Details

Subject(s)

• Health [Browse]

Editor

• Edmond, Charles M. [Browse]

Series

Government Procedures and Operations Series [More in this series]

Summary note

An estimated 43.5 million Americans used marijuana in the last year. Despite growing acceptance and accessibility of this drug and its derivatives, we lack definitive evidence on the short- and long-term health implications of marijuana use. Marijuana use among youth and young adults is a major public health concern. As policy and legalization efforts evolve and the availability of legal marijuana increases, communities and families need guidance surrounding marijuana use.

Bibliographic references

Includes bibliographical references and index.

Source of description

Description based on print version record.

Contents

• Intro
• Contents
• Preface
• Chapter 1
• Marijuana and America's Health: Questions and Issues for Policy Makers*
• Statement of Jerome Adams, M.D., Surgeon General of the United States
• Statement of Nora Volkow, Ph.D., Director, National Institute of Drug Abuse, North Bethesda, Maryland
• Statement of Robert Fitzgerald, Ph.D., Professor of Pathology, University of California-San Diego, California
• Statement of Staci Gruber, Ph.D., Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts
• Statement of Sean Hennessy, Pharm.D., Ph.D., Professor of Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
• Statement of Madeline Meier, Ph.D., Assistant Professor of Psychology, Arizona State University, Tempe, Arizona
• Senate Caucus on International Narcotics Control Hearing, Marijuana and Public Health, October 23, 2019, Written Statement from: Robert L. Fitzgerald, PhD., Professor of Pathology, University of California-San Diego
• Introduction
• Testimony of Dr. Staci Gruber, before the Senate Caucus on International Narcotics Control, "Marijuana and America's Health: Questions and Issues for Policy Makers," October 23, 2019
• Neurocognitive Impact of Recreational MJ Use
• Cognition
• Brain Function
• Brain Structure
• Variables Moderating the Impact of MJ Use on the Brain
• Age of Onset of MJ use
• Exposure to MJ: Frequency, Magnitude, Potency &amp
• Novel Modes of Use
• Length of Abstinence
• Chronologic Age: The Impact of MJ Use in Older Adults
• Can the Effects of Recreational MJ Use Be Generalized to Medical MJ Use?
• Marijuana and Public Policy
• Barriers to Cannabis Research
• Conclusion
• Testimony by Sean Hennessy, before the Senate Caucus on International Narcotics Control, October 23, 2019
• Potential Therapeutic Effects.
• Potential Harmful Health Effects
• Barriers to Research on the Effects of Cannabis and Cannabis‐derived Products
• Recommendations
• The Health Effects of Cannabis and Cannabinoids
• The Current State of Evidence and Recommendations for Research
• The Study Process
• The Committee's Conclusions
• The Committee's Recommendations
• Clinical and Observational Research
• Health Policy and Health Economics Research
• Public Health and Public Safety Research
• Committee on the Health Effects of Marijuana
• Study Sponsors
• Study Staff
• Cannabis Effects on Cognitive Function
• Cannabis and IQ (Discussion of Meier et al., 2012)
• The Findings
• Why Are These Findings Important?
• What Is the Size of the IQ Decline?
• Why Is an 8-Point Decline in IQ Significant?
• How Many People Does This Affect?
• What Should We Do?
• What Additional Research Is Needed?
• Appendix
• Supporting Details for Meier et al., 2012
• Written Testimony of VADM Jerome M. Adams, M.D., M.P.H., U.S. Surgeon General and Nora D. Volkow, M.D., Director, National Institute on Drug Abuse, Caucus on International Narcotics Control, October 23, 2019
• Background
• Surgeon General's Advisory on Marijuana Use and the Developing Brain
• Marijuana Use during Pregnancy
• Marijuana Use during Adolescence
• Research Supported by the National Institutes of Health's (NIH) National Institute on Drug Abuse (NIDA)
• Key Messages and Critical Actions
• References
• Chapter 2
• Evaluation of Potential Hazards during Harvesting and Trimming Cannabis at an Indoor Cultivation Facility(
• Request
• Workplace
• Our Approach
• Our Key Findings
• Employees Were Exposed to Endotoxins in the Air
• Employees Were Concerned About Their Potential Exposures at Work.
• Trimming Employees Had Exposures to Highly Repetitive Work That Increased Their Risk of Musculoskeletal Disorders
• Our Recommendations
• Recommendation 1: Reduce Exposures to Endotoxins in the Workplace
• Recommendation 2: Reduce Dermal Exposures to Cannabinoids in the Workplace
• Recommendation 3: Reduce Potential Exposures to Ozone, Light, and Noise in the Workplace
