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Transform on The Independent

Transform Drug Policy Foundation (TDPF)

Sunday 18 Mar 2007

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The Independent on Sunday jumped on the skunk-panic bandwagon this
weekend with a brash tabloid headline: 'Cannabis - An apology',

above a figure of 10,000 in big red letters - which we are informed
is the number of teenagers treated for 'cannabis addiction' last
year, apparently ten-fold higher than back in 1997. Inside, along
with almost five pages of news coverage, there are opinion pieces by
Rosie Boycott (the IOS editor who launched their cannabis
legalisation campaign 10 years ago) psychiatrist Robin Murray, and a
leader in which the they retract their support for Boycott's
legalisation campaign - hence the front page headline.

They've totally missed the point.

1. The facts are all over the place. On the front cover Jonathan Owen
informs us that skunk today 'is 25 times stronger than the resin sold
a decade ago'. In the main feature this has become 'can be 25 times
stronger'. A few paragraphs later we later that a cannabis joint 'may

Actually they are all wrong. In the 70's, as with today, there was a
range of cannabis products - herbal and resin - available on the
market and they varied in strength from very weak to highly potent.
Drugscope reported
just last
week that most of what was being sold as 'skunk' today is around 10%
and that the stronger varieties were comparatively rare because they
took longer to grow (increasing production costs) but commanded the
same street price. So compare the 'worst' weed from the 70s to the
'best' today and you'll get your scary '25 time stronger' headline.
In reality however the average 'weed' from the 70's was probably more
like a third to a half the strength of most of today's skunk.

But the true picture is more complicated than this. Skunk is by no
means the entire UK market, a large proportion of which is still 'old
school' imported weed of the 3-4% variety and a larger proportion
being low grade resin (soap bar etc.) also of low single figure %
strength. The strongest stuff from 'back in the day' was way stronger
than the low grade resin still widely available today. It depends how
you spin it.

So lets be clear - the idea that cannabis was weak and harmless in
the old days, and has now morphed into super-potent deadly
psychotabis today, is just not true. That is oversimplification and
hype for sake of a juicy media or political soundbite. An almost
identical
misleading
potency panic took place in the US in the late 1980's : 'Now
perceived as a hard drug, marijuana has increased 1,400 percent in
potency since 1970' proclaimed the 1986 flyer for a US national
marijuana conference.

More potent hydroponically/indoor cultivated herbal cannabis was also
already widely available in 1997 , and whilst it is now unarguably
more prevalent, the fact that it is mostly UK grown today rather than
imported makes no difference to the consumer (if anything the home
grown skunk is actually weaker than the equivalent product formerly
imported from Holland).

The change in the market over the last ten years is nowhere near as
dramatic as the IOS report seems to suggest, and can certainly not
account for the 10 fold increase in 'cannabis addiction' that they
attribute to it. Indeed this is another extremely dubious statistic
(not to mention the reckless and ill defined use of the term
'cannabis addiction'). Not only does the change from 1000 teenagers
being treated for 'cannabis addiction' in 1997, to 10,000 last year
all seem to deploy conveniently, almost suspiciously, rounded numbers
- but as is acknowledged in the papers leader - this rise is
significantly due to changes in service provision. It is also due to
the way cannabis related problems are diagnosed and counted: of this
supposed 10,000 'cannabis addicts' how many are being treated
primarily for mental health problems or misuse of other drugs but
have also noted cannabis use (practically universal to both groups),
or are in treatment as a result of the new and massively expanded
arrest referral schemes? We are not told.

