OPUNITE, profile picture
Uploaded byOPUNITE
PPTX, PDF1,197 views

Rx15 tt tues_200_1_thau_2gorman

This document provides a summary of a presentation on translating the science on marijuana into effective public health messages. The presentation aimed to understand the latest science on marijuana use and how to frame prevention messages. It identifies concerns related to marijuana use and legalization such as addiction, impaired driving, and negative impacts on adolescent brain development and academic achievement. The presentation argues for using strong evidence from research to change the discussion on marijuana from complicated to simple and from negative to positive. It provides sample messages focused on how marijuana use could negatively impact things people care about like education, employment, and highway safety.

Embed presentation

Downloaded 78 times
1 / 142
2 / 142
3 / 142
4 / 142
5 / 142
6 / 142
7 / 142
8 / 142
9 / 142
10 / 142
11 / 142
12 / 142
13 / 142
14 / 142
15 / 142
16 / 142
17 / 142
18 / 142
19 / 142
20 / 142
21 / 142
22 / 142
23 / 142
24 / 142
25 / 142
26 / 142
27 / 142
28 / 142
29 / 142
30 / 142
31 / 142
32 / 142
33 / 142
34 / 142
35 / 142
36 / 142
37 / 142
38 / 142
39 / 142
40 / 142
41 / 142
42 / 142
43 / 142
44 / 142
45 / 142
46 / 142
47 / 142
48 / 142
49 / 142
50 / 142
51 / 142
52 / 142
53 / 142
54 / 142
55 / 142
56 / 142
57 / 142
58 / 142
59 / 142
60 / 142
61 / 142
62 / 142
63 / 142
64 / 142
65 / 142
66 / 142
67 / 142
68 / 142
69 / 142
70 / 142
71 / 142
72 / 142
73 / 142
74 / 142
75 / 142
76 / 142
77 / 142
78 / 142
79 / 142
80 / 142
81 / 142
82 / 142
83 / 142
84 / 142
85 / 142
86 / 142
87 / 142
88 / 142
89 / 142
90 / 142
91 / 142
92 / 142
93 / 142
94 / 142
95 / 142
96 / 142
97 / 142
98 / 142
99 / 142
100 / 142
101 / 142
102 / 142
103 / 142
104 / 142
105 / 142
106 / 142
107 / 142
108 / 142
109 / 142
110 / 142
111 / 142
112 / 142
113 / 142
114 / 142
115 / 142
116 / 142
117 / 142
118 / 142
119 / 142
120 / 142
121 / 142
122 / 142
123 / 142
124 / 142
125 / 142
126 / 142
127 / 142
128 / 142
129 / 142
130 / 142
131 / 142
132 / 142
133 / 142
134 / 142
135 / 142
136 / 142
137 / 142
138 / 142
139 / 142
140 / 142
141 / 142
142 / 142
Trending Topics Track The Naked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Presenters: • Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America • Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA) Moderator: Nancy Hale, President and CEO, Operation UNITE
Disclosures Susan R. Thau, MCRP; Thomas J. Gorman; and Nancy Hale have disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
Disclosures • All planners/managers hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months. • The following planners/managers have the following to disclose: – Kelly Clark – Employment: Publicis Touchpoint Solutions; Consultant: Grunenthal US – Robert DuPont – Employment: Bensinger, DuPont & Associates-Prescription Drug Research Center – Carla Saunders – Speaker’s bureau: Abbott Nutrition
Learning Objectives 1. Identify concerns related to marijuana, medical marijuana and legalization. 2. Evaluate the impact of marijuana legalization in Colorado. 3. Describe the impact of marijuana use on the adolescent brain. 4. Explain how to track the impact of medical marijuana and marijuana legalization on public health and safety. 5. Prepare attendees to deliver science-based messages that resonate with the general public.
The Naked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Sue Thau, Public Policy Consultant, Community Anti-Drug Coalitions of America 5
Sue Thau, Public Policy Consultant, Community Anti-Drug Coalitions of America, has disclosed no relevant, real or apparent personal or professional financial relationships with proprietary entities that produce health care goods and services. 6
Goals • Understand the latest science about marijuana use • Understand how CADCA has framed marijuana prevention messages from the science • Understand how to employ these prevention messages locally to educate residents and key community leaders 7
“The naked truth is always better than the best-dressed lie.” – Ann Landers 8
Marijuana is Addictive 9 • Long-term marijuana use can lead to addiction. Approximately 9 percent of users will become addicted to marijuana. • This number increases to 17 percent among those who start young. Budney AJ, Vandrey RG, Hughes JR, Thostenson JD, Bursac Z. 2008. “Comparison of cannabis and tobacco withdrawal: Severity and contribution to relapse.” J Subst Abuse Treat, e-publication ahead of print.
who start using marijuana in adolescence become addicted. So…1 in 6 Young People National Institutes of Health, National Institute on Drug Abuse. 2011. Topics in Brief: Marijuana. Available: http://www.drugabuse.gov/publications/topics-in-brief/marijuana 10
According to the 2014 Monitoring the Future Survey, perceptions about the risks of marijuana are going down among 12th graders. 11
FACTS on Medical Marijuana • Less than 3% of state “medical marijuana” users have cancer, HIV, or glaucoma. • Vast majority are white males in 30s and 40s with self-diagnosed pain. • Most cancer doctors and other physicians do not recommend smoking or ingesting marijuana. California average medical marijuana patient statistics, found at: O'Connell, T and Bou-Matar , C.B. (2007). Long term cannabis users seeking medical cannabis in California (2001–2007): demographics, social characteristics, patterns of cannabis and other drug use of 4117 applicants. Harm Reduction Journal, 12
FACTS on Medical Marijuana –Is not even good for conditions it is touted for –Could exacerbate symptoms (American Glaucoma Society) 1American Glaucoma Foundation. Available: http://www.glaucomafoundation.org/UserFiles/File/TGF_Summer_10_Web.pdf 1 13
Medical Marijuana Is Easily Diverted To Youth • Teens who know somebody with a medical marijuana license are more like than those who don’t to report ‘fairly’ or ‘very’ easy access to marijuana • 74% of Denver-area teens in treatment said they used somebody else’s medical marijuana an average of 50 times Thurstone, 2013; Salomonsen-Sautel et al., 2012 14
Diversion To Youth 15
Increased Use Among Teens Pacula et al found that two features of medical marijuana – home cultivation and dispensaries – are positively associated with youth marijuana use and “have important implications for states considering legalization of marijuana.” Wall, M., et al., 2011; Johnston, L.D., et al., 2011. and Pacula et al 2013 Pacula slide 16
17
A Recent Australian Study on Individuals Prescribed Opioid Painkillers That Also Used “Medical Marijuana” (1 in 6 participants) • Were more likely to take opioids in ways not recommended by their doctor • Were over twice as likely to have an alcohol use disorder and four times as likely to have a heroin use disorder • Medical marijuana users were over 50 percent more likely to be taking anti-anxiety medications (benzodiazepines), which when combined with opioids are particularly likely to cause an overdose Degenhardt, Louisa. ,Humphreys, Keith. Medical Marijuana and the Risk of Painkiller Overdose. Scope, Published by Stanford Medicine. January 13, 2015. Experience of adjunctive cannabis use for chronic non-cancer pain: Findings from the Pain and Opioids IN Treatment (POINT) study. Drug Alcohol Depend. 2015 Feb . http://www.ncbi.nlm.nih.gov/pubmed/25533893 18
19
20
Play #1 •Pass “medical” marijuana initiatives 21
Using “Marijuana as Medicine” a “Permission Structure” was built about the safety and acceptability of marijuana use with the general public.
23
24
25
Play #2 • Open “medical” marijuana dispensaries 26
Play #3 •Full legalization of marijuana 27
The Ultimate Play? •Full legalization of all drugs 28
“I’m always telling my marijuana reform allies, when they say we need to legalize marijuana and get tougher on the other drugs, ‘shut the hell up’” The whole, of course, is safe and legal access to all drugs. Cocaine. Heroin. Hash. Ecstasy. “Legalize all drugs? The man behind loosening pot laws in US eyes new goal” Available: http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all- drugs-the-man-behind-loosening-pot-laws-in-us-eyes-new-goal Ethan Nadelmann – Head of Drug Policy Alliance 29
HOW TO FRAME OUR MESSAGES TO WIN BACK THE PUBLIC 30
Using Science with High Evidence from NIDA to Change the Frame: From negative to positive From “old” to “new” From complicated to simple 31
Volkow, Nora M.D., Baler, Ruben D. Ph.D., Compton, Wilson M. M.D., Weiss, Susan Ph.D. Adverse Health Effects of Marijuana Use. The New England Journal of Medicine. June 5, 2014. NIDA Scientific Evidence Marijuana Effects on Health and Well-Being. Overall Level of Confidence* Addiction to marijuana and High other substances Diminished lifetime achievement High Motor vehicle accidents High Symptoms of chronic bronchitis High
33 Based on the Science We need to give people an “A Ha! I got it!” message. It’s going to actually affect ME. Best Example: Second Hand Smoke
If you care about academic achievement: You need to care about increased marijuana use. 34
Because: Use by age 15= 1.) 3.6 times less likely to graduate from high school 2.) 2.3 times less likely to enroll in college 3.) 3.7 times less likely to get college degree. Thurstone, Christian, Dr. Marijuana Use & Pregnancy. May 14, 2014. Available at http://drthurstone.com/?s=pregnancy&x=0&y=0. 35
Because: Marijuana Use Lowers IQ1 • A recent study found that those who used marijuana heavily in their teens and continued through adulthood showed a permanent drop in IQ of 8 points. • A loss of 8 IQ points could drop a person of average intelligence into the lowest third of the intelligence range. 1M.H. Meier, Avshalom Caspi, et al. 2012. “Persistent cannabis users show neuropsychological decline from childhood to midlife.” Proceedings of the National Academy of Sciences 36
37 The more a student uses marijuana, the lower their grade point average is likely to be and the more likely they are to drop out of school.1 1 Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E.. University of Michigan, 2011. Monitoring the Future Study Because:
• Marijuana use negatively effects motivation, memory, AND learning.1 1 National Institute on Drug Abuse, “Marijuana: Facts Parents Need to Know.” 2011. Available: www.nida.nih.gov/marijbroch/parents/001.php Because: 38
