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May 31, 2006

Study Tracks Teen Drug Use in ER

A study tracked teen admissions into an emergency room and drug tests administered to them. Even though all 443 patients tracked were supposed to be tested, only 193 actually were. Of those 193, 40% tested positive with 29% having opiates, 11% having alcohol, and 20% positive for marijuana. The authors of the study conclude that drug tests should be routinely performed and used to identify candidates for treatment after hospitalization rather than have the tests used only to determine appropriate medical care at the time of the visit.

May 29, 2006

Anti-Drug Ally Uribe Reelected in Colombia

Colombia's president has been reelected in a landslide victory with 62% of the votes. The first Colombian president to be democratically elected to a second term, Uribe has been an ally to the United States in its War on Drugs. He has taken a hard stance on fighting the drug-funded Colombian guerrillas, which involves cutting down on Colombian coca production. This contrasts other South American leaders, who have favored coca farmers in their policies. Also, even the ONDCP's reports show an increase in Colombian coca. Still, Uribe is credited with reducing violence and boosting the nation's economy.

Government's Monopoly On Legally Available Marijuana Hampers Research

The government has a monopoly on the production of marijuana legally available for research. Unfortunately, the government-cultivated plants yield a limited psychoactive effect compared with high quality but illegally cultivated marijuana. This article outlines the situation and describes the fight for another source of legal marijuana for research purposes at the University of Massachusetts, Amherst.

Number of Older Users Expected to Swell

Earlier, we reported on a government survey that suggested a doubling of older drug addicts. Today's CESAR Fax details this trend. Users of illicit drugs aged 50 and older are expected to rise from 1.6 million in 1999-2001 to 3.5 million in 2020. As the baby boomer population, which consumed more illicit drugs, reaches older age, it becomes more important to understand the effects of these illicit substances in aging bodies.

Young Club Drug Users Consume Multiple Illicit Drugs

The May 22 CESAR Fax reports that the majority (82%) of club drug users consume three or more type of illicit drugs during their lifetimes. Users most likely to report usage of multiple illicit drugs consumed methamphetamine, ketamine, LSD, MDMA, GHB, or flunitrazepam. Only 1% of club drug users stuck to one type of drug.

May 27, 2006

Some Offenders Venturing Incarceration Over Treatment

A Sonora newspaper reports that nonviolent drug offenders eligible for treatment under California’s Proposition 36 have recently begun opting, instead, for incarceration. The overcrowded Calaveras jail has been unable to accommodate growing populations, having to release less serious offenders. Some parties, realizing this, chance curtailed sentences for potentially more time-consuming treatment programs.

May 25, 2006

The Sleeper Effect

A new study stresses the importance of the first cigarette tried by adolescents. The study states that 11 year olds who had at least one cigarette "were twice as likely to start smoking regularly by age 14 than their peers who reported never smoking cigarettes at age 11." The sleeper effect is the explanation provided by the study for how there could be a significant passage of time between first time use and regular use. The study recognizes that this could be on account of any of three reasons: "One cigarette may set the stage, biologically, for vulnerability to smoking. Smoking a first cigarette may break down social barriers to smoking. Personality traits, in certain situations, may nudge one-time smokers towards regular smoking."

Reduction in Domestic Meth Production Might Have Boosted Addiction Levels

Closing the door on domestic methamphetamine production has led to the import of purer foreign meth, thereby addicting more users and drastically increasing treatment admissions while actual use has been mostly constant over the period between 1993 and 2004. During that same time period, methamphetamine treatment admissions increased from 28,000 to 150,000. Foreign produced meth has typically come in the smokable "ice" version which is purer, more addictive and more damaging than traditionally injected or inhaled forms of the drug.

May 23, 2006

Blood Tests May Help Smokers Quit

A study done indicates that blood tests for cotinine, a product of nicotine metabolism, may be a helpful way to predict the effectiveness of a nicotine patch. Using the blood test, the patient's nicotine metabolization rate can be determined, which is an indicator of craving intensity. This can be used to predict an effective dose or therapy to aid a patient in kicking a nicotine addiction.

