New Editors at Social History of Alcohol and Drugs

The ADHS is pleased to announce that the editorship of its journal, *The Social History of Alcohol and Drugs*, will be taken over by Prof. Nancy D. Campbell (Rensselaer Polytechnic Institute), Prof. David Herzberg (Buffalo) and Dr. Lucas Richert (Strathclyde). The society would also like to express its gratitude for the work that outgoing editor, […]

via New editors for SHAD — Alcohol and Drugs History Society

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Big Pharma Round-Up V (#Cannabis edition)

https://twitter.com/DavidLenigas/status/948667879368642562

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CFP Cannabis: Global Histories

19-20 April 2018
University of Strathclyde, Glasgow

In cooperation with Wellcome Trust

The Centre for the Social History of Health and Healthcare would like to invite papers for Cannabis: Global Histories at the University of Strathclyde (Glasgow) on 19-20 April 2018.

One outcome of the recent Alcohol and Drugs History Society meeting (ADHS) in Utrecht was enthusiasm for a ‘histories of cannabis’ workshop/conference to gather together the increasing number of scholars researching the topic.

Paper proposals should be based on unpublished research and should include a 300-word abstract, including a brief CV (2 page maximum). The deadline is 1 September 2017. Participants would then be asked to submit papers of c.7000-8000 words by 15 January 2018. This will enable pre-circulation of papers and also early work on editing a collection of papers for publication.

The geographical location and timeframe are open, while topics may include but are not limited to:

policy and legislation
health outcomes
trafficking and terrorism
comparative approaches
myths
science and evidence
the rise of big cannabis
art and culture

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Deadline for Proposals: 1 September 2017
Deadline for Papers: 15 January 2018

Please send your submissions or queries to :
Caroline Marley: cshhhadmin@strath.ac.uk or
Lucas Richert: Lucas.Richert@strath.ac.uk

Dried Buds

Cannabis ‘Policy Brief’ Announcement

It’s my pleasure to promote the publication of an important Policy Brief on Cannabis by Kathleen Thompson. Over the past few years she has helped drive conversations about the consumption and control of marijuana. Her recent Policy Brief ought to be read by anyone and everyone! Here’s an extract.

LEGALIZATION OF CANNABIS: THE POLICY CHALLENGES AND OPPORTUNITIES

By Kathleen Thompson, PhD, MSW, RSW, BA (Hons)

“The commitment by the Government of Canada to legalize cannabis
and cannabis products presents a complex range of socio-economic
challenges and opportunities. Creating the right legal and regulatory
framework to address the implications, both good and bad, will be
key in determining whether legalization is deemed successful public
policy.
The federal government plans to introduce cannabis legislation in the
coming spring session of Parliament. The legislation will be based on
the recommendations contained in a report issued on November 30 by
a Task Force of experts who studied the issue for the past year. The Task
Force received input from more than 30,000 Canadians, organizations
and professionals. Entitled “A Framework for the Legalization and
Regulation of Cannabis in Canada”, the report recommends allowing
more flexibility in the current federally controlled cannabis cultivation
model. Specifically, the federal government would regulate a safe and
responsible supply chain of cannabis.”

The full document, which has been sent to law enforcement and government officials across Canada, can be read on the Johnson-Shoyama website or downloaded here thompson-policy

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Large Indoor Marijuana Commercial Growing Operation With Fans, Greenhouse, Equipment For Growing High Quality Herb. Cannabis Field Growing For Legal Recreational Use in Washington State

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ABOUT KATHLEEN THOMPSON

Dr. Thompson has worked in health policy analysis and research as a bureaucrat and as a consultant for the last 25 years, specializing in the mental health, disability and corrections sectors.

In 2015, Dr. Thompson created the Cannabis Regulatory Research Group. The focus of the policy research group is on promoting collaborative public policy processes and evidenced-based research with the cannabis industry, governments, academia, civil society and at the United Nations. Additionally, Dr. Thompson consults with individuals and organizations on how to enter the legal cannabis industry.

 

 

THE FUTURE OF UK MEDICAL MARIJUANA REMAINS BLURRY

BUT THERE ARE LESSONS TO TAKE AWAY FROM CANADA

From 2014–2016, Canadian health authorities were forced to address the issue of medical marijuana, even as activist groups and industry sought to influence the decision-making process and its place in the medical marketplace. First, the system was privatized, then issues of use and access, not to mention the full-on legalization of recreational marijuana, dominated headlines.