Take Away Message for Parents: Marijuana use will hurt YOUR child’s IQ, grades, and ability to graduate from high school! 39
Take Away Message For Teachers/School Systems: 40 Increased marijuana use will result in reduced academic achievement for which teachers/school system will be blamed.
If you care about college completion: You need to care about increased marijuana use. 41
• College students with high levels (17 days/month) of marijuana use were twice as likely as those with minimal use (less than 1 day/month) to have an enrollment gap while in college.1 • (e.g. dropout and not graduate on time) 1 Amelia M. Arria , MD. Drug Use Patterns and Continuous Enrollment in College: Results From a Longitudinal Study. January 2013. Vol 24 Issue 1. Available: http://www.jsad.com/jsad/article/Drug_Use_Patterns_and_Continuous_Enrollment_in_College_Results_From_a_Long/4775.html Because: 42
Because: Daily marijuana use among college students is the highest it's been in more than three decades. A MTF study found: • In 2013, 1 in every 20 college students is smoking pot on a daily basis, including 1 in every 11 males and 1 in every 34 females • In 1990, 1 in 50 college students used marijuana that frequently • This is the highest rate of daily use observed among college students since 1981 http://www.mlive.com/news/ann-arbor/index.ssf/2014/09/regular_marijuana_use_among_co.html 43
Average cost of college in 4 years is: $89,044 Average cost of college in 6 years is: $133,566 Source: National Association for College Admission Counseling 2012-2013. 44
Take Away Message for Parents: Your child’s marijuana use could derail their college career and be very costly to you!! 45
IF YOU CARE ABOUT HIGHWAY SAFETY: YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE. 46
Why? Because marijuana use impairs driving ability1 1For a comprehensive review, see DuPont, R. et al. 2010. “Drugged Driving Research: A White Paper.” Prepared for the National Institute on Drug Abuse. Available at http://stopdruggeddriving.org/pdfs/DruggedDrivingAWhitePaper.pdf 47
• Between 1999 and 2010, the prevalence of drugs other than alcohol in fatally injured drivers increased significantly. • While the prevalence of alcohol remained stable at 39%, the prevalence of other drugs increased from 16.6% in 1999 to 28.3% in 2010. • The greatest increase was for marijuana, which tripled, from 4.2% in 1999 to 12.2% in 2010. Because: Marijuana Most Prevalent Drug Detected in Fatally Injured Drivers Source: Adapted by CESAR from Brady, J.E. and Li, G., “Trends in Alcohol and Other Drugs Detected in Fatally Injured Drivers in the United States, 1999-2010,” American Journal of Epidemiology, Advance Access, 1/29/2014. For more information, contact Dr. Guohua Li at gl2240@columbia.edu. 48
Impaired Driving in Colorado: • Traffic fatalities involving operators testing positive for marijuana have increased 100% from 2007 to 2012. • The majority of driving-under-the-influence-of-drugs arrests involve marijuana and 25 to 40% were marijuana alone. • Toxicology reports with positive marijuana results for driving under the influence have increased 16% from 2011 to 2013. 49 http://www.rmhidta.org/html/August%202014%20Legalization%20of%20MJ%20in%20Colorado%20the%20Impact.pdf
Driving under the influence of marijuana is associated with a 92% increased risk of vehicular crashes. 1 Such driving is associated with a 110% increase in fatal crashes. 2 50 1 Asbridge, M., Hayden, JA, Cartwirght, JL. Acute cannabis consumption and motor vehicle collision risk: systematic review of observational studies and meta- analysis. British Medical Journal, 2012; 344 (ePub): e536. PMID: 22323502. 2 Ibid. Because:
Because: • According to the 2012 Monitoring the Future Study, three times as many high school seniors reported driving after smoking marijuana than drinking alcohol (8.6% to 2.9%) 51
Because: Researchers at the University of Massachusetts, Amherst, found 44 % of college men said they drove after smoking marijuana in the previous month, compared with 12% who said they drove after drinking. Jennifer M. Whitehill, PhD; Frederick P. Rivara, MD, MPH; Megan A. Moreno, MD, MSEd, MPH; Marijuana-Using Drivers, Alcohol-Using Drivers, and Their Passengers. AMA Pediatr. Published online May 12, 2014. doi:10.1001/jamapediatrics.2013.5300 52
IF YOU CARE ABOUT EMPLOYMENT: YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE. 53
According to the American Council for Drug Education in New York, employees who abuse drugs are: • 10 times more likely to miss work Why? Because: 54
Because: 3.6 times more likely to be involved in on-the-job incidents. 55
Because: 5 times more likely to file a workers’ compensation claim. And since regular users can’t pass drug tests, this hurts employability! 56
Many big companies, industries and professions nationwide conduct drug testing • Big Retailers (Target, Walmart) • Food Services • Police/Fire Departments • Military • Transportation • Banking • Real Estate 57
These students are virtually unemployable. 58
TAKE AWAY MESSAGE FOR JOB SEEKERS: Marijuana use can RUIN your chances of employment! 59
TAKE AWAY MESSAGE FOR BUSINESS: Increased marijuana use is BAD for your business and your bottom line. 60
IF YOU CARE ABOUT YOUR TAX BURDEN, YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE 61
Why? Because Because the total overall costs of substance abuse in the U.S., including productivity, health and crime-related costs, exceed $600 billion annually.1 This includes approximately: • $235 billion for alcohol • $193 billion for tobacco • $181 billion for illicit drugs 1 Office of National Drug Control Policy. The Economic Costs of Drug Abuse in the United States, Executive Office of the President (Publication No. 207303). 2004. Available at www.ncjrs.gov/ondcppubs/publication/pdf.economic_costs.pdf 62
Because: • Federal and state alcohol taxes raise $14.5 billion, covering only about 6% of alcohol’s total cost to society.1 • Federal and state tobacco taxes raise $25 billion, covering only about 13% of tobacco’s total cost to society.2 1 Dupont, Robert M.D., Director of the National Institute on Drug Abuse (1973-1978), “Why We Should Not Legalize Marijuana.” April 2010. Available: www.cnbc.com/id/36267223/Why_We_Should_Not_Legalize_Marijuana 2 Ibid 63
TAKE AWAY MESSAGE: Increased marijuana use will COST tax payers much more money than it can possibly bring in. 64
BEWARE: Our Nations Future Could Look Like This 65
Instead of This! 66
Thomas J. Gorman, Director Rocky Mountain High Intensity Drug Trafficking Area www.rmhidta.org 2015 DRUG POLICY 101 WHAT’S HAPPENING IN COLORADO THE LEGALIZATION OF MARIJUANA IN COLORADO: THE COLORADO: THE IMPACT
Disclosure Statement Director Tom Gorman has disclosed no relevant, real or apparent personal and professional financial relationships with proprietary entities that produce health care goods and services.
Learning Objectives • Identify concerns related to marijuana, medical marijuana and legalization • Evaluate the impact of marijuana legalization in Colorado • Describe the impact of marijuana use on the adolescent brain • Explain how to track the impact of medical marijuana and marijuana legalization on public health and safety • Prepare attendees to deliver science-based messages that resonate with the general public
www.rmhidta.org click on “Reports”
The War on Drugs Has Been a Failure Question: Why do you and/or others feel our drug policy has been a failure?
Questions  What is the purpose of drug policy?  Isn’t drug use a victimless crime?
Background • Purpose of Drug Policy • Limit the number of people using drugs • Victimless Crime? • Four classes of victim: 1. User 2. Family/Friends 3. Victim of Crime 4. Taxpayers
Question What are the factors that affect the rate of drug use?
Background • Factors Affecting Rate of Drug Use • Four primary factors: 1. Price 2. Availability 3. Perception of Risk 4. Public Attitude
Some Common Issues • Alcohol Prohibition Didn’t Work • Legalization Experiments in Other Countries • Everyone Uses and, if Legalized, Marijuana Wouldn’t Increase Much
Some Common Issues • Marijuana is Safe – No, it’s more harmful than most think • Intoxication • Physical and health effects • Addiction • Psychological or mental health impact • Brain development and deterioration • Impaired driving • Impact specifically on youth • Employment issues
Some Common Issues • Drug Laws Invade Privacy and Freedom • Drug Laws Don’t Deter Use or Limit Availability
Some Common Issues • Marijuana Arrests and Prison • Drug Laws are Racist
Some Common Issues • Mexican Cartels and Profits • Tax Revenue from Legalization • Federal vs. State Law
The Issue Drug “War” a Failure Question… What would it take for you to consider our drug policy successful?
The Issue Alcohol and Tobacco Heroin, Meth, Crack, Hallucinogens, Cocaine, Tranquilizers, Pain Relievers and Marijuana
The Issue SOURCE: 2013 National Survey on Drug Use • Americans age 12 and older (past month):  9% used any illegal drug  26% used tobacco  52% used alcohol
The Issue 91% of Americans do NOT use illegal drugs SOURCE: 2013 National Survey on Drug Use
Licensed Marijuana Businesses Medical Marijuana (January 1, 2015) Recreational Marijuana (January 1, 2015) • 497 licensed dispensaries • 748 marijuana cultivation facilities • 163 infused products (edibles) businesses • 369 licensed marijuana retail stores • 397 licensed marijuana cultivation facilities • 98 licenses for infused product (edibles) businesses
Perspective • Colorado…  Medical Marijuana Centers = 497  Recreational Marijuana Stores = 369  Starbucks Coffee = 405  McDonalds = 227
Denver: The Mile HIGH City
Denver: The Mile HIGH City
Full-page ad Westword February 6 – 12, 2014 issue
“Legal pot blamed for some of influx of homeless in Denver this summer” The Denver Post, July 25, 2014 • Haven of Hope: 500% rise over normal in homeless in summer 2014 (50 to 300) • Salvation Army: 33% rise since 2014 compared to 2013 • Salvation Army: Survey 25% increase related to marijuana
Marijuana and Public Consumption “Boulder [Colorado] pot smoking tickets up nearly 4 times” Boulder Daily Camera December 23, 2013
www.rmhidta.org click on “Reports”