Marijuana Uncorrelated to Lung Cancer

Donald Tashkin of UCLA announced today the findings of a study that evaluated the link between lung cancer and marijuana smoking. The study compared groups of 611 lung cancer patients, 601 patients with neck/head cancers, and 1,040 cancer-free individuals in a similar demographic. The findings showed that there was no correlation between even the heaviest marijuana use and cancers.

Thanks to The Drug WarRant for the story.

Mexican Meth Replaces Reduced Domestic Supply in Washington

The Associated Press reports that restrictions on the sale of methamphetamine ingredients commonly found in over-the-counter cold medicines has opened up the northwest drug markets to Mexican traffickers. Since 2000, meth labs and dump sites in Washington have decreased from 1,890 to 806. However, this does not decrease the number of addicts, leaving the market open to foreign production.

May 21, 2006

States Seek to Toughen Restrictions on Alcohol Advertising

A group of twenty state attorneys general sought to strengthen the restrictions on advertising alcohol to minors. The attorneys general brought their proposal to the Federal Trade Commission. In this proposal, the group recommends that alcohol should only be advertised to groups where 85% of the people are of drinking age. Currently the level required is 70%, but critics point out that this number does not represent the true demographics of society, only 15% of the population is in the 12-20 age group. The level was increased to 70% only two years ago from 50%. The FTC has rejected the 85% level previously.

May 20, 2006

University of Michigan Health System Finds Drug Use Prevalent In Teen Hospital Admissions

Reuters this week reported on a study conducted by the University of Michigan Health System that assessed substance prevalence among teen trauma admissions. The team found that of 443 patients, aged 14 to 17, who were admitted to the hospital at the University of Michigan, nearly 40 percent tested positive for either drugs or alcohol. Of those, 29 percent tested positive for opiates, 20 percent for marijuana and 11.2 percent for alcohol. It is unclear how characteristic the results are of typical use, however, as not all admissions were screened.

May 18, 2006

Doubling of Older Drug Addicts

Extrapolation from a new government survey predicts that there will be a doubling of drug addicts over the age of 50. The most common drug of abuse is alcohol, followed by prescription drugs. A 1999 survey revealed about 2.5 million adults over 50 who have substance addictions, and the study predicts that the number will rise to roughly 5 million by 2020.

NYC Public High School Students Report Higher Levels of Drinking Post-9/11

The May 15th CESAR Fax reports an increase in drinking levels for 11% of New York City public high school students in the six months following the September 11th attacks in 2001. Students who had direct exposure to the attacks were more likely to report increased drinking, suggesting the use of alcohol as coping mechanism. A sensitivity analysis of the study shows a selection bias in addition to a lack of details regarding the changes in drinking behavior, but recommends that large scale disasters could be effectively followed by targeted intervention programs in anticipation of increased substance use or abuse.

May 17, 2006

Sioux Who Grew Industrial Hemp Find Conviction Upheld in Circuit Court

The Eighth Circuit upheld the conviction of two Sioux men, Alex and Percy White Plume, for growing industrial hemp on federal trust land in spite of a Tribal penal code section that declared the activities legal. The court's ruling placed the burden for change on congress, explaining that the contentions favoring the allowance of industrial hemp cultivation are "policy arguments better suited for the congressional hearing room than the courtroom. Today we fulfill our role to interpret and apply the statute as written by Congress." The men did not procure a DEA certificate for hemp growth.

Thanks to the Drug Law Blog for the story.

May 16, 2006

Synthetic THC-like Medicine Approved by FDA

The FDA granted Valeant Pharmaceuticals International the distribution of Cesamet, a synthetic cannibinoid similar to THC, the active molecule in cannabis. The drug is used to treat nausea and vomiting in cancer patients undergoing chemotherapy. The drug works on a different receptor than conventional drugs used to treat nausea and vomiting, and therefore is well suited for patients who haven't responded well to the conventional drugs.

Teen Prescription Use at 19%

A study conducted by Partnership for a Drug Free America found that 19% of teens report having used a prescription medication to get high. The study found that about 40% of teens thought that prescription drug use was safer than illicit drug use.

