CANNABIS - INFORMATION
Cannabis information for parliamentary briefings, leaflets and general articles needs to be clearly stated and simple - but with scientific references to source materials. The general public, and young people in particular, have been, and are being, given misinformation, insufficient information or totally incorrect information in many of the leaflets issued by other agencies. Most of these leaflets repeat messages from large organisations such as DrugsScope, (an organisation which was formed from the merging of two other groups ISDD and SCODA) or Connexions. ISDD had been disseminating out of date information for years yet an offer of help with updating the ISDD information on cannabis by a biology teacher specialising in the subject was refused.
HARMFULNESS OF CANNABIS
Given the known harmfulness of cannabis it would be unethical to try to replicate some of the small scale studies which showed significant harm from the use of the substance, The claim that millions worldwide use cannabis is no reason to ignore the harm which the small studies identify, and there are other quite large scale studies showing different elements of possible harm. In the USA there were 77,000 admissions to hospital emergency rooms in 1998 due to the use of cannabis. In the last year or two more and more psychiatrists and doctors have been publicising the fact that thousands of people are suffering from mental illness due to their use of cannabis. In the National Health Service in Britain there is a ‘yellow card scheme’ where GPs who come across even a few examples of contra-indications to prescribed drugs send in the card to flag up ‘caution'. These cautions are taken very seriously since the widespread prescribing of certain drugs could result in another situation Like thalidomide if not identified early on. This scheme could be adopted to note any physical or mental illness which doctors believe is due to their patient’s use of cannabis. We should take notice of any studies showing harm in so many areas from the use of cannabis. The fact that thousands may use and have no apparent adverse effects is of no consequence - many pharmaceutical drugs are withdrawn from general use when they harm a few - even though they may help many others. Professor Gabriel Nahas writes very eloquently on this very point:
The protagonists of the free availability of cannabis who are convinced that this drug does not constitute a serious health hazard will claim that those who wish to ban cannabis must produce convincing reasons before we restrict the individual’s right to choose (Schofield. 1971) - This view is a transposition of a legal concept regarding man’s innocence until proven guilty into the field of medicine, where a different viewpoint prevails in respect to drug usage. indeed, physicians have to take a guarded view of all drugs. which are considered guilty until proven innocent. The state which has the mandate to protect the health of the people, must hold a view similar to that of the physician.
Professor G. Nahas ‘Marijuana - Deceptive Weed’ 1975 Published by Raven Press
It is clear therefore that saying ‘millions use cannabis’ or ‘ I use and it never did me any harm’ is the same as saying that millions drink alcohol and they are not all alcoholics. True. But many are - and the younger they are when they begin to use alcohol the more likely they are to become problem drinkers. Cannabis is no different and more and more research is being published which shows that early onset use of cannabis and other illegal drugs leads to more problematic and chaotic drug use in later life.
MILLIONS USE CANNABIS WORLDWIDE
The often quoted figures that millions’ use cannabis world-wide or’ 2 -6 million have used cannabis in the UK - are themselves very misleading. Several years go the figure of 2 million users in the UK was bandied about - now one reads ‘Up to 6 million users’. Firstly, where is the hard evidence? The activity is illegal and therefore difficult to portray accurately. Were they users in their youth and are they now non-users ? Have these users tried the drug once, twice or many times ? Did they use daily, weekly, monthly, three times a year or once every five years? Did they smoke ditchweed, grass, ganja, resin, sinsemilla, skunk or chaw? These questions are important because the very real harms from the use of cannabis will vary from person to person and are dependent upon the age of onset of use, the length of time used, the frequency of use, the type and purity of the drug used, the strength of the drug used. Thus it is not possible to compare a 50 year old intelligent male who has occasionally smoked an 0.5% THC joint at parties - from the age of 18 - perhaps a total of 100 low potency joints in his life, to an unemployed and alienated young man of 18 who started smoking 0.5% THC joints at 13 years of age and was a daily smoker of skunk (15 - 27% THC) by 15 - which could be well over 700 joints in 2 years. The risks to their health, their education, their employment prospects, their family and social life and their relationships with the opposite sex will be very different.
IS CANNABIS ADDICTIVE?
There is plenty of research that shows cannabis to be an addictive substance. The following authors have all written affirmatively on the subject of addiction.