2. They fail to understand how drugs are used. The implication of the
repeated 'fact' that cannabis today is 10/15/20/25/30 (take your
pick) times stronger than it used to be is that people are consuming
an equivalent increase in the main active ingredient THC. This is
also not the case. Robin Murray describes the comparison between the
weed of old and modern skunk as similar to comparing lager and whisky
(Owen makes a similar comparison with shandy and brandy). But people
don't drink whisky or brandy in pints. If a drug is stronger they
consume less, weaker they will consume more - to achieve the desired
level of intoxication. In the case of stronger cannabis users will
put less in the joint, take less drags, inhale less deeply, smoke
less joints and so on. This is called auto-titration and is exactly
the same effect seen with low nicotine cigarettes which it was found
users smoked more of, inhaled more deeply and so on. The effect was
discussed regarding cannabis during the last potency panic in a
1988
paper in the
Journal
of Psychoactive Drugs which concluded that:

contain 10 to 20 times more THC than the equivalent joint in the
1970's'. Rosie Boycott tells us a few pages later that it is 30 times
stronger and Robin Murray that the traditional 2-3 % THC of herbal
cannabis in the 70's compares to 15-20% (occasionally as high as 30)
in today's skunk. Who should we believe?
"Observations of the real world of marijuana use, where autotitration
is the norm, renders the scare tactics of the new marijuana
proponents not only inaccurate but irrelevant. There is much
published evidence about the availability of highly potent varieties
of cannabis from the nineteenth century through the present day"

The idea that cannabis users, even teenagers, are incapable of making
rational decisions about the dosage they consume is ridiculous, and
the idea that they are getting 25 times more stoned than in the good
old days is laughable. This is not to say that increased potency does
not equate to any increase in risk, it does, but behaviours adapt
surprisingly rapidly and hyping the potency panic or hyping the
dangers associated with actual potency changes don't help us come up
with rational public health responses that might actually help reduce
overall harm. It needs pointing out for example that in Holland where
cannabis is effectively (albeit not technically) legal, the licensed
premises that sell it offer a wide range of cannabis varieties of
differing potencies, and the strongest ones are far from the most
popular. And they have a far lower level of youth cannabis use than
here in the UK.

3. We haven't suddenly 'discovered' that cannabis is related to
mental health problems. The IOS report doesn't 'Reveal' anything new
at all. You can look at text books and commission reports from the as
far back as the 1920s that document symptoms from cannabis use that
are actually remarkably similar to those we have today. They say that
for most people the risks of occasional use are low (certainly
relative to most other commonly used recreational drugs) but that
heavy use, particularly for a small sub-set of users with
pre-existing mental health problems or certain other vulnerabilities,
presents real dangers of of exacerbating existing problems or
potentially precipitating new ones. These problems include psychotic
episodes (occasionally recurring) schizophrenia and so on. These are
the same conclusions that have been reached by innumerable studies
and reviews over the last hundred years, most recently two undertaken
by the Advisory Council on the Misuse of Drugs which came before and
after the drug's UK reclassification from B to C: For most people the
risks are minimal, but for a few they are very real, particularly for
certain vulnerable groups, and particularly when associated with high
levels of use. Guess what? Drugs can be bad for you.

The research into cannabis has continued unabated and our
understanding is getting increasingly sophisticated, even though
establishing the causal links between certain patterns of use and
certain conditions remains problematic. The impression that there has
been a sudden emergence of new knowledge is more a reflection of the
unprecedented attention focused on the cannabis issue since the
cannabis reclassification debate kicked off in 2001. Many opponents
of the Government or the reclassification have sought to highlight
emerging research in the media, often misrepresenting ambiguous
conclusions as direct causal links.

Even if it's all true - what exactly is the IOS recommending? Ignore
all other tedious witterings above for a moment and let's assume that
cannabis really is 25 time stronger than 10 years ago and this really
has led to a ten fold increase in teen cannabis addiction (whatever
that might be). What does the IOS then recommend in its leader as a
response to the policy disaster under which this skunk apocalypse has
emerged?

Nothing: They say the the current policy is 'about right'.

