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UK: Skunk: How the 'safe' drug of choice for the hippy generation

Independent on Sunday

Sunday 18 Mar 2007

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In 1997, when this paper called for decriminalisation, 1,600 people were
being treated for cannabis addiction. Today, the number is 22,000.
Jonathan Owen reports on a mental health timebomb.



Lucy Farmer was 14 when she first tried cannabis. It was easy to get.
Most of her friends had access to supplies where she was growing up in
Buckinghamshire . She never even had to pay for it at first.

"At first, it didn't really seem a problem," she said yesterday. "But
you get paranoid and lethargic and are not motivated to do anything at
all. There was so much of it around."

Then came the downside. "The paranoia made me react to my parents in an
aggressive way and we had huge rows. You think everyone's talking about
you, laughing at you, things like that. You feel so negative, and are in
a downward spiral.

"There were times when I'd wake up in the morning and not be able to go
to school. You just don't see the point and nothing is important to you.
Your memory is mushed and your brain will not function."

Yet Lucy was not smoking the traditional cannabis beloved and introduced
en masse by Britain's Sixties youth. It was skunk - a form of cannabis
so powerful that experts are warning it can be 25 times more powerful
than the cannabis used by previous generations. Growing new strains of
cannabis under ultra-violet lights, dealers have been able to intensify
the quantity of the chemical tetrahydrocannabidinol (THC) - a
psycho-active compound that disrupts brain activity and distorts sensory
perceptions. In short, the part that gets you high. But feelings of
euphoria and relaxation can be soured by paranoia and memory loss.
Significantly, teenagers whose brains are still developing are more
sensitive to the sudden rush of THC into the brain.

Today record numbers of young people are in treatment programmes for
skunk abuse and hospital admissions due to the drug are at their highest
ever.

An increase in the strength of the drug and widespread use among
Britain's teenagers has the potential to be a disaster, according to
experts, who say that the young are at most risk of developing psychosis
and schizophrenia.

A boom in the amount of super-strength cannabis being used by the
estimated one and a half million Britons who smoke it each year has been
mirrored by a massive rise in people suffering from mental health
problems because of it. Figures from the NHS National Treatment Agency
show that more than 22,000 cannabis users are in drug treatment
programmes - almost half of whom are under 18. Compare that to
Department of Health figures showing 1,660 cannabis users entering
treatment programmes in the six months ending March 1997. In addition,
the overall proportion of cannabis users of the total who are in
treatment for drug problems has shot up from 6 per cent to 12 per cent
over the past decade.

The number of people having to go to NHS hospitals suffering from
cannabis-related mental and behavioural disorders has also risen sharply
in last five years - from 581 in 2001 to almost 1,000 last year.

The scale of the problem has prompted calls by doctors, politicians and
addicts for a rethink on the way we view cannabis, after a succession of
reports have stated that it is less harmful than alcohol and tobacco. A
new independent UK drug policy commission, chaired by Dame Ruth Runciman
is being launched next month, and will call for a total rethink of the
government's approach.

"Society has seriously underestimated how dangerous cannabis really is,"
says Professor Neil McKeganey, from Glasgow University's Centre for Drug
Misuse Research. "I think we are faced with a generation blighted by the
effects of cannabis use."

A cannabis joint today may contain 10 to 20 times more THC than the
equivalent joint in the 1970s. A decade ago only 11 per cent of cannabis
sold in the UK was grown here but now the figure has passed 60 per cent.
And while the strength has increased, the price has dropped. Cannabis
now sells for £43 per ounce on average, a big drop from the 1994 average
price of £120 per ounce.

Robin Murray, professor of psychiatry at the Institute of Psychiatry in
London, says that one-quarter of people are particularly at risk, having
a five times higher risk of psychosis if they smoke cannabis. The drug
is known to increase the production of dopamine in the brain, an excess
of which produces the hallucinations characteristic of schizophrenia.

"The people we are seeing who are now in their twenties started using
cannabis eight to 10 years ago," he says. "But the people now starting
are starting on skunk. The number of people taking cannabis may not be
rising but what people are taking is much more powerful - so there is a
question of whether a few years on we may see more people getting ill as
a consequence of that. We'll just have to wait and see."

Research to be published in this week's Lancet will show how cannabis is
more dangerous than LSD and ecstasy. Experts analysed 20 substances for
addictiveness, social harm and physical damage. The results, which will
show many illegal drugs being less harmful than alcohol and tobacco,
will increase the pressure on the Home Office to reform the existing ABC
system of classification.

This comes just months after Antonio Maria Costa, the head of the UN's
anti-drugs office, said: "The harmful characteristics of cannabis are no
longer that different from those of other plant-based drugs such as
cocaine and heroin."

Researchers at the Institute of Psychiatry are looking at the
relationship between the active ingredients of cannabis and whether it
causes psychosis by increasing dopamine levels in the brain. Fifteen
patients are involved in the study, where they are given the drug and
then have their brains scanned. Initial findings show that those given
THC show higher levels of brain dopamine than those who have a placebo.

But others argue that the evidence for cannabis's damaging effects shows
an association between the drug and psychosis, but not that one is the
cause of the other. The more likely explanation for the link, they
claim, is that people who are in the early stages of mental illness may
turn to drugs including cannabis as a form of self-medication. Michael
Linnell, the director of communications for the drugs charity Lifeline,
argues: "No drug use is completely safe and yet despite the
anti-cannabis propaganda on the telly and the distortion of the truth in
the press, cannabis is and remains by far the safest drug on the planet."