In light of last week’s shocking medical marijuana report, the policy debate will certainly grow more heated here in the UK. The All Party Parliamentary Group on Drug Policy Reform stated there is “good evidence” cannabis can help alleviate the symptoms of several health conditions, including chronic pain and anxiety. According to Prof Mike Barnes, a leading consultant neurologist who contributed to the report, “We must legalise access to medical cannabis as a matter of urgency.”

In a recently co-edited series on Canadian cannabis called Waiting to Inhale, it became clear that medical marijuana was a supremely complex policy issue. Some of the questions included, but were not limited to, the tenuous balance between consumers and regulators, Canadian physicians as unwanted gatekeepers, marijuana as a measure (and potential leveller) of inequities, and the major struggles between Big Cannabis and craft cannabis.

Looking ahead, the UK can learn lessons from other countries, including Canada.

Background: Canadian medical cannabis

Medical marijuana has been available in Canada since 2001, after the Canadian Court of Appeal declared that sufferers from epilepsy, AIDS, cancer and other ailments had a constitutional right to light up. Prohibition of this “medicine” was, in short, unconstitutional.

The original regulation that allowed patients to access medical marijuana in Canada was enacted in 2001 and called the Marihuana Medical Access Regulations (MMAR). It allowed patients to possess dried marijuana flower/bud with a license issued by the government, provided that the application was signed off by a physician.

One strain of medicine was available for purchase from one single government supplier, Prairie Plant Systems, but optional licenses were available for patients to grow their own plants or to designate a grower to supply medicine to them.

The MMAR was repealed and replaced by the Marihuana for Medical Purposes Regulations (MMPR), enacted on Apr. 1, 2014. With this, medical marijuana was officially opened for business. And the new rules generated a craze as dozens of new entrants jumped into the marketplace.

As of Aug. 24, 2016 the MMPR was replaced with the Access to Cannabis for Medical Purposes Regulation (ACMPR). These new regulations included legislation that satisfied the latest Supreme Court decision to allow patients who possess a prescription from a doctor to grow their own medicine.

During this period, certain problems have hindered the medical marijuana industry’s growth in Canada, and Britain could learn from these.

Dispensaries vs. Big Cannabis

These stores and clubs are illegal because they procure and sell their products outside the federal medical marijuana system, which was overhauled and expanded last year to allow industrial-scale production of pot products that are mailed directly to licensed patients.

The pushback against dispensaries has come from national and local law enforcement as well as the Canadian Medical Cannabis Industry Association. Yet, the Cannabis Growers of Canada, a trade association representing “unlicensed” growers and dispensaries, have fought to be included at the table. Along with several other organizations, the CGC has lobbied the government to be included in the new legal regime.

As the New York Times put it, “a lobbying battle is raging between the new entrepreneurs and the licensed medical marijuana producers, who were the only ones allowed to grow and provide the plant under the old regulations. One side complains about being shut out by a politically connected cartel, while the other complains about unfair and damaging competition from those who are breaking the law.”

Physicians

Medical marijuana has not approved as a medicine by Health Canada, although there is a growing body of clinical evidence regarding its pain-alleviating effects.

As such, physicians in Canada have struggled with the science and ethics of medical marijuana. At the 147th annual meeting of the Canadian Medical Association in Ottawa last August, many doctors expressed serious reservations about prescribing marijuana.

Some doctors said they felt threatened or intimidated into signing prescriptions, whereas others felt as though patients were shopping for doctors. Worst of all, there were reported cases of malfeasance, where doctors charged their patients for a prescription.

The result is that the CMA remains divided on, if not outright opposed to, being the gatekeepers of medical marijuana.

Workplace Safety and Performance

With more relaxed rules around medical marijuana (along with federal legislation looking to legalize cannabis),employers are wondering whether this will grow as an issue when it comes to pre-employment or on-the-job testing.

Aside from certain industries, such as transportation, most provinces don’t have clear policies or precedents for dealing with medical marijuana.

Besides that, workplace screening of marijuana is a mediocre indicator of performance in the workplace as it doesn’t actually test for impairment. Rather, it tests for by-products excreted from the body after the drug’s been ingested.

Looking ahead, human resource departments will be forced to develop a raft of new policies.

Veterans

The core problem rests with the amount of cannabis veterans are authorized to take. In 2014, Veterans Affairs doubled the amount to 10 grams per day for eligible veterans. Yet, this is twice the amount Health Canada considers safe.