Do we get an exploration of policy alternatives or a consideration of
progressive policy in other European countries where the problems are
markedly smaller? No. Instead we are told that the 'the fact
possession of cannabis - and other drugs - is illegal acts as a
important social deterrent'. You have to wonder what they have based
this on. Could it be the massive rise in use of all illegal drugs
since 1971? Could it be the the Police Foundation report of 2000 that
concluded:

"such evidence as we have assembled about the current situation and
the changes that have taken place in the last 30 years all point to
the conclusion that the deterrent effect of the law has been very limited"

maybe it was the 2006 Science and Technology Select Committee that
concluded:

"We have found no solid evidence to support the existence of a
deterrent effect, despite the fact that it appears to underpin the
Government's policy on classification"

Perhaps it was Professor David Nutt, Chairman of the ACMD Technical
Committee when he said: "I think the evidence base for classification
producing a deterrent is not strong"

Maybe it was the fact that when challenged by the Sci-Tech select
committee the
heres.html>Government were unable to produce a single shred of evidence
for such a deterrent effect, and have undertaken no research to find
any. I could go on, but needless to say The IOS has similarly failed to
produce anything to back this claim up.

This all points towards to the biggest mistake the IOS makes in this
whole sorry piece, which is to confuse their legitimate concern with
the health impacts of cannabis misuse amongst a small group of
vulnerable young people with support for a failed ideological
prohibitionist policy - rather than an support an evidence-led
regulatory response based on public health and harm reduction
principles. They advocate a policy that has not only created many of
the problems they describe (lets face it, hype), but also one that
offers no prospect of sorting them out.

The IOS seem blind to the fact that the emergence of potent indoor
cultivated cannabis is itself a manifestation of the illegal market
they are now supporting. In a similar fashion to the
prohibition-fuelled emergence of crack cocaine, stronger varieties of
cannabis (whilst they have always been available) are more expensive
and consequently more profitable for the increasing number of small
to medium scale indoor growers.

The IOS, despite noting that: 'the rhetoric of the 'war on drugs'
tended to distort priorities', then deems it appropriate to maintain
the blanket criminalisation of millions of non-problematic occasional
users, because of a relatively tiny population of vulnerable teenage
heavy users who have problems with the drug. This is akin to banning
cars because of a small population of teenage joyriders. It has no
legal precedent or ethical basis, it's inconsistent and makes no
sense. They don't call for the mass criminalisation of alcohol
because of growing teen drinking issues, so what are they doing? If
they are so convinced by the deterrent effect of enforcement and if
the skunk problem is so awful, why not call for doubling of sentences
or show these young'ns the error of their ways by throwing them all in jail?

The IOS also perpetuate the misunderstanding that the cause of
cannabis legalisation/regulation is based on the fact that cannabis
is harmless - a misunderstanding arguably due in part to the mistaken
approach of Rosie Boycott's initial campaign and its rather
romanticised view of cannabis use. No serious advocates for drug
policy and law reform do so on the basis that any drug is safe (to
her credit Boycott's opinion piece reflects the increasing
sophistication of her argument ten years on). On the contrary -
reformers argue on the basis that all drug use involve risks and that
is precisely why they need to be appropriately regulated and
controlled by the State, so as to minimise the harms they cause. The
IOS apparently wants the multi-billion pound drug markets to remain
in the hands of criminal gangs and street dealers. Because that
should help protect the kids.

Nowhere in the IOS coverage do they mention the fact that the authors
of the key recent studies linking cannabis and mental health problems
are advocates of legal regulation for precisely the reason described
above (see
tm>Transform's 'cannabis reclassification revisited' briefing for more
detailed discussion and references on this point). Perhaps there wasn't
room for this discussion because all the space had been taken up with
noddy-science cross-sections of brains, and lists of unreferenced
cherry-picked statistics.

Cannabis use is a real public health issue, and the growing culture
of young people misusing it a real concern, even if total numbers
seem to have levelled off or even fallen marginally since
reclassification. Hyping the problem for the sake of good story,
however, is totally unhelpful, and calling for more of the same when
the current policy has been such a manifest failure is even less so.

This was a lazy piece of sensationalist journalism and a pathetically
weak and ill thought out leader. Dissapointing and mystifying for a
supposedly progressive thinking paper.

Transform Drug Policy Foundation
Easton Business Centre
Felix Road
Bristol
BS5 0HE
United Kingdom

Tel: 0117 941 5810
Fax: 0117 941 5809
email: info@tdpf.org.uk

 

 

 

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