Forecast What Does the Data and Trends Show?
Impact Comparison Dates  2007 – 2008: Early Medical Marijuana Era  1,000 – 4,800 cardholders and 0 known dispensaries  2009 – 2012: Medical Marijuana Commercialization and Expansion Era  108,000 cardholders and 532 licensed dispensaries  2013 – Present: Medical Marijuana Commercialization and Recreational Marijuana Era
DUID – Colorado State Patrol 0 200 400 600 800 1000 Total Number of DUIDs Positive for Marijuana with Alcohol or Other Drugs Positive for Marijuana Only 874 674 354 Year 2014 Totals SOURCE: Colorado State Patrol, 2014 100% 77% 40%
Marijuana and Impaired Driving SOURCE: Colorado Department of Transportation Fatality Analysis Reporting System (FARS) 2006 – 2011 and Rocky Mountain HIDTA - 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2009 2010 2011 2012 2013 Chematox 79 190 1,076 CDPHE 223 650 1,322 1,342 596 DUID Blood Tests Confirmed THC
Marijuana and Traffic Fatalities Driving Fatalities Data Involving Marijuana  2007 – 2012 • Colorado fatalities with operators testing positive for marijuana increased by 100 percent
Marijuana and Traffic Fatalities SOURCE: National Highway Transportation Safety Administration, Fatality Analysis Reporting System (FARS), 2006-20011 and RMHIDTA 2012 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% 18.00% 20.00% 2006 2007 2008 2009 2010 2011 2012 6.92% 7.04% 7.85% 10.10% 10.89% 14.09% 16.53% PercentofTotalFatalities Percent of All Fatalities With Operators Testing Positive for Marijuana
Marijuana Use in Youth and Adults
Teens and Marijuana “Since legalization, reports of pot in middle and high schools soar.”
Marijuana Use in Youth Youth (ages 12 to 17 years) Current Marijuana Use 2013  National average for youth was 7.15 percent  Colorado average for youth was 11.16 percent  Colorado was ranked 3rd in the nation for current marijuana use among youth (56.08 percent higher than the national average)
Marijuana Use in Youth SOURCE: National Survey on Drug Use and Health, 2012 and 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 2006-2008 (Pre-Commercialization) 2009-2012 (Post-Commercialization) 2013 (Legalization) 8.29% 10.32% 11.16% AveragePercent Colorado Average Past Month Use of Marijuana Ages 12 to 17 Years (25% Increase) (8% Increase)
SOURCE: SAMHSA.gov National Survey on Drug Use and Health 2012 and 2013 Past Month Usage by 12 to 17-Year-Olds in Medical Marijuana States, 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% AL KS MS OK WV NJ AR WY TN NE IL MN MO GA OH FL NY NV MT MA DE ME OR WA VT AveragePercentage As of 2013: Legalized Recreational/Medical Marijuana State Legalized Medical Marijuana State Non-Legalized Medical Marijuana State
0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% Non-Medical Marijuana States Medical Marijuana States Recreational/Medical Marijuana States 6.1% 8.9% 10.5% AveragePercentage Average Past Month Use by 12 to 17-Year-Olds, 2013 SOURCE: National Survey on Drug Use and Health, 2012 and 2013 Marijuana Use in Youth
0 1,000 2,000 3,000 4,000 5,000 6,000 2004-2005 to 2008-2009 2009-2010 to 2013-2014 3,864 5,167 AverageNumberof Suspensions/Expulsions Academic Years Average Drug-Related Suspensions/Expulsions 34% Increase SOURCE: Colorado Department of Education, 10-Year Trend Date: State Suspension and Expulsion Incident Rates and Reasons High School Discipline
High School Discipline SOURCE: Colorado Department of Education, 10-Year Trend Data: State Suspension and Expulsion Incident Rates and Reasons 3.2 3.2 3.0 3.1 3.1 4.4 5.0 5.1 5.4 6.4 1.2 1.3 1.1 1.0 1.0 1.0 1.0 1.0 0.9 0.9 0 1 2 3 4 5 6 7 PercentageofTotalSuspensions Percentage of Total Suspensions in Colorado from 2004 - 2014 School Years Drug Violations Alcohol Violations Commercialization Legalization
College-Age Marijuana Use College-Age Adults (ages 18 to 25 years) Current Marijuana Use 2013  National average = 18.91 percent  Colorado average = 29.05 percent  Colorado was ranked 2nd in the nation for current marijuana use among college-age adults (53.62 percent higher than the national average)
College-Age Marijuana Use SOURCE: National Survey on Drug Use and Health, 2012 and 2013 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 2006-2008 Pre-Commercialization 2009-2012 Post-Commercialization 2013 Legalization 22.36% 26.18% 29.05% AveragePercent Average Past Month Use of Marijuana College Age (18 to 25 Years Old) (17% Increase) (11% Increase)
Adult Marijuana Use Adults (ages 26+ years) Current Marijuana Use 2013  National average = 5.45 percent  Colorado average = 10.13 percent  Colorado was ranked 5th in the nation for current marijuana use among adults (85.87 percent higher than the national average)
Adult Marijuana Use SOURCE: National Survey on Drug Use and Health, 2012 and 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 2006-2008 Pre-Commercialization 2009-2012 Post-Commercialization 2013 Legalization 6.03% 7.98% 10.13% AveragePercent Average Past Month Use of Marijuana Adults (Age 26+) (32% Increase) (27% Increase)
Marijuana and Emergency Room Visits
SOURCE: Proceedings of the Denver Epidemiology Work Group (DEWG), Denver Office of Drug Strategy/The Denver Drug Strategy Commission, October 29, 2014 0.00 50.00 100.00 150.00 200.00 250.00 300.00 350.00 400.00 450.00 2011 2012 2013 Colorado 147.80 179.00 248.32 Denver City and County 315.34 331.22 415.46 RatesPer100,000 Emergency Department Rates Per 100,000 Marijuana- Related, 2011-2013 Legalization
SOURCE: Colorado Department of Public Health and Environment, Monitoring Health Concerns Related to Marijuana in Colorado: 2014 0 200 400 600 800 1000 1200 2011 2012 2013 Jan-Jun 2014 618 701 873 1,105 RatesPer100,000 Data Not Available Pre-2011 Rates of Emergency Department (ED) Visits with Possible Marijuana Exposures, Diagnoses, or Billing Codes per 100,000 ED Visits by Year in Colorado Jan-Jun 2014 Legalization
SOURCE: Colorado Department of Public Health and Environment, Monitoring Health Concerns Related to Marijuana in Colorado: 2014 0 500 1000 1500 2000 2500 2006 2007 2008 2009 2010 2011 2012 2013 Jan-Jun 2014 810 818 911 963 1,260 1,313 1,417 1,779 2,277 RatesPer100,000 Rates of Hospitalization (HD) Visits with Possible Marijuana Exposures, Diagnoses, or Billing Codes per 100,000 HD Visits by Year in Colorado Jan-Jun 2014 Commercialization Legalization
Marijuana and Poison Control Cases
Rocky Mountain Poison Center SOURCE: Rocky Mountain Poison Center and American Association of Poison Control Centers 0 5 10 15 20 2006 - 2009 2010-2013 3.76 4.97 9.74 17.81 Average Percent of Children Ages 0 to 5 Years for Reported Marijuana Exposure Cases National Colorado
Rocky Mountain Poison Center SOURCE: Colorado Department of Public Health and Environment/RMPDC 0 20 40 60 80 100 120 140 160 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 28 29 27 25 34 25 32 37 18 53 40 61 88 151 NumberofExposuresReported RMPDC Marijuana Exposure Calls Through December 31, 2014 Commercializati on Legalization
THC Extraction Lab Explosion
THC Extraction Labs SOURCE: Rocky Mountain HIDTA Investigative Support Center 0 5 10 15 20 25 30 35 2 0 0 0 12 32 NumberofExplosions Explosions 0 5 10 15 20 25 30 35 3 0 0 0 18 30 NumberofInjuries Injuries
Marijuana Diversion
Diversion of Marijuana from Colorado
Diversion – By Motor Vehicles SOURCE: El Paso Intelligence Center (EPIC), National Seizure System 54 41 57 58 92 281 321 274 288 360 0 50 100 150 200 250 300 350 400 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Colorado Marijuana Interdication Seizures
Diversion – By Motor Vehicles SOURCE: El Paso Intelligence Center, National Seizure System 0 1,000 2,000 3,000 4,000 2005-2008 2009-2014 2,763 3,667 Average Pounds of Colorado Marijuana from Interdiction Seizures
Diversion – By U.S. Postal Service Packages SOURCE: United States Postal Inspection Service ** Preliminary data 0 50 100 150 200 250 300 350 2009 2010 2011 2012 2013 2014 0 15 36 158 207 320** Parcels Parcels Containing Marijuana Mailed from Colorado to Another State
Diversion – By U.S. Postal Service Packages SOURCE: United States Postal Inspection Service ** Preliminary data 0 100 200 300 400 500 2009 2010 2011 2012 2013 2014 0 57.20 68.20 262.00 493.05 469.91** Pounds Pounds of Colorado Marijuana Seized by the U.S. Postal Inspection Service
All Reported Crime in Denver 2012 2013 2014 43,867 reported crimes 48,147 reported crimes 49,258 reported crimes 5,391 reported crimes increase from 2012 through 2014 (+12.3 percent) Reported offenses using the National Incident Based Reporting System (NIBRS) definitions in the City and County of Denver, January 9, 2015
Alcohol Consumption SOURCE: National Institute on Alcohol Abuse and Alcoholism 2.72 2.72 2.78 2.77 2.70 2.71 2.73 2.76 2.33 2.28 2.31 2.31 2.23 2.27 2.28 2.33 0.00 0.50 1.00 1.50 2.00 2.50 3.00 2005 2006 2007 2008 2009 2010 2011 2012 Gallons Years Alcohol Consumption Per Person in Gallons by Year National Colorado
John Aguilar, The Denver Post, Saturday, February 7, 2015
County Responses to A-64 As of November 5, 2014 related to recreational marijuana businesses:  36 counties prohibited  8 counties have a moratorium or temporary ban  5 counties prohibited new businesses but allowed medical to migrate to recreational  15 counties have allowed (23 percent)
City Responses to A-64 As of November 5, 2014 related to recreational marijuana businesses:  179 cities prohibited  40 cities have a moratorium  6 cities prohibited new businesses but allowed medical to migrate to recreational  41 cities have allowed (15 percent)
Polling November 2012 A64 Election Results 54% in Favor 46% Opposed Sept. 2014 Suffolk University/USA Today Poll Colorado 46% continue to support A64 50.2% do not agree with A64 decision
Polling October 2014 Gallup Poll Favor Legalized Oppose Legalized Unsure 2013 58% 39% 3% 2014 51% 47% 2%
Polling October 2014 Pew Research Center Poll Favor Legalized Oppose Legalized Unsure Feb. 2014 54% 42% 3% Oct. 2014 52% 45% 3%
Thank you for what you do. Remember:
Trending Topics Track The Naked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Presenters: • Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America • Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA) Moderator: Nancy Hale, President and CEO, Operation UNITE

