Medical Marijuana: Child-Safe Packaging Needed

jolly lolly medical marijuana suckerThe Compassionate Use of Medical Marijuana Act aims to amend West Virginia state law so that physician-supervised patients with an authorized chronic or debilitating medical condition can cultivate plants and possess up to an ounce of usable marijuana for medical purposes. The measure also allows for the establishment of five compassion centers to dispense medical cannabis to qualified patients.  The proposal to legalize medical marijuana in West Virginia seems destined to die in committee this year, but now is the time to consider how to better protect children.  Bills of this type are gaining traction across the country, and we will likely see this come up for debate again in WV in 2014.

Certain safety measures have been included in House bills 2230 and 2961 which govern highway and workplace safety, but based on Colorado’s experience since legalizing cannabis use for medical purposes, some definite safeguards need to be in place to protect the children of our state.

Since the legalization of medical marijuana in Colorado, 14 children ages 8 months to 12 years old have been hospitalized for accidental ingestion of toxic amounts of pot in the past two years.  Though according to many medical professionals, it is nearly impossible for an adult to overdose on marijuana, children must be protected as much as possible from attractive forms of the delivery of this drug (such as suckers, gummy worms, or brownies — though I’m not sure why adults need these forms of delivery for their medicine) — primarily through the common sense of adult users, and secondly, through child-safe packaging and clear reporting and tracking for marijuana poisonings.

Already included in HB 2230 for the protection of drivers:  “Operating, navigating, or being in actual physical control of any motor vehicle, aircraft or motorboat while under the influence of marijuana, except that a registered qualifying patient or visiting qualifying patient may not be considered to be under the influence of marijuana solely because of the presence of metabolites or components of marijuana that appear in insufficient concentration to cause impairment.”

Addition safeguards in HB 2230 address hazardous work environments in West Virginia such as heavy equipment operations, coal mines, and gas well drilling sites:  “An employer is not required to allow the ingestion of marijuana in any workplace or to allow any employee to work while under the influence of marijuana,” and for the protection of employees:  “A registered qualifying patient may not be considered to be under the influence of marijuana solely because of the presence of metabolites or components of marijuana that appear in insufficient concentration to cause impairment.”

Tamper-proof Packaging Needed for Medical Cannabis:

An April 1, 2013, article by Michael Booth of the Denver Post focuses on the accidental ingestion of medical marijuana by children leading to ER visits which has spurred new debates about safe packaging.

From early 2005 to late 2009, Children’s Hospital Colorado had exactly zero emergency-room visits by kids who had ingested marijuana. In the following two years, when medical marijuana became legal in Colorado and federal officials backed off prosecution, it had 14.

Pioneering studies of ER charts by Colorado doctors show looser pot laws leading to childhood poisonings, often from mistakenly eating tantalizing “edibles” like gummy worms or brownies.

Those doctors are now helping lead the charge for mandatory safety packaging as Colorado gears up for even broader legal sales of pot with recreational-marijuana stores.

“We’ve seen a dramatic increase in pediatric exposure,” said Dr. George Wang, a Children’s ER doctor who also works with Denver Health’s Rocky Mountain Poison and Drug Center.

Safety packaging, as in other medicines, “is a supplement to careful parenting that has been shown to work,” said Wang’s colleague, Dr. Michael Kosnett. “There are solutions available right now.”

And the marijuana industry agrees, up to a point, but argues that the tamper-proof packaging would greatly increase the cost of producing these goods and would add to landfill problems.

Serious Medical Consequences for Small Children

There are serious medical consequences for small children, though, even while marijuana advocates say an adult “overdose” of pot is nearly impossible.

Prescribed dosages of THC, the active ingredient in marijuana products used to control nausea from chemotherapy, is between 4 and 12 milligrams for children ages 2 to 4, based on body surface area. Some “edibles” have 300 milligrams of THC, Kosnett said.

The researchers say individual safety packs would be best, but the current recommendation of all items leaving the store in one secure package is “better than nothing.”

