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NFIA releases 8th podcast:
Wilson Compton, MD, on “If Marijuana is Medicine, How Can It Hurt Me?”
Wilson Compton, MD, is deputy director of the National Institute on Drug Abuse (NIDA). One of the National Institutes of Health, NIDA supports most of the world’s research on the health aspects of drug abuse and addiction. Dr. Compton works with NIDA director, Nora Volkow, MD, to provide scientific leadership of the institute’s research portfolio.
In this podcast, Dr. Compton addresses the difference between the whole marijuana plant and the chemicals it contains. He explains that just because something is “legal” does not make it “safe” (like tobacco, for example). He makes clear that consumers in states that legalize marijuana for medical use cannot count on being protected from drugs that are unsafe or ineffective. In addition,  he warns consumers that CBD is a largely unregulated industry.
Listen to “If Marijuana is Medicine, How Can It Hurt Me” here.
At this link, you can also hear previously released podcasts from National Families in Action’s Science Advisory Board. These include:
7-More on Executive Function, Dr, Marilyn Huestis
6-What is Involved in Growing Research-Grade Marijuana? Dr. Mahmoud ElSohly
5-Safe and Effective Medicines, Dr. Marilyn Huestis
4-Medical Marijuana, Dr. Michael Kuhar
3-How Other Nations Ensure Road Safety, Dr. Marilyn Huestis,
2- State Regulations to Ensure Road Safety, Dr. Marilyn Huestis
1-Marijuana and Driving, Dr. Marilyn Huestis

Michigan becomes first state
to ban flavored e-cigarettes
Today, Michigan Governor Gretchen Whitmer banned the sale of flavored e-cigarette products. She took executive action based on her state health department’s declaration that youth vaping constitutes a public health emergency.
She says e-cigarette companies are using flavors like bubble gum and “fruit loops” to hook kids on nicotine, with potential long-term health consequences.
The ban goes into effect today, will last six months, and can be renewed for an additional six months while state officials develop permanent rules banning e-cigarette flavors.
The ban applies to retail and online sales. Businesses have 30 days to comply.
Several cities and communities have taken similar action. San Francisco has banned the sale of all e-cigarettes, effective next year.
Read Washington Post story here.

Marijuana and alcohol use among injured drivers evaluated at Level I trauma centers in Arizona, 2008-2014
A study published in Drug and Alcohol Dependence finds that during 2008-2014, 30,083 Arizona drivers were treated at Level I trauma centers. Nearly half (14,710) had marijuana tests results and, of those, 2,590 were positive.
In addition, 23,186 had alcohol results. Of those, 5,266 drivers exceeded the legal limit.
Forty-two percent of the marijuana-positive drivers also tested positive for alcohol.
Arizona legalized marijuana for medical use in 2011, which is now associated with an increase in marijuana positivity.
“By the end of 2014, the proportion of drivers testing positive for marijuana was 9.6% versus a projected 5.6% if the law had not been enacted, and the proportion of drivers with illegal BACs was 15.7% versus a projected 8.2%.” 
Read study abstract here.
CDC issues health advisory:
Severe pulmonary disease
associated with using e-cigarette products
Last Friday, the Centers for Disease Control and Prevention (CDC) issued a health advisory about cases of severe lung disease associated with e-cigarettes. The advisory provides the following information: 
  1. Background information on e-cigarettes
  2. Background information on the emergence of severe lung damage and its characteristics
  3. Recommendations for clinicians
  4. Recommendations for public health officials
  5. Recommendations for the public 
As of August 27, 2019, 215 cases have been reported from 25 states and more cases are under investigation, notes the Advisory. All patients have used e-cigarettes and many vaped THC or CBD.
It explains the terminology used to describe these products, serving as an inadvertent teaching guide for parents concerned their children may be using drugs. The recommendations for clinicians and public health officials contain guidelines for identifying further cases from various sources.
Recommendations for the public include this advice:
  1. If concerned about these health risks, refrain from using e-cigarettes products.
  2. Do not buy off the street or modify e-cigarette, THC, or other cannabinoid products.
  3. E-cigarette products should not be used by youth, young adults, pregnant women or by non-smoking adults.
  4. Adult smokers trying to quit should use only FDA-approved medications.
  5. If concerned about harmful effects from e-cigarette products, call local poison control centers at 1-800-222-1222.
  6. Submit any unexpected tobacco or e-cigarettes-related health or product issues to FDA here. 
Along with the Advisory, CDC director Robert R. Redfield, MD, and FDA acting director Ned Sharpless, MD, issued a statement explaining the steps both agencies are taking to unravel what precisely is causing the cases of severe e-cigarette-associated lung damage that are emerging in the states.
Read CDC Health Advisory here
Read statement from CDC and FDA directors here.

One Choice: A webinar by
Robert DuPont, MD, and Carolyn DuPont, MD
A study published last year in Pediatrics by several researchers including Robert DuPont, MD, and Corinne Shea, MA, of the Institute for Behavior and Health, finds that increasing numbers of high school students are rejecting the use of marijuana, alcohol, nicotine, and other drugs.
The researchers analyzed data from the Monitoring the Future Survey from when it began with students in Grade 12 (from 1975 forward) and in Grades 8 and 10 (from 1991 forward).
Only 5.1 percent of students in Grade 12 had abstained from alcohol, nicotine, marijuana and illicit drug use, compared to 25.7 percent in 2014.
The difference is even more startling among younger students: 
  • Grade 10 – 12.9 percent in 1991 compared to 40 percent in 2014
  • Grade 8 – 24 percent in 1991 compared to 62.9 percent in 2014 
Further, it turns out that adolescents who don’t use marijuana, use far fewer other illicit drugs than those who do use marijuana. The same is true for alcohol and nicotine use. Those who use these three gateway drugs are many times more likely to use other drugs than those who do not.
Recently, Robert DuPont and his daughter Carolyn DuPont, both doctors and president and vice president, respectively, of the Institute for Behavior and Health, gave a fascinating webinar on this phenomenon.
They present graphs of all these data in the webinar and call upon prevention practitioners to help adolescents make One Choice for health – no use of marijuana, alcohol, and nicotine.
Read Pediatrics study here. View webinar here.  
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 Report?
  Find 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
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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