More Related Content

PPTX
Antidrug campaign
bydairobclosa
 
PDF
Published Honors Thesis
byAnthony Duong
 
PDF
Marijuanalegalization
byMANUEL PIMENTEL DEL CAMPO
 
PPTX
Tue vs centpatico - van tassell
byOPUNITE
 
PDF
Volume106
byTigrai Harris
 
PDF
19.2.testa
byMaria Alvarado
 
PPTX
Rx16 prev wed_1115_1_napier_2justice_3phillips_4sturgeon
byOPUNITE
 
PDF
'Truth in Medicine' Poll: Metro Residents Concerned About Recreational Marijuana
bySouth Nassau Communities Hospital
 
Antidrug campaign
bydairobclosa
 
Published Honors Thesis
byAnthony Duong
 
Marijuanalegalization
byMANUEL PIMENTEL DEL CAMPO
 
Tue vs centpatico - van tassell
byOPUNITE
 
Volume106
byTigrai Harris
 
19.2.testa
byMaria Alvarado
 
Rx16 prev wed_1115_1_napier_2justice_3phillips_4sturgeon
byOPUNITE
 
'Truth in Medicine' Poll: Metro Residents Concerned About Recreational Marijuana
bySouth Nassau Communities Hospital
 

What's hot

PPTX
Public Perspectives on Personalized Medicine: A Survey of U.S. Public Opinion
byPMCoalition
 
PPTX
Critique of Australian National Drugs Campaign (Media Effectiveness Research)
byAzmiSuhaimi
 
PPTX
Antidrug campaign
byBetitojeremy
 
PPTX
Rx16 heroin wed_330_1_rader_2lynch-earle
byOPUNITE
 
PPTX
Rx16 prev wed_330_workplace issues and strategies
byOPUNITE
 
PPTX
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
byOPUNITE
 
PPTX
APhA Poster (final)
byFaith Ihongbe, Pharm.D., BCPS
 
DOCX
Over-Diagnosis of Pediatric ADHD
byAlexandraPerkins5
 
PPTX
Rx16 adv wed_1230_1_thau_2gorman
byOPUNITE
 
PPTX
Rx16 tpp tues_330_1_gavin_2saddy_3gastfriend
byOPUNITE
 
PPTX
Rx16 advocacy tues_330_1_olsen_2raymond_3conover
byOPUNITE
 
PDF
Global Medical Cures™ | Responding to America's Prescription Drug Abuse Crisis
byGlobal Medical Cures™
 
PPTX
Back to school talking to your kids about cannabis
byBenjamin Gelassen, MBA
 
PDF
Prescription Pain Killers,The Latest Threat to Child Welfare
byWill Jones
 
PPTX
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdeva
byOPUNITE
 
PPTX
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
byOPUNITE
 
PPTX
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
byOPUNITE
 
PPTX
Rx16 workshop 200_group_ppt
byOPUNITE
 
PPTX
Rx16 general session_wed_800_1_volkow copy
byOPUNITE
 
PPTX
Revised order rx16 pdmp wed_1115_1_eadie_2reilly_3hallvik_4hildebran
byOPUNITE
 
Public Perspectives on Personalized Medicine: A Survey of U.S. Public Opinion
byPMCoalition
 
Critique of Australian National Drugs Campaign (Media Effectiveness Research)
byAzmiSuhaimi
 
Antidrug campaign
byBetitojeremy
 
Rx16 heroin wed_330_1_rader_2lynch-earle
byOPUNITE
 
Rx16 prev wed_330_workplace issues and strategies
byOPUNITE
 
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
byOPUNITE
 
APhA Poster (final)
byFaith Ihongbe, Pharm.D., BCPS
 
Over-Diagnosis of Pediatric ADHD
byAlexandraPerkins5
 
Rx16 adv wed_1230_1_thau_2gorman
byOPUNITE
 
Rx16 tpp tues_330_1_gavin_2saddy_3gastfriend
byOPUNITE
 
Rx16 advocacy tues_330_1_olsen_2raymond_3conover
byOPUNITE
 
Global Medical Cures™ | Responding to America's Prescription Drug Abuse Crisis
byGlobal Medical Cures™
 
Back to school talking to your kids about cannabis
byBenjamin Gelassen, MBA
 
Prescription Pain Killers,The Latest Threat to Child Welfare
byWill Jones
 
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdeva
byOPUNITE
 
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
byOPUNITE
 
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
byOPUNITE
 
Rx16 workshop 200_group_ppt
byOPUNITE
 
Rx16 general session_wed_800_1_volkow copy
byOPUNITE
 
Revised order rx16 pdmp wed_1115_1_eadie_2reilly_3hallvik_4hildebran
byOPUNITE
 

Similar to Rx15 tt tues_200_1_thau_2gorman

PPTX
Marijuana power point presentation dion
byddion5
 
PDF
Global Medical Cures™ | Marijuana Facts for Teens
byGlobal Medical Cures™
 
PPTX
Marijuana Pros and Cons - Public Health Consulting
byRick Goldman
 
PPTX
Marijuana facts parents need to know pas@acc
byKendra McLaughlin
 
PPTX
Medical Marijuana
bytaha_801
 
PPTX
Marijuana 2015
bynevanski
 
PDF
Marijuana 140728184258-phpapp02
byVera Kovaleva
 
PDF
Marijuana Light It Up? @empoweredpres
byEmpowered Presentations
 
PDF
October 2015 MJ
byAnnmarie Shafer
 
PPT
7 Famous Myths About CBD oil And Marijuana - Hemprove
byHemprove
 
DOCX
Debate paper cons for legalizing marijuana
byKarena Busch
 
PDF
Stoned babies and underachieving adults
byMrsunny4
 
PPTX
The 411 on 420: A Marijuana Update
bySACADA
 
PDF
SAM - marijuana and the workplace
bySAM
 
PPTX
MARIJUANA PPT WITH EXTRA SUAGR AND xrta love
bygauthamlazer
 
PDF
Len 6 gorman thau
byOPUNITE
 
PPTX
2019 workplace sam
byLouieRosales
 
PPTX
Canabis prevention marijuana and hemp 101
bySACADA
 
PPTX
Marijuana 2015
bynevanski
 
PDF
Legalization of Marijuana: Challenges Facing College Campuses
byNational Center for Campus Public Safety
 
Marijuana power point presentation dion
byddion5
 
Global Medical Cures™ | Marijuana Facts for Teens
byGlobal Medical Cures™
 
Marijuana Pros and Cons - Public Health Consulting
byRick Goldman
 
Marijuana facts parents need to know pas@acc
byKendra McLaughlin
 
Medical Marijuana
bytaha_801
 
Marijuana 2015
bynevanski
 
Marijuana 140728184258-phpapp02
byVera Kovaleva
 
Marijuana Light It Up? @empoweredpres
byEmpowered Presentations
 
October 2015 MJ
byAnnmarie Shafer
 
7 Famous Myths About CBD oil And Marijuana - Hemprove
byHemprove
 
Debate paper cons for legalizing marijuana
byKarena Busch
 
Stoned babies and underachieving adults
byMrsunny4
 
The 411 on 420: A Marijuana Update
bySACADA
 
SAM - marijuana and the workplace
bySAM
 
MARIJUANA PPT WITH EXTRA SUAGR AND xrta love
bygauthamlazer
 
Len 6 gorman thau
byOPUNITE
 
2019 workplace sam
byLouieRosales
 
Canabis prevention marijuana and hemp 101
bySACADA
 
Marijuana 2015
bynevanski
 
Legalization of Marijuana: Challenges Facing College Campuses
byNational Center for Campus Public Safety
 