In January 2004, when David Blunkett was Home Secretary, cannabis was
downgraded from class B to class C, meaning that possession of small
quantities of the drug was no longer an arrestable offence. The decision
was taken on the recommendation of the Advisory Council on the Misuse of
Drugs.

But last month Superintendent Leroy Logan, the deputy borough commander
in Hackney, east London, said reclassification of the drug had led to
"extensive and expansive" use among youngsters, increasing mental health
problems and triggering a "paranoid mistrust" of the police and anyone
in authority.

A "positive arrest policy" in central Brixton has resulted in hundreds
of arrests since December 2005, and police claim to have seen a 35 per
cent reduction in the crime rate in the area. But one chief inspector,
who spoke under condition of anonymity, admits that they are struggling
to control the problem. "There's still a widespread public misconception
that cannabis is legal now and it makes our life very difficult. Skunk
is a dangerous drug. This is a huge social problem and we're like the
doctors treating the symptoms."

Justin Smith, from Brixton, was 13 when he tried skunk for the first
time. He ended up skipping school and stealing to fund his £70-a-week
habit, "I was just lying around in my house, just going out to find ways
to get the money to smoke skunk. I used to steal to fund my use and this
went on for a year and a half."

Now 19, Justin remembers how he became ill after chain smoking joints:
"I'd been smoking so much that I threw up, had a terrible headache and
lay paralysed for hours until I felt better. Sometimes I'd feel paranoid
and keep looking around and thinking people were following me. Every day
you think people are talking about you and are against you. I've seen
people that have suffered on it talking to themselves out in the street
like they are mad - laughing to themselves and everything."

He was helped to kick his habit by counsellors at a local project run by
the charity Turning Point and is now on a business studies course. "I
stopped a year ago. It was hard because it is addictive, but not like a
cocaine addiction - it's more of a mental addiction."

Concern over the dangers of skunk has grown following a spate of murders
and brutal assaults in recent years where cannabis psychosis has been
cited as a factor. The latest example came last week, when a court heard
how an addiction to skunk had exacerbated feelings of extreme paranoia
that resulted in Thomas Palmer, an 18-year-old from Wokingham,
Berkshire, stabbing two friends to death.

Mental health campaigners are now calling for action. Marjorie Wallace,
the chief executive of the charity Sane, said: "Every day there is new
evidence of the links between cannabis use and serious mental illness. A
recent study showed that eight out of 10 of those experiencing
first-episode psychiatric disorders were heavy users of the drug,
another that they were four times more likely to develop schizophrenia.
We need to give clear direction to young people and their families, to
teachers and the police, that the drug is illegal and proven to be
dangerous to a significant number of people."

But Richard Kramer, the director of policy at Turning Point, says
cannabis is just one of the factors that can exacerbate mental health
problems in vulnerable people. "We need clear, targeted education and
prevention campaigns tailored to the most vulnerable groups,
particularly those vulnerable to mental ill health and those who work
with them. It is through such evidence-driven public health responses
that we can best tackle the harms associated with cannabis."

Now 18 and studying for her A levels, Lucy has been seeing a counsellor
from the drugs charity Addaction since she was 16. She says that many of
her peers are complacent about cannabis. She warns: "People just don't
see it as a problem, but it catches up on you. The truth is - you don't
realise until it's too late."

Cannabis timeline

From a Hindu sacred text to the 'IoS' campaign:

1200-800BC: Cannabis is mentioned in Hindu text Atharvaveda as one of
the sacred plants of India.

430BC: Herodotus reports on both ritual and recreational use of cannabis
by the Scythians.

AD1378: The Ottoman Emir Soudoun Scheikhouni issues edict against the
eating of hashish.

1798: Napoleon discovers the habitual hashish use among Egyptians and
bans it. Returning soldiers bring the tradition home with them.

1830s: Queen Victoria is prescribed cannabis by her doctor to relieve
period pain.

1928: Cannabis made illegal in the UK.

1968: The Wootton report into cannabis concludes: "There is no evidence
that this activity is... producing in otherwise normal people conditions
of dependence or psychosis requiring medical treatment."

1971: Cannabis classified as a class B drug: illegal to grow, produce,
possess or supply it.

1997: Independent on Sunday launches a campaign for its decriminalisation.

1998: 16,000 march in London in support of IoS campaign. House of Lords
recommends that doctors be allowed to prescribe the drug.

2001: The Advisory Council on the Misuse of Drugs (ACMD) says: "The
mental health effects of cannabis are real and significant."

2004: Cannabis is reclassified from a class B to a class C drug.
Possession illegal, but not an arrestable offence.

2005: ACMD asked to re-examine scientific evidence linking cannabis use
in at-risk adolescents to mental health problems.

The 'IoS' test

From cannabis to skunk: facts and figures behind the spread of a class
C drug

Cannabis is stronger than ever, with Britain swamped with home-grown
skunk. The Forensic Science Service says that in the early Nineties
cannabis would contain around 1 per cent tetrahydrocannabidinol (THC),
the mind-altering compound, but can now have up to 25 per cent.

Tests on home-grown skunk acquired on the streets of London on Friday
showed that one sample had a 9 per cent level of THC. That's low by
today's standards but still double the strength of cannabis resin.

60+ per cent of cannabis consumed in Britain is home-grown

21 per cent of 16- to 24-year-olds have taken cannabis in the past year

25,000 schizophrenics could have avoided the illness if they had not
used cannabis

12 per cent of children aged 11-15 have taken cannabis

9 million+ Britons aged 16-59 have used cannabis

£1billion+ is spent on the drug each year

9,600 under-18s are in treatment for cannabis problems

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LCA on Myspace; http://www.myspace.com/cannabis_people_uk

 

 

 

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