The U.S. Surgeon General issued an advisory on Thursday that warns about the risks of using marijuana, particularly for pregnant women and adolescents. But it also contains misleading statements about the cannabis legalization movement.
The advisory, the publication of which will be partially funded by a $100,000 donation out of President Donald Trump’s salary, states that no amount of cannabis is safe and emphasizes that THC potency of marijuana products has increased, which Surgeon General Jerome Adams claimed puts consumers at risk of “physical dependence, addiction, and other negative consequences.”
— HHS.gov (@HHSGov) August 29, 2019
“There is a false perception that marijuana is not as harmful as other drugs,” Adams said in a press release. “I want to be very clear—no amount of marijuana use during pregnancy or adolescence is known to be safe.”
“I, Surgeon General VADM Jerome Adams, am emphasizing the importance of protecting our Nation from the health risks of marijuana use in adolescence and during pregnancy. Recent increases in access to marijuana and in its potency, along with misperceptions of safety of marijuana endanger our most precious resource, our nation’s youth.”
— U.S. Surgeon General (@Surgeon_General) August 29, 2019
While the notice doesn’t explicitly say that states should not legalize marijuana, it contends that the movement to end prohibition and the “normalization of its use” has caused youth to perceive the drug as less harmful.
“In addition, high school students’ perception of the harm from regular marijuana use has been steadily declining over the last decade,” it states. “During this same period, a number of states have legalized adult use of marijuana for medicinal or recreational purposes, while it remains legal under federal law. The legalization movement may be impacting youth perception of harm from marijuana.”
Missing from the report, however, is an acknowledgment that the federal government’s own data shows that despite shifting attitudes about cannabis, adolescent marijuana consumption has actually declined in the years since states began legalizing for recreational use.
“Marijuana’s increasingly widespread availability in multiple and highly potent forms, coupled with a false and dangerous perception of safety among youth, merits a nationwide call to action,” the advisory states.
“Today’s advisory serves as an important reminder of the health risks marijuana use poses, especially when it comes to young people and pregnant women,” White House Office of National Drug Control Policy Director Jim Carroll said. “While laws in some states have changed, the scientific evidence increasingly shows the harmful effects of marijuana use.”
“We are focused on making sure all Americans are aware of the dangers of marijuana use and the impact it has on developing minds,” he said. “The White House continues to make record investments to support community coalitions across the country that are dedicated to preventing youth substance use before it begins.”
U.S. Department of Health and Human Services (HHS) Secretary Alex Azar said cannabis is “a dangerous drug, especially for young people and pregnant women.”
— ADM Brett P. Giroir (@HHS_ASH) August 29, 2019
“This historic Surgeon General’s advisory is focused on the risks marijuana poses for these populations, which have been well-established by scientific evidence,” he said. “As indicated by President Trump’s generous donation of his salary to support this advisory, the Trump Administration is committed to fighting substance abuse of all kinds, and that means continuing research, education, and prevention efforts around the risks of marijuana use.”
Today's @Surgeon_General Advisory has a clear message: No amount of #marijuana use during pregnancy or adolescence is known to be safe. @POTUS’s salary donation will fund a campaign to educate the public about marijuana's dangers for the developing brain: https://t.co/xSmQo9jcgr pic.twitter.com/c8kphrtp9k
— Secretary Alex Azar (@SecAzar) August 29, 2019
Adams and Azar discussed the advisory during a press conference on Thursday, where the HHS head also said marijuana is “linked to risk for and early onset of psychotic disorders, such as schizophrenia.”
Thank you @SecAzar, I am proud to stand with you to sound a national alarm about the harmful effects of #marijuana use on the developing brain with my new Surgeon General’s Advisory. #MJBrainEffects pic.twitter.com/x2G36sAMoX
— U.S. Surgeon General (@Surgeon_General) August 29, 2019
Even while expressing concern about the potential harms of marijuana, Azar emphasized that the administration supports expanding research into the plant’s effects—something that the Justice Department is also encouraging by announcing this week that it is taking steps to approve additional cannabis manufacturers for research purposes.