More from OPUNITE

PPTX
Dr. Tom Frieden keynote
byOPUNITE
 
PPTX
Rx16 tpp wed_200_group
byOPUNITE
 
PPTX
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
byOPUNITE
 
PPTX
Web only rx16 pharma-wed_330_1_shelley_2atwood-harless
byOPUNITE
 
PPTX
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
byOPUNITE
 
PPTX
Dr. Francis Collins keynote
byOPUNITE
 
PPTX
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachio
byOPUNITE
 
PPTX
Rx16 heroin wed_200_1_parker-daley_2guarino-luongo_3taylor
byOPUNITE
 
PPTX
Rx16 treat wed_330_1_barnes_2clarkolsen
byOPUNITE
 
PPTX
Rx16 len wed_330_1_ferdinand_2price
byOPUNITE
 
PPTX
Web only rx16 len wed_200_1_augustine_2napier_3darr - copy
byOPUNITE
 
PPTX
Rx16 prevent wed_200_1_cairnes-wertnepy_2arnold
byOPUNITE
 
PPTX
Rx16 claad tue-vision_final
byOPUNITE
 
PPTX
Rx16 general session_900_1_botticelli
byOPUNITE
 
PPTX
Kana Enomoto keynote
byOPUNITE
 
PPTX
Rx16 clinical wed_330_1_saunders_2wexelblatt
byOPUNITE
 
PPTX
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
byOPUNITE
 
PPTX
Rx16 federal visionsession_200
byOPUNITE
 
PPTX
Rx16 treat wed_200_group_falkinburg_miller
byOPUNITE
 
PPTX
Rx16 pdmp wed_200_1_frick_2zadrazil_3delcher-goldberger
byOPUNITE
 
Dr. Tom Frieden keynote
byOPUNITE
 
Rx16 tpp wed_200_group
byOPUNITE
 
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
byOPUNITE
 
Web only rx16 pharma-wed_330_1_shelley_2atwood-harless
byOPUNITE
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
byOPUNITE
 
Dr. Francis Collins keynote
byOPUNITE
 
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachio
byOPUNITE
 
Rx16 heroin wed_200_1_parker-daley_2guarino-luongo_3taylor
byOPUNITE
 
Rx16 treat wed_330_1_barnes_2clarkolsen
byOPUNITE
 
Rx16 len wed_330_1_ferdinand_2price
byOPUNITE
 
Web only rx16 len wed_200_1_augustine_2napier_3darr - copy
byOPUNITE
 
Rx16 prevent wed_200_1_cairnes-wertnepy_2arnold
byOPUNITE
 
Rx16 claad tue-vision_final
byOPUNITE
 
Rx16 general session_900_1_botticelli
byOPUNITE
 
Kana Enomoto keynote
byOPUNITE
 
Rx16 clinical wed_330_1_saunders_2wexelblatt
byOPUNITE
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
byOPUNITE
 
Rx16 federal visionsession_200
byOPUNITE
 
Rx16 treat wed_200_group_falkinburg_miller
byOPUNITE
 
Rx16 pdmp wed_200_1_frick_2zadrazil_3delcher-goldberger
byOPUNITE
 

Recently uploaded

PDF
Evaluation of Antidepressants (Preclinical & Clinical)
byManoj Konde
 
PDF
The Science Behind Why Accountability Works in Alcohol Recovery.pdf
byClear Mind Sobriety
 
PPTX
Hypothalamus short notes on location, function and disorders by Dr. Neha [PT]...
byNehaChaudhary752493
 
PDF
Visit Rangeela Spa Ajman — Most Trusted Spa in Ajman
byRangeela Spa Ajman
 
PPTX
Compassionate Hospice Care Services in Orange County, NY
bysn036847
 
PPTX
Role of Ginger as a nutraceutical against (CINV).pptx
bysawairaaslam74822
 
PPT
National child policy.ppt child health nursing
byPooja Rani
 
PDF
How Private Duty Agencies in Oakland Help Seniors Age at Home.pdf
byHomestead Home Health Care
 
PPTX
Cells and Organs of immune system [Autosaved].pptx
bysherzadtaher1
 
PPTX
Compassionate Therapy for Treatment of Panic Attack Toronto Residents.pptx
byThe Cohen Clinic
 
PDF
Step-by-Step Guide to Outsourcing Telehealth Billing Services Successfully
byeClaim Solution
 
PDF
atharvyogshala.com-Deoria Taal Uttarakhands Magical Lake.pdf
byAtharv Yogshala
 
PPTX
IRON DEFICIENCY ANEMIA and its importance .pptx
byNadiyaKhan11
 
PPTX
"Strategic Approaches to Enhancing Healthcare Management & Leadership Effecti...
byToobaAfzal3
 
PPTX
Spectral CT Imaging: Principle and Applications of Dual-Energy and Photon Cou...
byJoginder Singh
 
PDF
MedWorks Advantage Your Trusted Partner in Medical & Surgical Equipment
byMedWorks Advantage
 
PPTX
Ophthalmic lens power and form presentation
byMilan Gupta
 
PPTX
Prism and Its Uses in Ophthalmic Dispensing
byMilan Gupta
 
PPTX
Intelligence tests for children.pptx1233334
byNikitaBhati27
 
PDF
Dr. David Wilson Utah - Dedicated To Patient Wellness
byDr. David Wilson Utah
 
Evaluation of Antidepressants (Preclinical & Clinical)
byManoj Konde
 
The Science Behind Why Accountability Works in Alcohol Recovery.pdf
byClear Mind Sobriety
 
Hypothalamus short notes on location, function and disorders by Dr. Neha [PT]...
byNehaChaudhary752493
 
Visit Rangeela Spa Ajman — Most Trusted Spa in Ajman
byRangeela Spa Ajman
 
Compassionate Hospice Care Services in Orange County, NY
bysn036847
 
Role of Ginger as a nutraceutical against (CINV).pptx
bysawairaaslam74822
 
National child policy.ppt child health nursing
byPooja Rani
 
How Private Duty Agencies in Oakland Help Seniors Age at Home.pdf
byHomestead Home Health Care
 
Cells and Organs of immune system [Autosaved].pptx
bysherzadtaher1
 
Compassionate Therapy for Treatment of Panic Attack Toronto Residents.pptx
byThe Cohen Clinic
 
Step-by-Step Guide to Outsourcing Telehealth Billing Services Successfully
byeClaim Solution
 
atharvyogshala.com-Deoria Taal Uttarakhands Magical Lake.pdf
byAtharv Yogshala
 
IRON DEFICIENCY ANEMIA and its importance .pptx
byNadiyaKhan11
 
"Strategic Approaches to Enhancing Healthcare Management & Leadership Effecti...
byToobaAfzal3
 
Spectral CT Imaging: Principle and Applications of Dual-Energy and Photon Cou...
byJoginder Singh
 
MedWorks Advantage Your Trusted Partner in Medical & Surgical Equipment
byMedWorks Advantage
 
