A burning problem: cannabis lessons learned from Colorado

Parnes, Jamie E.; Bravo, Adrian J.; Conner, Bradley T.; Pearson, Matthew R.

doi:10.1080/16066359.2017.1315410

Cited by 30 publications

(24 citation statements)

References 58 publications

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“…Cannabis access laws and greater cannabis consumption among workers have led to increased concerns about workplace safety. 5,69,70 The fact that cannabis can impair neurocognitive and psychomotor functions supports these concerns. 71,72 A broad systematic literature review found only 16 studies, published in 2018 and prior years, that performed a statistical comparison of work-related injuries in cannabis-consuming workers compared with noncannabisconsuming workers.…”

Section: Cannabis and Workplace Safetymentioning

confidence: 97%

Cannabis and work: Need for more research

Howard

Osborne

2020

American J Industrial Med

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Cannabis sativa is one of the oldest and most widely used plants in the world with a variety of industrial, medical, and nonmedical applications. Despite its long history, cannabis-derived products remain a source of controversy across the fields of medicine, law, and occupational safety and health. More favorable public attitudes about cannabis in the US have resulted in greater access to cannabis through legalization by states, leading to more consumption by workers. As more states adopt cannabis access laws, and as more workers choose to consume cannabis products, the implications for existing workplace policies, programs, and practices become more salient. Past workplace practices were grounded in a time when cannabis consumption was always viewed as problematic, considered a moral failing, and was universally illegal. Shifting cultural views and the changing legal status of cannabis indicate a need for research into the implications and challenges relating to cannabis and work. This commentary suggests research needs in the following areas: (a) data about industries and occupations where cannabis consumption among workers is most prevalent; (b) adverse health consequences of cannabis consumption among workers; (c) workplace supported recovery programs; (d) hazards to workers in the emerging cannabis industry; (e) relationship between cannabis consumption and occupational injuries; (f) ways to assess performance deficits and impairment from cannabis consumption; (g) consumption of synthetic cannabinoids to evade detection by drug testing; (h) cannabis consumption and its effect on occupational driving; and (i) ways to craft workplace policies and practices that take into consideration conflicting state and federal laws pertaining to cannabis. 1 | INTRODUCTION Cannabis sativa is one of the oldest and most widely used plants in the world. 1 Native to Asia, the different cultivars of C. sativa have been used for a wide variety of industrial, medical, and nonmedical uses for thousands of years. 2 Despite its long history, the use of cannabisderived products remains a source of controversy across the fields of medicine, law, and occupational safety and health. 3-6 More favorable public attitudes about cannabis in the United States have resulted in greater access to cannabis through legalization by states and led to more consumption. In 2018, 40.3 million Americans aged 18 or older used cannabis at some time during that year. 7 Increases in use were greater in states that adopted medical cannabis access laws than nonadopting states. 8 Nearly 18% of workers employed full-time, and nearly 21% of workers employed part-time, used

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Section: Cannabis and Workplace Safetymentioning

confidence: 97%

Cannabis and work: Need for more research

Howard

Osborne

2020

American J Industrial Med

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“…When taken orally, delta-9-tetrahydrocanninbinol (THC) undergoes a firstpass effect in the liver to a more potent compound, 11-hydroxytetrahydrocannabinol (11-OH-THC), which is then able to cross the blood-brain barrier and exert effects (Barrus et al, 2016). Because of this physiological process, there is a variable delay in the onset of effects, which may result in users consuming more than intended after not feeling the effects initially (Parnes et al, 2018). In Denver, a man jumped off of a balcony after consuming an entire edible cookie after not feeling the initial effects of the one-sixth he was only supposed to consume (Hancock-Allenand et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…This demonstrates one of the potential risks of edible use by edible-naïve individuals. Additional concerns related to the consumption of edibles include the potential *Corresponding author: Nicole Doran (email: ndoran@uoguelph.ca) for interaction with other drugs in the body (Friese et al, 2016), dosage titration within the product, the variable onset of effects, as well as different rates of absorption (Parnes et al, 2018). There are also concerns surrounding the packaging and inaccurate labelling of edible products.…”

Section: Introductionmentioning

confidence: 99%

“…Edibles are often packaged to mimic regular sweets and candy, with bright and appealing labels, which may increase their appeal to children and lead to accidental ingestion. Labelling of edible products was found to be very inaccurate, with one study finding that only 17% of retail products contained the labelled dose of THC, whereas 23% of retail products contained at least 10% more than the labelled dose (Parnes et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Cannabis edibles: Behaviours, attitudes, and reasons for use

Doran

Papadopoulos

2019

Environ. Health Rev.

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Legalization of cannabis may correspond with increased prevalence of use of cannabis-infused edibles. The purpose of this literature review was to search the literature and summarize edible-related behaviours, perceptions and reasons for use. The main findings indicate that edibles are potentially being used more frequently and that there is a general lack of understanding on how to safely use them. The information from this review can be used to help direct future areas of research and to inform future health promotion initiatives on safe edible use.

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“…Increasingly, concerns are being raised over the potential impact of MMLs on workplace safety. [2][3][4][5] As a backdrop to these concerns, there are important legal issues surrounding workplace safety and the use of medical marijuana that remain unresolved. For instance, in many states it is unclear whether employers can impose sanctions on registered medical marijuana patients who test positive for tetrahydrocannabinol (the psychoactive component in marijuana), or whether insurance companies can claim marijuana as the cause of injury or death in the workplace.…”

Section: Introductionmentioning

confidence: 99%