“We want to make sure that research can be conducted effectively, and we know there are significant barriers to the conduct of research,” Azar said. “We want to open that up for much more research, and that is a priority of this administration.”
To be sure, many reform advocates share concerns about potential risks associated with marijuana use by young people and vulnerable populations. That’s why states that have adopted legalization models expressly prohibiting people under 21 from purchasing cannabis and certain legal states like California require labels to warn adults about consuming while pregnant or breastfeeding.
Legalization supporters point out that if marijuana weren’t prohibited at the federal level, the Surgeon General could hypothetically mandate that cannabis product packaging contain warnings similar to those required for tobacco products.
“Almost no activity is entirely without risk, which is exactly why marijuana should be legalized and regulated for adult use,” Erik Altieri, executive director of NORML, told Marijuana Moment. “While marijuana still remains objectively less harmful to the consumer than currently legal alcohol, tobacco and many pharmaceuticals, it should still be consumed responsibly.”
“Our current model of prohibition represents the utter lack of control over any aspect of marijuana or the marijuana market,” he said. “If he truly has concerns, the surgeon general’s time would be better spent advocating for a structure for regulation under which we can educate Americans about the actual harms and benefits of cannabis through public education campaigns and product labelling, instead of his current fear-mongering.”
David Nathan, a physician and board president of the pro-legalization group Doctors for Cannabis Regulation (DFCR), told Marijuana Moment that “DFCR physicians share Dr. Adams’ concern about the potential risks of cannabis use by adolescents and pregnant women” but that the group wishes he “shared our concern for the poverty that results from the economic impact of 600,000 cannabis possession arrests every year, as poverty is by far the greatest obstacle to health care access in the United States.”
“Cannabis is less harmful than many legal drugs and is non-lethal in overdose, yet millions of lives have been destroyed by its prohibition, especially in communities of color,” Nathan said. “The vilification of cannabis by the US government isn’t based in science. It is rooted in a misguided morality around adults who choose to use the drug.”
“To prevent access by minors, and to ensure proper labeling about the lack of data around use in pregnancy, the cannabis industry should be regulated rather than prohibited. We must stop using a sledgehammer to kill a weed and enact policies that optimize public health and social justice.”
Former Surgeon General Joycelyn Elders, who sits on DFCR’s honorary board, shares that perspective. Elders supports legalization and said in 2017 that the “unjust prohibition of marijuana has done more damage to public health than has marijuana itself.”
The advisory calls for “[s]cience-based messaging campaigns and targeted prevention programming” in order to “ensure that risks are clearly communicated and amplified by local, state, and national organizations.”
“Further research is needed to understand all the impacts of THC on the developing brain, but we know enough now to warrant concern and action,” the notice states, again without acknowledging the role federal prohibition has played in inhibiting such research. “Everyone has a role in protecting our young people from the risks of marijuana.”
Prohibitionist group Smart Approaches to Marijuana, whose president teased the surgeon general’s announcement in a tweet earlier this week, said in a press release that they “look forward to working with HHS and other federal government officials to help raise awareness to the harmful health impacts of marijuana commercialization and use.”
This story has been updated to include comments from Doctors for Cannabis Regulation.
Photo courtesy of Twitter/Surgeon General.
Virginia Has Sealed 64,000 Marijuana Distribution Charges Since Legalization Took Effect This Summer
“These aren’t just numbers and there are families attached.”
By Ned Oliver, Virginia Mercury
Virginia has sealed records documenting more than 64,000 misdemeanor marijuana distribution charges since the state legalized the drug in July.
The figure came out Thursday during a meeting of the legislature’s Cannabis Oversight Commission.
Officials said the records were scrubbed from the state’s criminal record database, which is used by employers like school boards, state agencies and local governments to screen employees.
The state had already sealed 333,000 records detailing charges of simple possession last year after the state reduced the offense to a civil infraction on par with a traffic offense, said Shawn G. Talmadge, the Deputy Secretary of Public Safety and Homeland Security.
Lawmakers directed the state to expand that effort when they voted to broadly legalize recreational use of marijuana earlier this year.