Ophthalmic lens power and form presentation
byMilan Gupta
 
Prism and Its Uses in Ophthalmic Dispensing
byMilan Gupta
 
Intelligence tests for children.pptx1233334
byNikitaBhati27
 
Dr. David Wilson Utah - Dedicated To Patient Wellness
byDr. David Wilson Utah
 

Rx15 tt tues_200_1_thau_2gorman

  • 1.
    Trending Topics Track TheNaked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Presenters: • Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America • Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA) Moderator: Nancy Hale, President and CEO, Operation UNITE
  • 2.
    Disclosures Susan R. Thau,MCRP; Thomas J. Gorman; and Nancy Hale have disclosed no relevant, real, or apparent personal or professional financial relationships with proprietary entities that produce healthcare goods and services.
  • 3.
    Disclosures • All planners/managershereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months. • The following planners/managers have the following to disclose: – Kelly Clark – Employment: Publicis Touchpoint Solutions; Consultant: Grunenthal US – Robert DuPont – Employment: Bensinger, DuPont & Associates-Prescription Drug Research Center – Carla Saunders – Speaker’s bureau: Abbott Nutrition
  • 4.
    Learning Objectives 1. Identifyconcerns related to marijuana, medical marijuana and legalization. 2. Evaluate the impact of marijuana legalization in Colorado. 3. Describe the impact of marijuana use on the adolescent brain. 4. Explain how to track the impact of medical marijuana and marijuana legalization on public health and safety. 5. Prepare attendees to deliver science-based messages that resonate with the general public.
  • 5.
    The Naked TruthAbout “Medical” Marijuana: Translating the Science into Messages that Matter Sue Thau, Public Policy Consultant, Community Anti-Drug Coalitions of America 5
  • 6.
    Sue Thau, PublicPolicy Consultant, Community Anti-Drug Coalitions of America, has disclosed no relevant, real or apparent personal or professional financial relationships with proprietary entities that produce health care goods and services. 6
  • 7.
    Goals • Understand thelatest science about marijuana use • Understand how CADCA has framed marijuana prevention messages from the science • Understand how to employ these prevention messages locally to educate residents and key community leaders 7
  • 8.
    “The naked truthis always better than the best-dressed lie.” – Ann Landers 8
  • 9.
    Marijuana is Addictive 9 •Long-term marijuana use can lead to addiction. Approximately 9 percent of users will become addicted to marijuana. • This number increases to 17 percent among those who start young. Budney AJ, Vandrey RG, Hughes JR, Thostenson JD, Bursac Z. 2008. “Comparison of cannabis and tobacco withdrawal: Severity and contribution to relapse.” J Subst Abuse Treat, e-publication ahead of print.
  • 10.
    who start usingmarijuana in adolescence become addicted. So…1 in 6 Young People National Institutes of Health, National Institute on Drug Abuse. 2011. Topics in Brief: Marijuana. Available: http://www.drugabuse.gov/publications/topics-in-brief/marijuana 10
  • 11.
    According to the2014 Monitoring the Future Survey, perceptions about the risks of marijuana are going down among 12th graders. 11
  • 12.
    FACTS on MedicalMarijuana • Less than 3% of state “medical marijuana” users have cancer, HIV, or glaucoma. • Vast majority are white males in 30s and 40s with self-diagnosed pain. • Most cancer doctors and other physicians do not recommend smoking or ingesting marijuana. California average medical marijuana patient statistics, found at: O'Connell, T and Bou-Matar , C.B. (2007). Long term cannabis users seeking medical cannabis in California (2001–2007): demographics, social characteristics, patterns of cannabis and other drug use of 4117 applicants. Harm Reduction Journal, 12
  • 13.
    FACTS on MedicalMarijuana –Is not even good for conditions it is touted for –Could exacerbate symptoms (American Glaucoma Society) 1American Glaucoma Foundation. Available: http://www.glaucomafoundation.org/UserFiles/File/TGF_Summer_10_Web.pdf 1 13
  • 14.
    Medical Marijuana IsEasily Diverted To Youth • Teens who know somebody with a medical marijuana license are more like than those who don’t to report ‘fairly’ or ‘very’ easy access to marijuana • 74% of Denver-area teens in treatment said they used somebody else’s medical marijuana an average of 50 times Thurstone, 2013; Salomonsen-Sautel et al., 2012 14
  • 15.
  • 16.
    Increased Use AmongTeens Pacula et al found that two features of medical marijuana – home cultivation and dispensaries – are positively associated with youth marijuana use and “have important implications for states considering legalization of marijuana.” Wall, M., et al., 2011; Johnston, L.D., et al., 2011. and Pacula et al 2013 Pacula slide 16
  • 17.
  • 18.
    A Recent AustralianStudy on Individuals Prescribed Opioid Painkillers That Also Used “Medical Marijuana” (1 in 6 participants) • Were more likely to take opioids in ways not recommended by their doctor • Were over twice as likely to have an alcohol use disorder and four times as likely to have a heroin use disorder • Medical marijuana users were over 50 percent more likely to be taking anti-anxiety medications (benzodiazepines), which when combined with opioids are particularly likely to cause an overdose Degenhardt, Louisa. ,Humphreys, Keith. Medical Marijuana and the Risk of Painkiller Overdose. Scope, Published by Stanford Medicine. January 13, 2015. Experience of adjunctive cannabis use for chronic non-cancer pain: Findings from the Pain and Opioids IN Treatment (POINT) study. Drug Alcohol Depend. 2015 Feb . http://www.ncbi.nlm.nih.gov/pubmed/25533893 18
  • 19.
  • 20.
  • 21.
    Play #1 •Pass “medical”marijuana initiatives 21
  • 22.
    Using “Marijuana asMedicine” a “Permission Structure” was built about the safety and acceptability of marijuana use with the general public.
  • 23.
  • 24.
  • 25.
  • 26.
    Play #2 • Open“medical” marijuana dispensaries 26
  • 27.
  • 28.
    The Ultimate Play? •Fulllegalization of all drugs 28
  • 29.
    “I’m always tellingmy marijuana reform allies, when they say we need to legalize marijuana and get tougher on the other drugs, ‘shut the hell up’” The whole, of course, is safe and legal access to all drugs. Cocaine. Heroin. Hash. Ecstasy. “Legalize all drugs? The man behind loosening pot laws in US eyes new goal” Available: http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all- drugs-the-man-behind-loosening-pot-laws-in-us-eyes-new-goal Ethan Nadelmann – Head of Drug Policy Alliance 29
  • 30.
    HOW TO FRAMEOUR MESSAGES TO WIN BACK THE PUBLIC 30
  • 31.
    Using Science withHigh Evidence from NIDA to Change the Frame: From negative to positive From “old” to “new” From complicated to simple 31
  • 32.
    Volkow, Nora M.D.,Baler, Ruben D. Ph.D., Compton, Wilson M. M.D., Weiss, Susan Ph.D. Adverse Health Effects of Marijuana Use. The New England Journal of Medicine. June 5, 2014. NIDA Scientific Evidence Marijuana Effects on Health and Well-Being. Overall Level of Confidence* Addiction to marijuana and High other substances Diminished lifetime achievement High Motor vehicle accidents High Symptoms of chronic bronchitis High
  • 33.
    33 Based on theScience We need to give people an “A Ha! I got it!” message. It’s going to actually affect ME. Best Example: Second Hand Smoke
  • 34.
    If you careabout academic achievement: You need to care about increased marijuana use. 34
  • 35.
    Because: Use by age15= 1.) 3.6 times less likely to graduate from high school 2.) 2.3 times less likely to enroll in college 3.) 3.7 times less likely to get college degree. Thurstone, Christian, Dr. Marijuana Use & Pregnancy. May 14, 2014. Available at http://drthurstone.com/?s=pregnancy&x=0&y=0. 35
  • 36.
    Because: Marijuana Use LowersIQ1 • A recent study found that those who used marijuana heavily in their teens and continued through adulthood showed a permanent drop in IQ of 8 points. • A loss of 8 IQ points could drop a person of average intelligence into the lowest third of the intelligence range. 1M.H. Meier, Avshalom Caspi, et al. 2012. “Persistent cannabis users show neuropsychological decline from childhood to midlife.” Proceedings of the National Academy of Sciences 36
  • 37.
    37 The more astudent uses marijuana, the lower their grade point average is likely to be and the more likely they are to drop out of school.1 1 Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E.. University of Michigan, 2011. Monitoring the Future Study Because:
  • 38.
    • Marijuana usenegatively effects motivation, memory, AND learning.1 1 National Institute on Drug Abuse, “Marijuana: Facts Parents Need to Know.” 2011. Available: www.nida.nih.gov/marijbroch/parents/001.php Because: 38
  • 39.
    Take Away Messagefor Parents: Marijuana use will hurt YOUR child’s IQ, grades, and ability to graduate from high school! 39
  • 40.
    Take Away MessageFor Teachers/School Systems: 40 Increased marijuana use will result in reduced academic achievement for which teachers/school system will be blamed.
  • 41.
    If you careabout college completion: You need to care about increased marijuana use. 41
  • 42.
    • College studentswith high levels (17 days/month) of marijuana use were twice as likely as those with minimal use (less than 1 day/month) to have an enrollment gap while in college.1 • (e.g. dropout and not graduate on time) 1 Amelia M. Arria , MD. Drug Use Patterns and Continuous Enrollment in College: Results From a Longitudinal Study. January 2013. Vol 24 Issue 1. Available: http://www.jsad.com/jsad/article/Drug_Use_Patterns_and_Continuous_Enrollment_in_College_Results_From_a_Long/4775.html Because: 42
  • 43.
    Because: Daily marijuana useamong college students is the highest it's been in more than three decades. A MTF study found: • In 2013, 1 in every 20 college students is smoking pot on a daily basis, including 1 in every 11 males and 1 in every 34 females • In 1990, 1 in 50 college students used marijuana that frequently • This is the highest rate of daily use observed among college students since 1981 http://www.mlive.com/news/ann-arbor/index.ssf/2014/09/regular_marijuana_use_among_co.html 43