One of the single most important reasons why there has been an upsurge in the use of illegal drugs by Western youth is the mistaken belief that marijuana is a ‘soft’ drug. not physically addictive, and mood-altering rather than mind altering. Studies of the characteristics of drugs and patterns of their use and the observations of patients, doctors, teachers and ex-drug users have made it clear how misleading these assumptions have been.
Elaine Walters Marijuana - An Australian Crisis’ 1993
Cannabis is readily available on the streets. Were it to be legalised the addiction rate would inevitably he greater. The following quotation concerned narcotics but the point is made that greater availability of drugs leads to greater addiction.
‘The addiction rate to narcotics among the medical profession is estimated to be 30-50 times greater than that of the general population. These statistics suggest that easy availability and the inherent addictive properties of narcotics are important factors…….
Nils Bejerot, ‘Addiction. An Artificially Induced Drive’ published by Charles Thomas. USA
Like all addictive substances, cannabis is not easy to give up. Some believe that it is more difficult to stop all use of cannabis than it is to stop the use of most other drugs.
A marked and rapid tolerance to most of the physiological and neuropsvchological effects of THC occurs. Withdrawal symptoms occur after cessation of heavy daily cannabis administration. As is the case for other drug dependencies, there is no pharmacological cure for cannabis dependency. Therefore, as for treatment of other dependencies, that of cannabis should employ methods that aim at abstinence from the drug so as to foster a drug-free life. Long-term cannabis smokers are difficult to treat because of their denial of the progressive and subtle negative effects of their dependency.
Gabriel G. Nahas, MD. Ph.D. D.Sc. ‘A Manual on Drug Dependence’ 1992
published by Essential Medical Information Systems. Durant. USA
In a study including people who used both cocaine and marijuana, many stated that giving up the use of marijuana was in some ways more difficult than giving up cocaine.
Strategies for breaking marijuana dependence. Zweben & O 1992 (2):165-71
Published in Journal Psychoactive Drugs
Clinically there is no doubt that psychological dependence on marijuana can and does occur. It is the drug of choice of many of the adolescents in our clinic. … Symptoms of psychological dependence parallel those seen in classic adult-onset alcoholism, and, in fact, such a model seems to serve very well for marijuana dependence. Symptoms such as increasing use to the point of tolerance, solitary use, surreptitious use, symptomatic use, blackouts, personality change when intoxicated, inability to control the amount used, preoccupation with use, inappropriate use, and use despite adverse consequences are seen regularly in our adolescent patients… irritability, anorexia, insomnia, and intensive drug seeking behaviour upon cessation of marijuana use (with) relief of these by return to marijuana use.
…a major clinical issue (is that) many children are referred to paediatricians, child psychiatrists and other health care workers for problematic behaviours and the child is not recognised as an extensive marijuana user.., because health care personnel often do not inquire about such drug use, or if they do inquire the child will minimize the extent of use.. there is extensive enabling behaviour , of both an active and passive nature, among school officials, parents and some professionals who deal with children. There appears to be a need for research and education regarding this behaviour if we are to increase our effectiveness in identifying those individuals whose drug use is problematic and in intervening as early as possible.
Marijuana and Youth - Clinical Observations on Motivation and Learning. pages 98-99 Robert Niven M.D.
Published by the National Institute on Drug Abuse. 1982
The prevalence and severity of psychiatric problems and addiction associated with cannabis, has resulted in ‘marijuana-related-dysfunctioning’ being one of the most frequent admission diagnoses in drug treatment facilities.
TheCannabis Connection by Elaine Walters Australia. 1989
Surveys indicate that the percentages of excessive consumers of illegal dependence producing drugs are related to the respective addictive properties of the drugs. Experts have concluded that marijuana addiction frequency, though not as high as cocaine or heroin, is far higher than alcohol. Still when someone has become dependent on marijuana the addiction is as severe and difficult to treat.
Ibid
In 1968 the official classification of psychiatric disorders did away with the term addiction, replacing it with dependence… The result of a sudden termination in use of the drug of addiction, the withdrawal reaction, is well known in the cases of heroin and alcohol. That it occurs with the marijuana discontinuation, to a different degree, is not generallv appreciated.
Bitter Grass - The Cruel Truth About Marijuana by Roy Hanu Hart M.D. Published by Psychoneurologia Press
in Cooperation with the American Academy of Psychiatry &Neurology (AAPN). Kansas.