An internal Health Canada document showed that more than five grams has the potential to increase risks to the cardiovascular, pulmonary and immune systems, as well as psychomotor performance and has a chance of increasing the risk of drug dependence.

Ferguson’s office could not find any evidence to support this decision to increase the threshold. Veterans Affairs Minister Kent Hehr expressed shock in March that his department lacked an “informed policy” on the use of medical cannabis, even as the number of claims by veterans for medical marijuana grew more than tenfold over the past two years.

Vaping

The intersection of vaping and medical marijuana has also caused tension. As vaping has moved from a niche presence to mainstream practice, its unregulated nature – at the federal level – poses problems to policy-makers.

For example, the Ontario government exempted medical marijuana users in mid-November from a law that bans the use of e-cigarettes anywhere regular cigarettes are prohibited. These regulations were set to come into effect Jan. 1. This exemption meant medical marijuana users could vape in restaurants, at work or on playgrounds. However, Ontario’s associate health minister Dipika Damerla stated that the government would remove the exemption.

Local governments in various cities recently voted to implement a vaping bans in public spaces, with only a vape shop exemption predicated on “safety” concerns, specifically for the uninitiated e-cigarette user who doesn’t know how to install batteries in the device. But it was also predicated on the notion that buyers should be able to see what they’re getting, which is the same argument made by authorized medical cannabis users about the value of a local pot dispensary.

The Future

Marijuana remains a highly contested medicine for various scientific, political and social reasons. That is obvious.

Policy makers from government, industry leaders, and physicians will face considerable question marks. Cutting through all the haze won’t be an easy task, yet all participants, including the public, would be wise to use recent examples from Canada to light the way.

 

Drug History in CBMH-BCHM

The Drug Policy Alliance, an organization dedicated to the promotion of drug policies based on science, compassion, health, and human rights, recently published an article entitled the “The Real History of Drugs.”

The author, Tony Newman, asks “why are some drugs legal and some prohibited? Why do we arrest approximately 600,000 Americans each year for marijuana possession, but sell tobacco and alcohol on most corners? Why do we lock up people who use meth for years, and dole out the similar drug Ritalin to our children?”

He then answers these questions with a single statement: a mixture of racism, stigma, and the individuals perceived to be using the illegal drugs.

At the same time, the article points toward short, slick videos that address the “real” history of substances, including cocaine, cannabis, and

MDMA

as well as LSD

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The video are well-produced and easily digestible.

Here’s the thing, though. Any “real” history of drugs will require a close reading of Canadian Bulletin of Medical History/Bulletin canadien d’histoire de la médecine.

In the realm of pharmaceuticals, you have Jackie Duffin’s In View of the Body of Job Broom: A Glimpse of the Medical Knowledge and Practice of John Rolph, Stephen Francom’s Pharmacy Records at the Archives of Ontario: Their Form, Content, and Value for Research, Laura Hirshbein’s Masculinity, Work, and the Fountain of Youth: Irving Fisher and the Life Extension Institute, 1914-31, and Peters’s and Snelders’s From King Kong Pills to Mother’s Little Helpers—Career Cycles of Two Families of Psychotropic Drugs: The Barbiturates and Benzodiazepines.

(In fact, the entire volume in which Peters and Snelders published their work contains wonderful, wide-ranging drugs-related articles.)

Then, in the realm of intoxicants and addiction, there’s Krasnick’s Because there is Pain: Alcoholism, Temperance and the Victorian Physician, Dan Malleck’s “Its Baneful Influences Are Too Well Known”: Debates over Drug Use in Canada, 1867-1908, Catherine Carstairs’s Deporting “Ah Sin” to Save the White Race: Moral Panic, Racialization, and the Extension of Canadian Drug Laws in the 1920s, and Dan Malleck’s (yes, Malleck again) “A State Bordering on Insanity”?:Identifying Drug Addiction in Nineteenth-Century Canadian Asylums.

Look, this is not a comprehensive list of all the articles that tackle drugs in CBHM-BCHM. Instead, this is just to provide a flavour…

So, when you’re looking for the “real” history of drugs, go further, dig deeper, and read happily. When you’re looking for answers to questions like those posed by Tony Newman, hit up the CBHM-BCHM.

Enjoy.

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For more on what I’m doing with the CBMH/BCMH, please see the announcement here and be sure to visit https://cshm-schm.ca/

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