  • 44.
    Average cost ofcollege in 4 years is: $89,044 Average cost of college in 6 years is: $133,566 Source: National Association for College Admission Counseling 2012-2013. 44
  • 45.
    Take Away Messagefor Parents: Your child’s marijuana use could derail their college career and be very costly to you!! 45
  • 46.
    IF YOU CAREABOUT HIGHWAY SAFETY: YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE. 46
  • 47.
    Why? Because marijuana use impairsdriving ability1 1For a comprehensive review, see DuPont, R. et al. 2010. “Drugged Driving Research: A White Paper.” Prepared for the National Institute on Drug Abuse. Available at http://stopdruggeddriving.org/pdfs/DruggedDrivingAWhitePaper.pdf 47
  • 48.
    • Between 1999and 2010, the prevalence of drugs other than alcohol in fatally injured drivers increased significantly. • While the prevalence of alcohol remained stable at 39%, the prevalence of other drugs increased from 16.6% in 1999 to 28.3% in 2010. • The greatest increase was for marijuana, which tripled, from 4.2% in 1999 to 12.2% in 2010. Because: Marijuana Most Prevalent Drug Detected in Fatally Injured Drivers Source: Adapted by CESAR from Brady, J.E. and Li, G., “Trends in Alcohol and Other Drugs Detected in Fatally Injured Drivers in the United States, 1999-2010,” American Journal of Epidemiology, Advance Access, 1/29/2014. For more information, contact Dr. Guohua Li at gl2240@columbia.edu. 48
  • 49.
    Impaired Driving inColorado: • Traffic fatalities involving operators testing positive for marijuana have increased 100% from 2007 to 2012. • The majority of driving-under-the-influence-of-drugs arrests involve marijuana and 25 to 40% were marijuana alone. • Toxicology reports with positive marijuana results for driving under the influence have increased 16% from 2011 to 2013. 49 http://www.rmhidta.org/html/August%202014%20Legalization%20of%20MJ%20in%20Colorado%20the%20Impact.pdf
  • 50.
    Driving under theinfluence of marijuana is associated with a 92% increased risk of vehicular crashes. 1 Such driving is associated with a 110% increase in fatal crashes. 2 50 1 Asbridge, M., Hayden, JA, Cartwirght, JL. Acute cannabis consumption and motor vehicle collision risk: systematic review of observational studies and meta- analysis. British Medical Journal, 2012; 344 (ePub): e536. PMID: 22323502. 2 Ibid. Because:
  • 51.
    Because: • According tothe 2012 Monitoring the Future Study, three times as many high school seniors reported driving after smoking marijuana than drinking alcohol (8.6% to 2.9%) 51
  • 52.
    Because: Researchers at theUniversity of Massachusetts, Amherst, found 44 % of college men said they drove after smoking marijuana in the previous month, compared with 12% who said they drove after drinking. Jennifer M. Whitehill, PhD; Frederick P. Rivara, MD, MPH; Megan A. Moreno, MD, MSEd, MPH; Marijuana-Using Drivers, Alcohol-Using Drivers, and Their Passengers. AMA Pediatr. Published online May 12, 2014. doi:10.1001/jamapediatrics.2013.5300 52
  • 53.
    IF YOU CAREABOUT EMPLOYMENT: YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE. 53
  • 54.
    According to theAmerican Council for Drug Education in New York, employees who abuse drugs are: • 10 times more likely to miss work Why? Because: 54
  • 55.
    Because: 3.6 times more likelyto be involved in on-the-job incidents. 55
  • 56.
    Because: 5 times morelikely to file a workers’ compensation claim. And since regular users can’t pass drug tests, this hurts employability! 56
  • 57.
    Many big companies,industries and professions nationwide conduct drug testing • Big Retailers (Target, Walmart) • Food Services • Police/Fire Departments • Military • Transportation • Banking • Real Estate 57
  • 58.
  • 59.
    TAKE AWAY MESSAGE FORJOB SEEKERS: Marijuana use can RUIN your chances of employment! 59
  • 60.
    TAKE AWAY MESSAGE FORBUSINESS: Increased marijuana use is BAD for your business and your bottom line. 60
  • 61.
    IF YOU CAREABOUT YOUR TAX BURDEN, YOU NEED TO CARE ABOUT INCREASED MARIJUANA USE 61
  • 62.
    Why? Because Because thetotal overall costs of substance abuse in the U.S., including productivity, health and crime-related costs, exceed $600 billion annually.1 This includes approximately: • $235 billion for alcohol • $193 billion for tobacco • $181 billion for illicit drugs 1 Office of National Drug Control Policy. The Economic Costs of Drug Abuse in the United States, Executive Office of the President (Publication No. 207303). 2004. Available at www.ncjrs.gov/ondcppubs/publication/pdf.economic_costs.pdf 62
  • 63.
    Because: • Federal andstate alcohol taxes raise $14.5 billion, covering only about 6% of alcohol’s total cost to society.1 • Federal and state tobacco taxes raise $25 billion, covering only about 13% of tobacco’s total cost to society.2 1 Dupont, Robert M.D., Director of the National Institute on Drug Abuse (1973-1978), “Why We Should Not Legalize Marijuana.” April 2010. Available: www.cnbc.com/id/36267223/Why_We_Should_Not_Legalize_Marijuana 2 Ibid 63
  • 64.
    TAKE AWAY MESSAGE: Increasedmarijuana use will COST tax payers much more money than it can possibly bring in. 64
  • 65.
    BEWARE: Our NationsFuture Could Look Like This 65
  • 66.
  • 67.
    Thomas J. Gorman,Director Rocky Mountain High Intensity Drug Trafficking Area www.rmhidta.org 2015 DRUG POLICY 101 WHAT’S HAPPENING IN COLORADO THE LEGALIZATION OF MARIJUANA IN COLORADO: THE COLORADO: THE IMPACT
  • 68.
    Disclosure Statement Director TomGorman has disclosed no relevant, real or apparent personal and professional financial relationships with proprietary entities that produce health care goods and services.
  • 69.
    Learning Objectives • Identifyconcerns related to marijuana, medical marijuana and legalization • Evaluate the impact of marijuana legalization in Colorado • Describe the impact of marijuana use on the adolescent brain • Explain how to track the impact of medical marijuana and marijuana legalization on public health and safety • Prepare attendees to deliver science-based messages that resonate with the general public
  • 71.
  • 72.
    The War onDrugs Has Been a Failure Question: Why do you and/or others feel our drug policy has been a failure?
  • 73.
    Questions  What isthe purpose of drug policy?  Isn’t drug use a victimless crime?
  • 74.
    Background • Purpose ofDrug Policy • Limit the number of people using drugs • Victimless Crime? • Four classes of victim: 1. User 2. Family/Friends 3. Victim of Crime 4. Taxpayers
  • 76.
    Question What are thefactors that affect the rate of drug use?
  • 77.
    Background • Factors AffectingRate of Drug Use • Four primary factors: 1. Price 2. Availability 3. Perception of Risk 4. Public Attitude
  • 78.
    Some Common Issues •Alcohol Prohibition Didn’t Work • Legalization Experiments in Other Countries • Everyone Uses and, if Legalized, Marijuana Wouldn’t Increase Much
  • 79.
    Some Common Issues •Marijuana is Safe – No, it’s more harmful than most think • Intoxication • Physical and health effects • Addiction • Psychological or mental health impact • Brain development and deterioration • Impaired driving • Impact specifically on youth • Employment issues
  • 80.
    Some Common Issues •Drug Laws Invade Privacy and Freedom • Drug Laws Don’t Deter Use or Limit Availability
  • 81.
    Some Common Issues •Marijuana Arrests and Prison • Drug Laws are Racist
  • 82.
    Some Common Issues •Mexican Cartels and Profits • Tax Revenue from Legalization • Federal vs. State Law
  • 83.
    The Issue Drug “War”a Failure Question… What would it take for you to consider our drug policy successful?
  • 84.
    The Issue Alcohol andTobacco Heroin, Meth, Crack, Hallucinogens, Cocaine, Tranquilizers, Pain Relievers and Marijuana
  • 85.
    The Issue SOURCE: 2013National Survey on Drug Use • Americans age 12 and older (past month):  9% used any illegal drug  26% used tobacco  52% used alcohol
  • 86.
    The Issue 91% ofAmericans do NOT use illegal drugs SOURCE: 2013 National Survey on Drug Use
  • 89.
    Licensed Marijuana Businesses MedicalMarijuana (January 1, 2015) Recreational Marijuana (January 1, 2015) • 497 licensed dispensaries • 748 marijuana cultivation facilities • 163 infused products (edibles) businesses • 369 licensed marijuana retail stores • 397 licensed marijuana cultivation facilities • 98 licenses for infused product (edibles) businesses
  • 90.
    Perspective • Colorado…  MedicalMarijuana Centers = 497  Recreational Marijuana Stores = 369  Starbucks Coffee = 405  McDonalds = 227
  • 91.
  • 92.
  • 93.
  • 95.
    “Legal pot blamedfor some of influx of homeless in Denver this summer” The Denver Post, July 25, 2014 • Haven of Hope: 500% rise over normal in homeless in summer 2014 (50 to 300) • Salvation Army: 33% rise since 2014 compared to 2013 • Salvation Army: Survey 25% increase related to marijuana
  • 96.
    Marijuana and PublicConsumption “Boulder [Colorado] pot smoking tickets up nearly 4 times” Boulder Daily Camera December 23, 2013
  • 98.
  • 99.
    Forecast What Does theData and Trends Show?
  • 100.
    Impact Comparison Dates  2007– 2008: Early Medical Marijuana Era  1,000 – 4,800 cardholders and 0 known dispensaries  2009 – 2012: Medical Marijuana Commercialization and Expansion Era  108,000 cardholders and 532 licensed dispensaries  2013 – Present: Medical Marijuana Commercialization and Recreational Marijuana Era
  • 102.
    DUID – ColoradoState Patrol 0 200 400 600 800 1000 Total Number of DUIDs Positive for Marijuana with Alcohol or Other Drugs Positive for Marijuana Only 874 674 354 Year 2014 Totals SOURCE: Colorado State Patrol, 2014 100% 77% 40%
  • 103.
