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This week’s podcast: 
Ryan Vandrey on marijuana and opioids

Ryan G. Vandrey, PhD, is associate professor of psychiatry and behavioral sciences at Johns Hopkins School of Medicine. His research focuses on the behavioral pharmacology of marijuana in adult research volunteers, clinical trials, web-based survey research, and patients using marijuana or cannabinoids for therapeutic purposes.
Key Points 
  • Correlation but not causality
  • States with lower opioid death rates may have implemented other programs
  • Population studies don’t apply to individuals; need to look at individual patients
  • Need to compare marijuana pain relief with standard pain relievers instead of placebos
Listen to Dr. Vandrey talk about marijuana and opioids here.

Up Next Week? Dr. ElSohly on Can Marijuana Cure Brain Cancer?

CDC lung injury cases and deaths
continue to climb
As of October 15, 1,479 cases of lung injury illnesses associated with vaping had been identified in 49 states and one US territory. CDC reports 33 people in 24 states have died from the illness.
THC is present in most of the samples tested by FDA, and most patients report a history of THC use. CDC recommends that no one use e-cigarette or vaping products containing THC.
Because the specific cause or causes are not known, CDC recommends refraining from using all e-cigarettes and vaping products.
E-cigarettes work by heating a liquid to produce aerosol that users inhale into their lungs. The liquid can contain nicotine, THC or CBD, and other substances and additives.
Read CDC Update here. Read Morbidity and Mortality Weekly Report article about vaping illnesses in Utah here.
The medical marijuana industry in Arizona is the primary funder behind a ballot initiative to legalize the drug for recreational use. Prescott resident Sally Schindel wrote a letter to the editor that reveals the emperor really has no clothes.
Do you know anyone who takes Synthroid, Crestor, Lyrica or Januvia for fun? Neither do I. Medicine is for health care purposes, strictly dosed and prescribed. When people start thinking of medicine as “recreational,” you get the opioid crisis. What if OxyContin or fentanyl or other opioids were made legal for “recreation?”
Yet big corporations behind medical marijuana are now telling Arizonans that the same marijuana products they sell as “medicine” should also be made available for recreational use to anyone who wants them. Not even Purdue Pharma, maker of OxyContin, was that brazen.
But here’s the deal. They need signatures to put their initiative on the 2020 ballot. They need Arizonans to swallow their twisted argument that medicine can be taken for fun. If Big Pharma came asking you to sign a petition to make their drug available for recreational use, you’d laugh in their faces. Do the same when Big Marijuana asks for the same thing. Please do not sign those petitions.
Sally Schindel
Prescott (Ariz.) Daily Courier, October 21, 2019

Reprinted with permission from the author.
Quebec pot arrests behind the wheel
up 54% since legalization

Marijuana has been legal in Canada for one year. In that time, police in the province of Quebec say they pulled over 113 drivers for impaired driving, compared to 73 drivers the year before, a 54 percent increase.
Quebec’s black market is thriving. Over the past year, Quebec police seized the following illegally grown or produced products: 71,500 cannabis plants, 161 kilograms of cannabis, 15.8 kilograms of cannabis oil and resin, 23,460 units of edible cannabis, and $180,000 in cash.
Read Montreal Gazette story here.

Male marijuana use might
double the risk of partner's miscarriage
A first-of-its-kind study shows that for men who use marijuana one or more times a week, their partners are twice as likely to miscarry than partners of men who use the drug less than once a week or not at all.

A Boston University School of Public Health researcher, Alyssa Harlow, analyzed more than six years of lifestyle and behavior data of 1,535 heterosexual couples actively trying to conceive. Most studies of miscarriage look at the mother’s behavior. This is the first study to look at the father’s potential role in miscarriage.
One study does not make a conclusion, Ms. Harlow warns. More studies are needed before any concrete conclusions can be made.
Read story published in Boston University’s The Brink here.
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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.

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The Marijuana Report Staff
Executive Editor
Sue Rusche
Nicole Carter
Harry Rusche, Professor Emeritus
IT Consultant
Lee Clontz
Social Media Coordinator
Margarita Eberline
We are grateful to our Board of Directors and Senior Adviser for their support of National Families in Action, which produces The Marijuana Report website and e-newsletter.
National Families in Action
Board of Directors

William F. Carter, Chairman of the Board
Realtor Berkshire Hathaway HomeServices – Georgia Properties, Atlanta.
Sue Rusche, President and CEO, Atlanta.
Richard L. Brown, Secretary
Attorney (Ret.), Lakewood Ranch, Florida
Founder & Chairman, Sudden Cardiac Arrest Association 
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
William H. Avery, Director
Partner (Ret.), Alston & Bird, LLP, Atlanta.
Margarita Eberline, Director
Strategy Director, 360 Marketing Plus, 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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