May 12, 2006

Study Finds Anti-Marijuana Advertisements Cause More Positive Attitude Towards Marijuana Use

A study published in the May issue of Addictive Behavior found that college-age viewers responded to anti-marijuana advertisements by fostering a less negative attitude towards marijuana. This has tremendous implications for the program's funding; a 2003 appropriations conference report featured the caveat, "The conferees are deeply disturbed by the lack of evidence that the National Youth Anti-Drug Media Campaign has had any appreciable impact on youth drug use," and a continued lack of evidence will lead "the Committee (to) be compelled to reevaluate the use of taxpayer money" in funding the campaign.

May 11, 2006

New Policy Could Place Graphic Images on Cigarette Packages in New Zealand

New Zealand's associate health minister proposed new warnings that would cover between 50 and 60 percent of cigarette packages. The law would require graphic images of damage from tobacco use, including throat cancer, gangrenous feet, and rotting teeth. Some speculate that while long term smokers would not be affected, teenagers at risk of picking up the habit might be put off.

DEA Claims Worldwide Meth Use Exceeds Heroin and Cocaine Use Combined

DEA chief Karen Tandy claimed at an international narcotics conference that the number of methamphetamine users globally surpasses heroin and cocaine users combined. The figure is pinned at 26 million.

May 10, 2006

Growing Trend in Young Impotence Associated With Lifestyle, Inlcuding Drug Use

The Washington Post reports that a growing trend of impotent college students may be attributed, among other things, to substance use. Anecdotal claims by health professionals from schools such as MIT, Duke and Tulane indicate that students are more frequently complaining of erectile dysfunction. Experts say that the duress, drugs and drinking, in addition to shifting social roles associated with college life have contributed to younger performance problems.

Research Finds Decline in Alcohol Advertisments Reaching Youth

A study conducted by the Center on Alcohol Marketing and Youth (CAMY) found a steep decline in the amount of alcohol advertising reaching youth. While youths continue to see a considerable percentage of more alcohol advertising than adults of legal drinking age, the number has declined to 15% for beer, 10% for spirits, and 33% for alcopops in 2004 when compared with 52% for beer, 33% for spirits, and 63% for alcopops in 2001. 22 of the 211 surveyed brands accounted for more than 50% of all exposure. The statistics show that the alcohol industry has been meeting the voluntary threshold of no longer advertising in publications with a youth readership above 30%, although over 40% of advertisements were placed in magazines with a youth readership above 15%. The complete report can be found here.

New Jersey to Decide Medical Marijuana Legalization Next Month

The Associated Press reports that the New Jersey legislature has a bill on next month's agenda that would legalize marijuana for medical purposes. If approved, New Jersey will be the 12th state to allow medical marijuana. The bill was proposed by Democratic senator Nicholas Scutari.

SAMHSA Releases DAWN 2004 Report on Drug Related Emergency Room Visits

The Substance Abuse and Mental Health Services Administration (SAMHSA) has released the Drug Abuse Warning Network (DAWN) report for 2004. The 80 page PDF can be found here. The HTML version can be found here.

May 09, 2006

Alcohol Predominates Among Substance Abuse Admissions for Older Men

A report issued by the federal Substance Abuse and Mental Health Services Administration (SAMHSA) indicates that of adults aged 50 or over that entered substance treatment in 2003, 48 percent were admitted for alcohol only. Drawing on Treatment Episode Data Set (TEDS), they further concluded that a staggering 80 percent of those were male. Additionally, alcohol admissions constituted more first-time admissions (45 percent) than other substances (33 percent). This information comes as the population of older adults with substance abuse is anticipated to double from 1999 figures by 2020.

Study Examines Cost-Effectiveness of Treatment

A new study funded by the Robert Wood Johnson Foundation (RWJF) found in a cost effectiveness analysis that for every dollar invested into substance abuse treatment, there is a $7 benefit to society. "The study considered the effects of treatment on medical care, mental health services, criminal activity, employment earnings, and government transfer payments (e.g., welfare payments)." The main finding is concluded by "On average, treatment costs $1,600 and is associated with $11,500 in benefits during a nine-month follow-up period to treatment initiation. The net benefits are primarily due to reduced costs of crime and increased employment earnings. The total costs related to crime and incarceration decreased by $7,500 per person treated, while employment earnings increased by $3,400." It should be noted that the RWJF is a health care advocacy group.