    Marijuana and ImpairedDriving SOURCE: Colorado Department of Transportation Fatality Analysis Reporting System (FARS) 2006 – 2011 and Rocky Mountain HIDTA - 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2009 2010 2011 2012 2013 Chematox 79 190 1,076 CDPHE 223 650 1,322 1,342 596 DUID Blood Tests Confirmed THC
  • 104.
    Marijuana and TrafficFatalities Driving Fatalities Data Involving Marijuana  2007 – 2012 • Colorado fatalities with operators testing positive for marijuana increased by 100 percent
  • 105.
    Marijuana and TrafficFatalities SOURCE: National Highway Transportation Safety Administration, Fatality Analysis Reporting System (FARS), 2006-20011 and RMHIDTA 2012 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% 18.00% 20.00% 2006 2007 2008 2009 2010 2011 2012 6.92% 7.04% 7.85% 10.10% 10.89% 14.09% 16.53% PercentofTotalFatalities Percent of All Fatalities With Operators Testing Positive for Marijuana
  • 106.
    Marijuana Use inYouth and Adults
  • 107.
    Teens and Marijuana “Sincelegalization, reports of pot in middle and high schools soar.”
  • 108.
    Marijuana Use inYouth Youth (ages 12 to 17 years) Current Marijuana Use 2013  National average for youth was 7.15 percent  Colorado average for youth was 11.16 percent  Colorado was ranked 3rd in the nation for current marijuana use among youth (56.08 percent higher than the national average)
  • 109.
    Marijuana Use inYouth SOURCE: National Survey on Drug Use and Health, 2012 and 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 2006-2008 (Pre-Commercialization) 2009-2012 (Post-Commercialization) 2013 (Legalization) 8.29% 10.32% 11.16% AveragePercent Colorado Average Past Month Use of Marijuana Ages 12 to 17 Years (25% Increase) (8% Increase)
  • 110.
    SOURCE: SAMHSA.gov NationalSurvey on Drug Use and Health 2012 and 2013 Past Month Usage by 12 to 17-Year-Olds in Medical Marijuana States, 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% AL KS MS OK WV NJ AR WY TN NE IL MN MO GA OH FL NY NV MT MA DE ME OR WA VT AveragePercentage As of 2013: Legalized Recreational/Medical Marijuana State Legalized Medical Marijuana State Non-Legalized Medical Marijuana State
  • 111.
    0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% Non-Medical Marijuana States Medical Marijuana States Recreational/Medical MarijuanaStates 6.1% 8.9% 10.5% AveragePercentage Average Past Month Use by 12 to 17-Year-Olds, 2013 SOURCE: National Survey on Drug Use and Health, 2012 and 2013 Marijuana Use in Youth
  • 112.
    0 1,000 2,000 3,000 4,000 5,000 6,000 2004-2005 to 2008-2009 2009-2010 to 2013-2014 3,864 5,167 AverageNumberof Suspensions/Expulsions Academic Years Average Drug-RelatedSuspensions/Expulsions 34% Increase SOURCE: Colorado Department of Education, 10-Year Trend Date: State Suspension and Expulsion Incident Rates and Reasons High School Discipline
  • 113.
    High School Discipline SOURCE:Colorado Department of Education, 10-Year Trend Data: State Suspension and Expulsion Incident Rates and Reasons 3.2 3.2 3.0 3.1 3.1 4.4 5.0 5.1 5.4 6.4 1.2 1.3 1.1 1.0 1.0 1.0 1.0 1.0 0.9 0.9 0 1 2 3 4 5 6 7 PercentageofTotalSuspensions Percentage of Total Suspensions in Colorado from 2004 - 2014 School Years Drug Violations Alcohol Violations Commercialization Legalization
  • 114.
    College-Age Marijuana Use College-AgeAdults (ages 18 to 25 years) Current Marijuana Use 2013  National average = 18.91 percent  Colorado average = 29.05 percent  Colorado was ranked 2nd in the nation for current marijuana use among college-age adults (53.62 percent higher than the national average)
  • 115.
    College-Age Marijuana Use SOURCE:National Survey on Drug Use and Health, 2012 and 2013 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 2006-2008 Pre-Commercialization 2009-2012 Post-Commercialization 2013 Legalization 22.36% 26.18% 29.05% AveragePercent Average Past Month Use of Marijuana College Age (18 to 25 Years Old) (17% Increase) (11% Increase)
  • 116.
    Adult Marijuana Use Adults(ages 26+ years) Current Marijuana Use 2013  National average = 5.45 percent  Colorado average = 10.13 percent  Colorado was ranked 5th in the nation for current marijuana use among adults (85.87 percent higher than the national average)
  • 117.
    Adult Marijuana Use SOURCE:National Survey on Drug Use and Health, 2012 and 2013 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 2006-2008 Pre-Commercialization 2009-2012 Post-Commercialization 2013 Legalization 6.03% 7.98% 10.13% AveragePercent Average Past Month Use of Marijuana Adults (Age 26+) (32% Increase) (27% Increase)
  • 118.
  • 119.
    SOURCE: Proceedings ofthe Denver Epidemiology Work Group (DEWG), Denver Office of Drug Strategy/The Denver Drug Strategy Commission, October 29, 2014 0.00 50.00 100.00 150.00 200.00 250.00 300.00 350.00 400.00 450.00 2011 2012 2013 Colorado 147.80 179.00 248.32 Denver City and County 315.34 331.22 415.46 RatesPer100,000 Emergency Department Rates Per 100,000 Marijuana- Related, 2011-2013 Legalization
  • 120.
    SOURCE: Colorado Departmentof Public Health and Environment, Monitoring Health Concerns Related to Marijuana in Colorado: 2014 0 200 400 600 800 1000 1200 2011 2012 2013 Jan-Jun 2014 618 701 873 1,105 RatesPer100,000 Data Not Available Pre-2011 Rates of Emergency Department (ED) Visits with Possible Marijuana Exposures, Diagnoses, or Billing Codes per 100,000 ED Visits by Year in Colorado Jan-Jun 2014 Legalization
  • 121.
    SOURCE: Colorado Departmentof Public Health and Environment, Monitoring Health Concerns Related to Marijuana in Colorado: 2014 0 500 1000 1500 2000 2500 2006 2007 2008 2009 2010 2011 2012 2013 Jan-Jun 2014 810 818 911 963 1,260 1,313 1,417 1,779 2,277 RatesPer100,000 Rates of Hospitalization (HD) Visits with Possible Marijuana Exposures, Diagnoses, or Billing Codes per 100,000 HD Visits by Year in Colorado Jan-Jun 2014 Commercialization Legalization
  • 122.
    Marijuana and PoisonControl Cases
  • 123.
    Rocky Mountain PoisonCenter SOURCE: Rocky Mountain Poison Center and American Association of Poison Control Centers 0 5 10 15 20 2006 - 2009 2010-2013 3.76 4.97 9.74 17.81 Average Percent of Children Ages 0 to 5 Years for Reported Marijuana Exposure Cases National Colorado
  • 124.
    Rocky Mountain PoisonCenter SOURCE: Colorado Department of Public Health and Environment/RMPDC 0 20 40 60 80 100 120 140 160 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 28 29 27 25 34 25 32 37 18 53 40 61 88 151 NumberofExposuresReported RMPDC Marijuana Exposure Calls Through December 31, 2014 Commercializati on Legalization
  • 125.
  • 126.
    THC Extraction Labs SOURCE:Rocky Mountain HIDTA Investigative Support Center 0 5 10 15 20 25 30 35 2 0 0 0 12 32 NumberofExplosions Explosions 0 5 10 15 20 25 30 35 3 0 0 0 18 30 NumberofInjuries Injuries
  • 127.
  • 128.
  • 129.
    Diversion – ByMotor Vehicles SOURCE: El Paso Intelligence Center (EPIC), National Seizure System 54 41 57 58 92 281 321 274 288 360 0 50 100 150 200 250 300 350 400 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Colorado Marijuana Interdication Seizures
  • 130.
    Diversion – ByMotor Vehicles SOURCE: El Paso Intelligence Center, National Seizure System 0 1,000 2,000 3,000 4,000 2005-2008 2009-2014 2,763 3,667 Average Pounds of Colorado Marijuana from Interdiction Seizures
  • 131.
    Diversion – ByU.S. Postal Service Packages SOURCE: United States Postal Inspection Service ** Preliminary data 0 50 100 150 200 250 300 350 2009 2010 2011 2012 2013 2014 0 15 36 158 207 320** Parcels Parcels Containing Marijuana Mailed from Colorado to Another State
  • 132.
    Diversion – ByU.S. Postal Service Packages SOURCE: United States Postal Inspection Service ** Preliminary data 0 100 200 300 400 500 2009 2010 2011 2012 2013 2014 0 57.20 68.20 262.00 493.05 469.91** Pounds Pounds of Colorado Marijuana Seized by the U.S. Postal Inspection Service
  • 133.
    All Reported Crimein Denver 2012 2013 2014 43,867 reported crimes 48,147 reported crimes 49,258 reported crimes 5,391 reported crimes increase from 2012 through 2014 (+12.3 percent) Reported offenses using the National Incident Based Reporting System (NIBRS) definitions in the City and County of Denver, January 9, 2015
  • 134.
    Alcohol Consumption SOURCE: NationalInstitute on Alcohol Abuse and Alcoholism 2.72 2.72 2.78 2.77 2.70 2.71 2.73 2.76 2.33 2.28 2.31 2.31 2.23 2.27 2.28 2.33 0.00 0.50 1.00 1.50 2.00 2.50 3.00 2005 2006 2007 2008 2009 2010 2011 2012 Gallons Years Alcohol Consumption Per Person in Gallons by Year National Colorado
  • 135.
    John Aguilar, TheDenver Post, Saturday, February 7, 2015
  • 136.
    County Responses toA-64 As of November 5, 2014 related to recreational marijuana businesses:  36 counties prohibited  8 counties have a moratorium or temporary ban  5 counties prohibited new businesses but allowed medical to migrate to recreational  15 counties have allowed (23 percent)
  • 137.
    City Responses toA-64 As of November 5, 2014 related to recreational marijuana businesses:  179 cities prohibited  40 cities have a moratorium  6 cities prohibited new businesses but allowed medical to migrate to recreational  41 cities have allowed (15 percent)
  • 138.
    Polling November 2012 A64Election Results 54% in Favor 46% Opposed Sept. 2014 Suffolk University/USA Today Poll Colorado 46% continue to support A64 50.2% do not agree with A64 decision
  • 139.
    Polling October 2014 GallupPoll Favor Legalized Oppose Legalized Unsure 2013 58% 39% 3% 2014 51% 47% 2%
  • 140.
    Polling October 2014 PewResearch Center Poll Favor Legalized Oppose Legalized Unsure Feb. 2014 54% 42% 3% Oct. 2014 52% 45% 3%
  • 141.
    Thank you forwhat you do. Remember:
  • 142.
    Trending Topics Track TheNaked Truth About “Medical” Marijuana: Translating the Science into Messages that Matter Presenters: • Susan R. Thau, MCRP, Public Policy Consultant, Community Anti-Drug Coalitions of America • Thomas J. Gorman, Director, Rocky Mountain High Intensity Drug Trafficking Area (HIDTA) Moderator: Nancy Hale, President and CEO, Operation UNITE

Editor's Notes

  • #52 http://www.cadca.org/files/resources/RIA-Mar-April-2014.pdf