The legislature also agreed to a broader expungement reform that will automatically seal other misdemeanor charges, including underage possession of alcohol, use of a fake ID, petit larceny, trespassing and disorderly conduct. Talmadge said those charges will remain in the system until the state finishes updating the software it uses to track criminal records.
“As of right now, the process is proceeding,” he said.
The Virginia Joint Commission on Cannabis Oversight is meeting now. You can find the agenda and links to livestream and to provide public comment at https://t.co/f1wsPn7SV7
— Jennifer McClellan (@JennMcClellanVA) October 14, 2021
Members of the oversight commission also heard from two advocates who urged them to move fast to address people currently imprisoned for marijuana offenses—a category of people the legalization legislation passed this year did not address.
Chelsea Higgs Wise, the leader of the advocacy group Marijuana Justice, and Gracie Burger, with the Last Prisoner Project, said Department of Corrections data suggests there are currently 10 people being held solely on serious marijuana charges.
They said it remains unknown how many more are being held because of marijuana related probation violations.
“These aren’t just numbers and there are families attached,” Burger said.
DEA Proposes Dramatic Increase In Marijuana And Psychedelic Production In 2022, Calling For 6,300 Percent More MDMA Alone
The Drug Enforcement Administration (DEA) is proposing a dramatic increase in the legal production of marijuana and psychedelics like psilocybin, LSD, MDMA and DMT to be used in research next year.
In a notice scheduled to be published in the Federal Register on Monday, the agency said there’s been a “significant increase in the use of schedule I hallucinogenic controlled substances for research and clinical trial purposes,” and it wants authorized manufacturers to meet that growing demand.
DEA had already massively upped its proposed 2021 quota for cannabis and psilocybin last month, but now it’s calling for significantly larger quantities of research-grade marijuana and a broader array of psychedelics to be manufactured in 2022.
It wants to double the amount of marijuana extracts, psilocybin and psilocyn, quadruple mescaline and quintuple DMT. What especially stands out in the notice is MDMA. The agency is proposing an enormous 6,300 percent boost in the production of that drug—from just 50 grams in 2021 to 3,200 grams in the coming year—as research into its therapeutic potential continues to expand.
LSD would see a 1,150 percent increase, up to 500 grams of the potent psychedelic.
Marijuana itself would get a 60 percent boost under DEA’s proposal, up to 3.2 million grams in 2022 from the 2 million grams last year.
Here’s a visualization of the proposed quota increase from 2021 to 2022 for marijuana and cannabis extracts:
For all other THC, psilocybin, psilocyn and MDMA:
And for other psychedelic substances like LSD, mescaline and DMT:
DEA said in the Federal Register notice that it has been receiving and approving additional applications to “grow, synthesize, extract, and manufacture dosage forms containing specific schedule I hallucinogenic substances for clinical trial purposes” to achieve these ambitious quotas.
“DEA supports regulated research with schedule I controlled substances, as evidenced by increases proposed for 2022 as compared with aggregate production quotas for these substances in 2021,” the agency said, adding that it working “diligently” to process and approve marijuana manufacturers applications in particular, as there’s currently only one farm at the University of Mississippi that’s permitted to cultivate the plant for research.
“Based on the increase in research and clinical trial applications, DEA has proposed increases in 3,4- Methylenedioxyamphetamine (MDA), 3,4-Methylenedioxymethamphetamine (MDMA), 5-Methoxy-N,N-dimethyltryptamine, Dimethyltryptamine, Lysergic acid diethylamide (LSD), Marihuana, Marihuana Extract, Mescaline, Psilocybin, Psilocyn, and All Other Tetrahydrocannabinols to support manufacturing activities related to the increased level of research and clinical trials with these schedule I controlled substances.”
Here are the exact numbers for the proposed 2021 and 2022 quotas:
|All other tetrahydrocannabinol||1,000||2,000|
A 30-day public comment period will be open after the notice is formally published on Monday.
It’s difficult to overstate just how significant the proposed 2022 increases are, but it’s certainly true that scientific and public interest in marijuana and psychedelics has rapidly increased, with early clinical trials signaling that such substances show significant therapeutic potential.