ONDCP Releases Two Statements Regarding Mexico

The Office of National Drug Control Policy released two statements regarding Mexico on May 2nd and 4th. The first statement is an overview of Mexico's drug crop eradication numbers for 2005. The second statement concerns Mexico's latest drug legislation changes. The statement explains that Mexican president Vicente Fox will introduce amendments that ensure that drug use and possession in Mexico will still be crimes. The second statement also reiterates some crop eradication numbers from the first statement.

Preliminary Study Finds No Structural Change in Developing Brain with Cannabis Use

A preliminary study published in the Harm Reduction Journal conducted MRI scans of ten adolescent nonusers and ten adolescent heavy users to find "no pattern consistent with evidence of cerebral atrophy or loss of white matter integrity." The preliminary study concludes that cannabis use is not likely to alter the developing brain.

Web Surveys on Drug Use Appear As Reliable as Mail Surveys for Secondary Effects of Drug Use in College Age Users

The May 1st CESAR Fax reports that for identical mail in and web surveys, the web surveys had the same results with a higher response rate. The survey was conducted amongst a college age population, which has widespread internet access; other populations may not respond to a web survey with the same level of participation.

New Changes

As you may have noticed, the layout of the site has been changed. First, we have added some links on the side. This will be expanded over time as we add more sources and blogs from all areas of the political spectrum. Second, we have added an about us section that describes the authors and the blog's purpose. Let us know if you have any comments.

May 05, 2006

Congressman Seeks Treatment for Pain Medication Addiction

Congressman Patrick J. Kennedy, son of Ted Kennedy, received three traffic citations and crashed his car while under the influence of drugs Ambien and Phenergan, both of which can be used to treat sleeping disorders. Ambien is already associated with other incidents, and this high profile event brings it back into the spotlight. The congressman claims that he cannot remember the accident or citations, and as such, has gone into rehab for a pain medication addiction.

May 04, 2006

Albany District Attorney Criticizes Drug Laws

At a conference in Canada, Albany District Attorney David Soares told the Canadian government that the US drug laws do not work, and that they should not follow the US example. Soares bases his criticism of the US drug laws on the belief that "law enforcement too often target low-level criminals, instead of going after the big time dealers." Soares drew swift rebukes from both the Mayor of Albany and the Chief of Police.

Fox Changes His Mind

Mexico's President Fox has stated that he will not sign the decriminalization bill in its current form. Fox would like "to make it absolutely clear that in our country the possession of drugs and their consumption are and continue to be crimes." The original bill was meant to strengthen the drug laws by defining the upper limits of legal possesion by addicts, and also by allowing the the state and local police to enforce the drug laws, which under the current law is only a federal crime. The bill was not meant as a relaxation of the drug laws. Fox will send the bill back to congress to make changes to the bill.

May 03, 2006

Clearing the Fog on Mexico's New Drug Laws

Various news sources have been abuzz with reports of Mexico's new decriminalization bill, but with varying interpretations. Drug control policy expert Mark Kleiman tries to cut through the thick of the fog with a bit of well informed analysis; read on for his take, or simply go to his blog.

This entry appears courtesy of Mark Kleiman.

I don't know about you, but there are moments in my life when I have the feeling I've wandered into a Pynchon novella. One of them occurred this morning, though this was Pynchon with a touch of Tom Wolfe or Evelyn Waugh.

Yesterday the phone rang. It was a producer from KPCC's Air Talk, Larry Mantle's unusually civilized and intelligent news-talk show. What did I know, she asked, about Mexico's plan to decriminalize drug possession?

Not much, I said. I'd read the news coverage. The usual drug warriors were viewing it with alarm. It probably didn't matter much. Several countries had decriminalized (Spain, Portugal, Italy off and on). Most of Eastern Europe never had laws against possession.

Why had Vicente Fox proposed this now? the producer asked. Maybe, I said, as an anti-corruption measure, to prevent Mexican cops from shaking down small-time drug users and get them focused on dealers.