Because there is no clear reporting category for marijuana poisonings, doctors have to cull through files to count cases. Presbyterian/St. Luke’s, which operates Rocky Mountain Hospital for Children, said it does not track similar cases.

The cases studied at Children’s included decreased levels of consciousness and breathing trouble. Children can also vomit from ingesting too much of a strong substance and aspirate the vomit.

Child-ingested pot is also dangerous because ER doctors aren’t looking for it as a cause of any symptoms they see, Wang said. That can lead to invasive and expensive diagnostic efforts, such as a spinal tap or CT scan, if parents are embarrassed or scared to mention the true cause.

“When children get admitted to the ICU, that’s serious,” Kosnett said. Symptoms may appear similar to meningitis, for example.

Safety packaging and parental prevention should be noncontroversial, said Dr. Robert Brockmann, president of the Colorado Academy of Family Physicians, especially as newly legal recreational use will greatly expand the supply.

“None of that information is being disseminated when it’s dispensed,” Brockmann said. “It’s like liquor or prescription medications, or anything else you don’t want your kids to get into.”

Kosnett likens the social moment to that of the 1970 U.S. Poison Prevention Packaging Act, which launched many of the safety containers now ubiquitous in medical and chemical markets. One standard for packages, Kosnett said, is that no more than 20 percent of 5-year-olds be able to open a container within 10 minutes.

Such measures have cut pediatric poisonings in various categories by 40 to 90 percent over the decades, he said.

Submitted by the Robinette Legal Group, PLLC, West Virginia Injury Lawyers. Free books and downloads for WV accident victims — Call us today: 304-594-1800 for your free copy of Righting the Wrong: WV Serious Injury Guide; Collision Care: WV Auto Injury Guide; or Beside Still Waters: WV Fatal Injury Guide for Families.

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Read more: Colorado pot accidents spur call for childproof packaging – The Denver Post http://www.denverpost.com/news/marijuana/ci_22912949/colorado-pot-accidents-spur-call-childproof-packaging#ixzz2PssKcndX

Marijuana Legalized in the States of Washington and Colorado

Washington and Colorado voters made their states the first in the nation to legalize recreational pot use on November 6, 2012 even though use is a violation of federal law.  The measure sets up a system of state-licensed marijuana growers, processors and retail stores, where adults over 21 can buy up to an ounce. It also establishes a standard blood test limit for driving under the influence.  Home growing has also become legal in Colorado, but not Washington.  The state of Oregon also voted on the issue in 2012 and legalization with unrestricted cultivation received 47% of the vote.  The issue is expected to be voted on again in 2016 in Oregon, as well as in California and Maine. 

Though it currently remains illegal to sell non-medical marijuana in the state — recreational pot shops won’t be able to get licenses to open for about another year — the law allows people to give marijuana to one another without compensation.
 
The Governor of Colorado, John Hickenlooper, is on the record opposing his state’s amendment which seeks to regulate and tax marijuana like alcohol.  “Colorado is known for many great things –- marijuana should not be one of them,” Hickenlooper said in a statement. “Amendment 64 has the potential to increase the number of children using drugs and would detract from efforts to make Colorado the healthiest state in the nation. It sends the wrong message to kids that drugs are OK.”
 

Supporters of the new law argue that legalizing marijuana could help bring in hundreds of millions of dollars a year in pot taxes, reduce small-time pot-related arrests and give supporters a chance to show whether decriminalization is a viable strategy in the war on drugs.

House Bill 2230, the West Virginia Compassionate Medical Marijuana Bill includes this clause concerning the medical use of marijuana:  “States are not required to enforce federal law or prosecute people for engaging in activities prohibited by federal law. Therefore, compliance with this article does not put the State of West Virginia in violation of federal law.”  But, be aware: just because state laws have changed, that doesn’t necessarily mean if you are caught in possession of marijuana in a state which has legalized recreational use you won’t go to jail — because federal law still trumps state law. “Several states with legal medical marijuana have received letters from their respective United States Attorneys offices explaining that marijuana is a Schedule I substance and that the federal government considers growing, distribution, or possession of marijuana to be a federal crime regardless of the state laws. These letters have caused some states to delay or alter implementation of their medical marijuana programs.” 

