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Massachusetts sues Juul.
Here’s a story about how Juul got an entire generation addicted to nicotine.
Massachusetts Attorney General Maura Healey catalogs new findings about how Juul targeted and sold its addictive products to kids.
She alleges at its launch, Juul cast ten young trendsetters to appear in its ads. The company plastered ads all over the Internet targeted directly at kids and teenagers, placing ads on Cartoon Network,,, Seventeen, and so forth. They sent their products to young influencers. And then came the flavors. Juul sold and shipped e-cigarettes to underage kids through its website.
One in three Massachusetts high school students has used an e-cigarette in the past month. Teenagers are 16 times more likely to be Juul users than people in their 20s.
"You cannot profit off the addiction of young people without consequences," she says. "We’re suing Juul."
View Massachusetts Attorney General Maura Healey’s video here.
Juul bought ads appearing on Cartoon Network and other youth sites, suit claims
This article provides even more damning evidence uncovered by the Massachusetts lawsuit about Juul’s determination to market to kids.
For its initial launch, Juul hired a marketing firm that would have branded Juuls as new technology tools for adult e-cigarette vapers. But Juul abandoned that idea and instead developed a youth-oriented campaign.
The lawsuit contains a long list of websites on which Juul placed its ads. A few include educational sites like,,, and Others target young girls with ads on sites like,, and The list also makes clear Juul was targeting even younger children, placing adds on,, and
Dr. Robert Jackler, Stanford University School of Medicine, says the lawsuit “adds to the compelling body of evidence that the viral uptake of Juul among youth was neither unanticipated nor unintentional as the company maintains, but rather a result of a comprehensive and purposeful effort by the company to recruit underage users.”
Other states suing Juul include Pennsylvania, Arizona, California, Illinois, Minnesota, Mississippi, New York, and North Carolina, as well as the District of Columbia.

Read New York Times article here
Read Massachusetts lawsuit, if you can stomach it, here.

Vapers show cancer-associated biological changes similar to smokers
Researchers find that people who vape have similar chemical changes in their DNA as people who smoke. These changes can cause genes to malfunction and are found in human cancers and other serious diseases.
This doesn’t mean vapers will develop cancer, lead researcher Ahmad Besaratinia, PhD, says, “but what we are seeing is that the same changes in chemical tags detectable in tumors from cancer patients are also found in people who vape or smoke, presumably due to exposure to cancer-causing chemicals present in cigarette smoke and, generally at much lower levels, in electronic cigarettes’ vapor.”
The same research group conducted an earlier study of epithelial cells taken from the mouths of vapers and smokers. That study found abnormal gene expression in a large number of genes linked to cancer.
Read University of Southern California Keck School of Medicine summary here.
Read Epigenetics study abstract here.

CDC update:
2,758 cases of severe lung injuries, 64 deaths
Emergency department visits related to e-cigarettes and vaping continue to decline as the graph above shows. As of February 4, 2020, 2,758 cases had been identified, including 64 deaths.
THC-containing e-cigarettes or vaping products are linked to most of these cases and play a major role in the outbreak. Vitamin E acetate is strongly linked to the outbreak. However, evidence is not sufficient to rule out other chemicals of concern as well.
Read CDC update here.

NFIA releases 25th podcast
from our Science Advisory Board
In our final podcast in this series, Marilyn Huestis, PhD, discusses the following key points: 1) 1999 Institute of Medicine stated no medicine should be smoked and there was a critical need for research, 2) the National Academies of Medicine looked at this again in 2017, 3) This presented an unbiased look at where we are now, and 4) there are lessons to be learned from Colorado about marijuana-infused edibles.
Listen to Dr. Huestis on Marijuana Edibles here.
This podcast concludes a series titled “What Do I Need to Know about Marijuana,” recorded by the world-renowned researchers who serve on National Families in Action’s Science Advisory Board. The complete list of podcasts in the series, which can be accessed here, follows. 