• Recommendation 4: Reduce Risks for Musculoskeletal Disorders
• Recommendation 5: Obtain Regular Input from Employees about Workplace Safety and Health Issues and Use This Input to Improve Conditions
• Recommendation 6: Address Other Health and Safety Issues We Identified During Our Evaluation
• Supporting Technical Information: Evaluation of Potential Hazards During Harvesting and Trimming Cannabis at an Indoor Cultivation Facility, HHE Report No. 2019-0152-3381
• February 2022
• Section A: Workplace Information
• Building
• Employee Information
• Process Description
• Cultivation
• Harvesting
• Drying
• Trimming
• Section B: Methods, Results, and Discussion
• Methods: Observations of Work Processes, Practices, and Conditions
• Results: Observations of Work Processes, Practices, and Conditions
• Methods: Exposure Assessment
• Endotoxin
• Cannabinoids
• Fungi
• Genomic DNA Extraction from Air Samples
• Fungal ITS Region Amplification, Cloning, and Sanger Sequencing
• Particulates
• Noise
• Results: Exposure Assessment
• Methods: Confidential Medical Interviews
• Results: Confidential Medical Interviews
• Job Tasks
• Personal Protective Equipment
• Work-Related Safety Concerns
• Work-Related Health Symptoms
• Physical Working Conditions and Psychosocial Factors
• Job Stress
• Discussion.
• Limitations
• Section C: Tables
• Section D: Occupational Exposure Limits
• Δ9-THC
• Δ9-THCA, CBD, and CBN
• Hemp
• Ozone
• Section E: References
• Confidential Medical Interviews
• Discussion
• Exposure Assessment
• Occupational Exposure Limits
• Chapter 3
• Talking with Your Teen about Marijuana: Keeping Your Kids Safe(
• Take Action
• What Is Marijuana?
• Why Are Young People Using Marijuana?
• How Are Young People Using Marijuana?
• Know the Risks and Harms of Marijuana Use
• Identify the Signs
• Chapter 4
• Preventing Marijuana Use among Youth*
• Abstract
• Foreword: Evidence-Based Resource Guide Series Overview
• Content of the Chapter
• Section 1. Issue Brief
• Evolution of the Marijuana Market: Increasing Potency and Product Diversification
• How Is Marijuana Used?
• Prevalence of Marijuana Use among Youth
• Overall Prevalence
• Prevalence of Marijuana Use by Specific Population Groups
• Harms Associated with Youth Marijuana Use
• Effects of Marijuana Use on the Brain
• Short- and Long-Term Adverse Effects of Marijuana Use
• Common Short-Term Adverse Effects
• Less Common Short-Term Adverse Effects
• Long-Term Effects
• Marijuana Use Disorder
• Psychotic Symptoms and Disorders
• Personal Harms
• Overdoses
• Risk and Protective Factors for Youth Marijuana Use
• Individual and Peer Risk and Protective Factors
• Family Risk and Protective Factors
• School Risk and Protective Factors
• Community Risk and Protective Factors
• Challenges to Prevention Efforts
• Section 2. What Research Tells Us
• Comprehensive Approaches to Prevention
• Research Opportunity
• Youth Substance Use Prevention Programs with Marijuana-Related Outcomes
• Community-Level Interventions/Environmental Strategies.
• Price and Taxation of Marijuana
• Implementation Examples
• Regulation of Retail Outlets through Licensing and/or Zoning
• Restricting Youth Access to Marijuana in Retail Establishments
• Banning Products and Packaging That Attract Youth
• Regulating Marijuana Packaging
• Limiting Marijuana Advertising and Marketing
• Funding Public Health Media Campaigns
• Section 3. Guidance for Selecting and Implementing Evidence-Based Policies and Programs
• Using the Strategic Prevention Framework
• Key Considerations for Prevention Program and Policy Implementation
• Stakeholder Engagement
• Challenge
• Strategy
• Financing
• Strategies
• Key Considerations for Implementing Programs to Prevent Marijuana Use among Youth
• Tailoring Interventions
• Adaptation vs. Fidelity
• Staff Training
• Key Considerations for Implementing Policies to Address Marijuana Use among Youth
• State Preemption
• Evolving Community Needs
• Marijuana Product Diversity
• Industry Influence
• Challenges
• Implementation Guides and Manuals
• Interventions
• Programs
• Regulating Marijuana Prices
• Regulating Marijuana Retailers
• Regulating Marijuana Marketing
• Regulating Marijuana Products
• Tools to Support Policy Interventions
• Section 4. Examples of Interventions for Prevention of Marijuana Use Among Youth
• California
• Prevention Strategies in Ventura County, California
• Marijuana Prevention Initiatives in Ventura County
• Environmental Strategies
• Lessons Learned
• Colorado.
• Prevention Strategies in Boulder County, Colorado.

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ISBN

979-88-911-3076-0

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