As a law firm which has helped many people  who are suffering permanently life-altering injures from auto collisions, we have grave concerns about the effect of the legalization of the recreational use of pot on the safety of all drivers.  While alcohol is the predominant substance in fatal crashes, marijuana is the second most frequently found substance in crash-involved drivers, according to a NHTSA study. Alcohol and marijuana are also frequently found together, which results in a dramatic decrease in driving performance and spike in impairment levels.

Another area of strong concern is child safety.  West Virginia leads the nation in accidental prescription pain medicine overdoses.  Although medical professionals seem to agree that it is almost impossible for an adult to overdose on cannabis, the health risks for a young child are very serious.  For more information about the need for tamper-proof packaging for West Virginia’s proposed medical use marijuana, see our post:  http://wvaccidentlawyer.org/2013/04/08/medical-marijuana-in-wv-child-safety-packaging/.

Trends and Current Marijuana News

April 2013:  They are smelling something green on the West Coast, and it’s not necessarily cannabis —  entrepreneurs are smelling money as they position themselves to  be the first to invest in, develop, and market the cultivation, distribution, software tracking, vending machines and vaporizers for legal pot.     

According to Fortune Magazine, the CEO and co-founder of ArcView, a leading cannabis investment group, says:  “A geyser is going to go off, and the question is ‘Which company is going to be on top when it does?’  Business is driving this change.  Where there is money for government, money for investors, and money for entrepreneurs, there is a powerful incentive for change.”   Source:  Fortune Magazine, April 8, 2013:  “Yes We Cannabis” by Roger Parloff.

West Virginia debates Compassionate Medical Marijuana Act. http://www.statejournal.com/story/21829210/speakers-at-public-hearing-advocate-for-medical-marijuana-use-in-wv.

New study highlights the dangers of driving under the influence:  (http://www.sciencedaily.com/releases/2013/03/130301122256.htm)

January 2013:  Several bring-your-own pot clubs have now opened for business in Colorado.  The first legal pot dens popped up less than a month after Colorado’s governor signed into law a constitutional amendment allowing recreational pot use. Club 64, a club near Denver, gets its name from the number of the amendment.

Colorado’s marijuana amendment prohibits public consumption, and smoke-free laws also appear to ban indoor smokeouts. But Club 64 attorney Robert Corry said private pot dens are permissible because marijuana isn’t sold, nor is it food or drink.  The first marijuana club to open in Colorado has already been shut down. The club in a tiny southern Colorado town of Del Norte opened on Monday, but the lease was not to begin until Tuesday.  The landlord cancelled the pending lease of the club owner after all the publicity came out about the club’s opening.  The club owner stated that their business profit plan included customers from New Mexico who were planning to drive over the state line to participate. 

February 2013:  If a California company has its way, recreational marijuana users in Colorado and Washington state will one day be able to get their pot out of vending machines.

Such machines are already in use in some states where medical marijuana is legal, but now the maker’s founder says the Medbox company is working to adapt the machines to comply with new laws in Colorado and Washington, where adults can legally use marijuana for recreation.

Currently, the vending machines for medicine require a fingerprint scan to verify the identification of the patient, which is then linked to a prescription on file. 

Read more: Colorado’s first marijuana den shut down in landlord dispute – The Denver Post http://www.denverpost.com/breakingnews/ci_22292647/colorados-first-marijuana-club-shut-down-landlord-dispute#ixzz2GwIGaGzL

http://usnews.nbcnews.com/_news/2013/01/03/16327561-recreational-marijuana-users-could-get-pot-from-vending-machines-company-says?lite

http://www.policymic.com/articles/23326/marijuana-legalization-state-laws-matter-little-to-the-feds/347231

From the Robinette Legal Group, PLLC, Call today for free information for WV serious injury victims.  Order your copy of Righting the Wrong:  WV Serious Injury Guide today:  304-594-1800.  We have answers for your questions concerning your serious injury and insurance matters.

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