But accounts of the new policy seemed vague and inconsistent, I said. Had anyone gotten hold of the actual text of the law, or of someone in Mexico who knew what it was about? I mentioned a couple of people who might know. The producer said she'd try to get in touch with them. Meanwhile, would I do a radio interview tomorrow (i.e., this morning) with the Mayor of San Diego and Ethan Nadelmann of the Drug Policy Alliance? Sure, I said, but I'd be happy to be bumped in favor of someone who knew what the law was about.

After we got off the phone, I checked in with my old friend Ana Maria Salazar, a US/Mexican dual national who used to run drug policy for the Defense Department here and now is a journalist in Mexico. She filled me in on the facts.

Under current Mexican law:

1. Only the Federal Judicial Police (the "Federales") can make drug arrests. (This is intended as an anti-corruption measure.)

2. Possession of a small quantity for personal use carries no criminal penalty; instead, the defendant is required to undergo drug treatment. But "small quantity for personal use" isn't defined in law. Instead it determined on a case-by-case basis in court. As a result, some corrupt police and judges take bribes from dealers to classify the drugs the dealers were caught with as "personal use" amounts.

Under the new law:

1. All police will have the power to make drug arrests.

2. For each drug, a "personal use" quantity will be defined in law; any amount below that is automatically decriminalized, while any amount above that is defined as a dealer quantity.

If that's the case, the new law is effectively tighter than the old one. In particular, turning all the local cops in Mexico loose on drug users ought to be expected to greatly increase the number of arrests, although most of those additional arrests won't lead to jail time. But then, most current arrests of people who possess small amounts probably don't lead to jail time.

In a second preparatory call with a different producer, an then on the air this morning, I tried to explain all of that. The host seemed to understand. But then — this was the Pynchonesque moment — the conversation went right on about whether "Mexico's decriminalization" was a good idea or not, regardless of the fact that the new law doesn't actually seem to decriminalize anything that used to be subject to criminal punishment, but does seem to increase a drug user's risk of arrest by multiplying the number of police officers with the power to arrest him. We were there to talk about decriminalization, by God, and if decriminalization wasn't actually happening that was an interesting sidelight on the story but mustn't be allowed to interfere with the narrative, either for those who wanted to view with alarm or those who wanted to point with pride.

As it turns out, my account might have missed a crucial subtlety. The AP reports:

Currently, Mexican law allows judges the latitude of dropping charges against people caught with drugs if they can prove they are drug addicts and if an expert certifies they were caught with "the quantity necessary for personal use."

The new bill makes the decriminalization automatic, allows "consumers" as well as addicts to have drugs, and delineates specific allowable quantities, which do not appear in the current law.

If that's true — if the old law required the drug possessor to prove that he was an "addict" to avoid criminal penalty while the new law removes that requirement — that would be a noticeable loosening to offset the other dimensions on which the changes constitute a tightening. How noticeable would depend on how hard it currently is to make and sustain the plea of "addiction."

In any case, the underlying weirdness of the experience remains. As I take it, the moral of the story is that in the contemporary media/political culture opinion and spin float free of mere fact.

Footnote The new Mexican law, as described, is precisely like California law: someone arrested with a small quantity of drugs is automatically eligible for diversion to a treatment program under Section 1000 of the Penal Code. Subsequent arrests for the same offense can lead to diversion to treatment under Proposition 36 or enrollment in a drug court, which is yet another variant of a diversion program. So where American enforcement agencies and politicians get off criticizing Mexico is beyond me. But that's an old story.

May 01, 2006

Mexico Legalizes Possession of Some Drugs

A bill passed on Friday in Mexico legalizes possession of small amounts of drugs and requires treatment for addicts. Small amounts of heroin, marijuana, cocaine, LSD, mushrooms, amphetamines and peyote have all been legalized. The law allows judges to decide punishments on a case by case basis, with the intent of increasing the fairness of sentencing. The law also allows the prosecution of drug dealers by local instead of federal officials. If a user is caught with lower than the legal amount of drugs, they must go before a judge, prove that they have an addiction, and then enter treatment.

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