Wilson Compton, MD
If Marijuana is Medicine, How Can It Hurt Me?
What are Epidiolex, Marinol, Cesamet, and Syndros?
Predicting Future Marijuana Problems
More on Executive Function, What is the ABCD Study
Mahmoud ElSohly, PhD
What is Involved in Growing Research-Grade Marijuana?
Does Marijuana Reduce Opioid Use, Deaths?
Can Marijuana Cure Brain Cancer?
Is Marijuana the Same as Epidiolex?
Michael Kuhar, PhD
Medical Marijuana
How Does Marijuana Work in the Brain?
Understanding Marijuana Studies
Marilyn Huestis, PhD
Safe & Effective Medicines
More on Executive Function
Marijuana & Driving
Chronic Frequent Marijuana Use
State Regulations to Ensure Road Safety
How Other Nations Ensure Road Safety
Marijuana Tolerance
How Marijuana Affects Kids
Israel’s Experience & Advice for Researchers
Marijuana Edibles
Ryan Vandrey, PhD
What Does Marijuana Use Do to My Brain?
Marijuana & Opioids
Can States Regulate Marijuana Like FDA Does?
Marijuana Edibles, CBD, & What is Synthesis?

Where there’s a will, there’s a way: Colorado restricts marijuana advertising, so cannabis companies are sponsoring highways
Marijuana companies have found a workaround to bypass Colorado’s strict limits on marijuana advertising. They sponsor a highway, which enables them to put their names on the state’s Clean Colorado road signs.
It turns out that marijuana companies are the largest group of sponsors in the state, amounting to 66 percent of roadside sponsors. They pay for professional crews to clean up their stretch of highway, often located near an exit that leads to their business.
Colorado regulators prohibit marijuana businesses from advertising on TV, radio, and in print unless they can prove the audience is age 21 or older. However, a new law effective in January allows marijuana companies to leverage outdoor media, such as billboards. Those will be prohibited within 500 feet of a school, place of worship, and playgrounds and will still be subject to local regulations.
Read Denver Post story here.



In last week’s issue, an article about a new report titled Marijuana Use and Public Health in Alaska – 2020 stated incorrectly that the report covers marijuana-involved traffic crashes. While the report covers many other marijuana-related public-health measures, it does not include any about traffic crashes.
Subscribers to The Marijuana Report are forwarding copies of their issues to others, doubling and often tripling the number of people who read each issue! Thanks to those who are forwarding The Marijuana Report to others.

Your donation to NFIA supports the production of this e-newsletter. Thanks in advance for your donation!
Visit The Marijuana Report’s Facebook page. In addition to current issues of The Marijuana Report, we post several more marijuana messages each month on our Facebook page. Search Facebook for nationalfamilies to access it.
Looking for a past issue of The Marijuana ReportFind it here.
Did you know that in addition to The Marijuana Report e-newsletter, National Families in Action also publishes The Marijuana Report website? There you can find summaries of (and access to) scientific marijuana studies, the growth of the commercial marijuana industry, and what families and communities are doing to restrain it. Begin at our Welcome Page to access all the resources The Marijuana Report website offers.
The Marijuana Report is a weekly e-newsletter published by National Families in Action in partnership with SAM (Smart Approaches to Marijuana).

Visit National Families in Action's website, The Marijuana Report.Org, to learn more about the marijuana story unfolding across the nation.

Subscribe to The Marijuana Report e-newsletter.

The Marijuana Report Staff
Executive Editor, Sue Rusche. Editor, Nicole Carter. Proofreading, Harry Rusche, Professor Emeritus. IT Consultant, Lee Clontz. Social Media Coordinators, Margarita Eberline, Shannon Murphy, MD, FAAP, and Nicole Carter.
National Families in Action Board of Directors
William F. Carter, Chairman of the Board, Coldwell Banker Atlanta. Sue Rusche, President and CEO, Atlanta. Richard L. Brown, Secretary, Attorney (Ret.), Founder & Chairman, Sudden Cardiac Arrest Association, Lakewood Ranch, Florida. Jeannine F. Adams, Director, President and CEO, J. Addams & Partners, Atlanta. Jack L. Arbiser, MD, PhD, Director, Thomas J. Lawley Professor of Dermatology, Winship Cancer Institute, Emory University, Atlanta. LLP, Atlanta. Debbie Berndt, Director, Parent Movement 2.0, Walnut Creek, California. Margarita Eberline, Director, Strategy Director, Ultim Marketing, Atlanta. Robert Margolis, PhD, Director, Founder, Caron Solutions Intensive Outpatient Program, Roswell, Georgia. Shannon Murphy, MD, FAAP, Director, Birmingham, Alabama.
Senior Adviser
Kent “Oz” Nelson, Chairman and CEO (Ret.), United Parcel Service, Atlanta.

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