National Institute on Drug Abuse (NIDA) Director Nora Volkow told Marijuana Moment in a recent interview that she was encouraged by DEA’s previous proposed increase in drug production quota. She also said that studies demonstrating the therapeutic benefits of psychedelics could be leading more people to experiment with substances like psilocybin.
Advocates and experts remain frustrated that these plants and fungi remain in the strictest federal drug category in the first place, especially considering the existing research that shows their medical value for certain conditions.
A federal appeals court in August dismissed a petition to require the DEA to reevaluate cannabis’s scheduling under the Controlled Substances Act. However, one judge did say in a concurring opinion that the agency may soon be forced to consider a policy change anyway based on a misinterpretation of the therapeutic value of marijuana.
Separately, the Washington State attorney general’s office and lawyers representing cancer patients recently urged a federal appeals panel to push for a DEA policy change to allow people in end-of-life care to access psilocybin under state and federal right-to-try laws.
Image element courtesy of Kristie Gianopulos.
Supreme Court Won’t Hear Case On Legalizing Safe Drug Consumption Sites, But Activists Are Undeterred
The U.S. Supreme Court (SCOTUS) has rejected a request to hear a case on the legality of establishing safe injection sites where people can use illicit drugs in a medically supervised environment.
The justices announced on Tuesday that they decided against taking up the case raised by the nonprofit Safehouse, despite the pleas of attorneys general from 10 states and D.C. who recently filed amici briefs urging the court’s involvement.
Representatives from 14 cities and counties, as well as the mayor of Philadelphia, which is at the center of the current case, also filed briefs in support of the case in recent days.
Safehouse was set to launch a safe consumption site in Philadelphia before being blocked by a legal challenge from the Trump administration. It filed a petition with the nation’s highest court in August to hear the case.
But while the Supreme Court declined to take action—and the Biden administration passed up its voluntary opportunity to weigh in at this stage, which may well have influenced the justices’ decision—activists say the battle will continue at a lower federal court level, where the administration will have to file briefs revealing its position on the issue.
Disappointed but not surprised U.S. Supreme Court declined to hear our case. We’re pursuing our claims in federal court. As that litigation proceeds, Biden administration will have to take a position, which it avoided by waiving its right to respond to our Supreme Court petition.
— Safehouse (@SafehousePhilly) October 13, 2021
“We were disappointed that the government chose not to respond to our petition,” Safehouse Vice President Ronda Goldfein told Filter. “They said, ‘We’re going to waive our right to respond,’ [and] the Supreme Court declined to review our case. Ordinarily that sounds like the end of the road—but in our case we are still pursuing our claims in a different venue.”
That venue will be the the federal district court in Philadelphia, where activists plan to submit multiple arguments related to religious freedom and interstate commerce protections. The Biden administration will be compelled to file a response in that court by November 5.
“If they don’t respond, they lose,” Goldfein said.
A coalition of 80 current and former prosecutors and law enforcement officials—including one who is President Joe Biden’s pick for U.S. attorney of Massachusetts—previously filed a brief urging the Supreme Court to take up Safehouse’s safe injection case.
Fair and Justice Prosecution, the group that coordinated the amicus brief, also organized a tour of Portugal for 20 top prosecutors in 2019 so they could learn about the successful implementation of the country’s drug decriminalization law.
If the Supreme Court were to have taken the case and rule in favor of Safehouse, it could have emboldened advocates and lawmakers across the country to pursue the harm reduction policy.
The governor of Rhode Island signed a bill in July to establish a safe consumption site pilot program where people could test and use currently illicit drugs in a medically supervised environment. It became the first state in the country to legalize the harm reduction centers. It’s not clear whether the Department of Justice will seek to intervene to prevent the opening of such facilities in that state.
Massachusetts lawmakers advanced similar legislation last year, but it was not ultimately enacted.
A similar harm reduction bill in California, sponsored by Sen. Scott Wiener (D), was approved in the state Senate in April, but further action has been delayed until 2022.