-found-in-a-vaping-device-seized-at-north-scott-high-school-medical-and/article_cdbdb080-ea3e-59e6-a3f3-f723000fdcb0.html?utm_medium=social&utm_source=facebook&utm_campaign=user-share&fbclid=IwAR2L2PVt1PcFyDvTpKTM4kKc3qti2dH_6SvkTnHfSUMJSXCMjsvGdyR35fg

CT Lab Confirms Marijuana Laced With Fentanyl is a New Public Safety Threat https://www.nbcconnecticut.com/news/local/ct-lab-confirms-marijuana-laced-with-fentanyl-is-a-new-public-safety-threat/2658007/

Increase Mental Illness

https://doi.org/10.1176/appi.ajp.2017.17020223

https://pubmed.ncbi.nlm.nih.gov/26455669/

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(14)70307-4/fulltext

https://www.medpagetoday.com/meetingcoverage/acep/95356

Homelessness

United States Interagency Council on Homelessness -https://www.usich.gov/homelessness-statistics

https://pubmed.ncbi.nlm.nih.gov/23703373/

https://www.nopotshops.com/marijuana-and-homelessness