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Australia: Marijuana, The Not So Happy Herb

Mary-Anne Toy

Age, The (Australia)

Saturday 20 Jan 2001

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Although he's the Prime Minister's chief drugs adviser, Major Brian
Watters of the Salvation Army usually finds himself out of step with
health and drug specialists. Most people who work in drug treatment
oppose Watters' conservative stance on heroin trials and supervised
injecting rooms.

So it was a little surprising that when Watters maintained this week
that the community's familiarity with cannabis was breeding complacency
and even a generation of apathetic teenagers who drop out of school and
jobs, get involved with "harder" drugs and run the risk of suffering
psychiatric disorders the specialists agreed with him, albeit
cautiously.

Yes, they said, the increasing social acceptability of dope smoking,
coupled with the success of the anti-tobacco lobby and even the
overwhelming focus on "hard" drugs such as heroin, has had the
unintended effect of suggesting, particularly to the young, that
cannabis is safe.

This week Watters, who was handpicked by Prime Minister John Howard to
chair the Australian National Council on Drugs, announced that the
council would put a greater emphasis on cannabis.

The council is also expected to outline a new cannabis strategy in
March. This will include its response to a New South Wales study that
recommends that patients should be able legally to relieve their pain
with marijuana if they have permission from their doctor.

The council's shift was prompted by feedback from rural and regional
forums held by council members last year. Country people overwhelmingly
reported that alcohol was the number one drug issue for them but that
cannabis use by young people was the next biggest area of concern.

Drug experts are unanimous: cannabis is not safe. While it rarely kills
only one death from cannabis smoking was recorded in Victoria in 1998
and it is unclear how this occurred it is implicated as a risk factor
for psychosis in susceptible young people.

As marijuana has become more socially accepted, researchers report that
the age at which young people begin smoking dope is dropping
dramatically.

Dr Jan Copeland, a senior lecturer at the National Drug and Alcohol
Centre at the University of New South Wales, says cannabis has more
toxins and tar than tobacco but that most people don't smoke 40 joints a
day.

However, Copeland says drug workers on the north coast of New South
Wales are reporting concerns that young people are becoming addicted to
nicotine through cannabis use, as marijuana is commonly mixed with
tobacco in joints.

"They ( young people ) seem to see it as the 'happy herb'; that it does
no harm. They don't understand that not only is it bad but it can
introduce then to a tobacco habit as well," Copeland says.

Cannabis is the most commonly used illicit drug in Australia, especially
among teenagers. The 1996 Australian School Students' Alcohol and Drugs
Survey found 36.4per cent of 12 to 17-year-olds had reported using it at
least once in the past week and 4per cent of males reported using
cannabis on at least six occasions in the past week.

Most casual users show no signs of serious damage. Yet Dr Tim Rolfe the
deputy director of the Dandenong Area Mental Health Services says the
research shows an increased risk of schizophrenia for regular users of
cannabis ( those who use more than 50 times a year ). Still, cannabis
is almost certainly one of many risk factors, he says.

Surveys show that 50 to 60per cent of people with mental illnesses use
cannabis but there is no clear evidence that it marijuana contributes to
mental illness.

A new study in progress by Rolfe and Professor Jayashri Kulkarni,
director of the Dandenong health service and a consultant psychiatrist,
is trying to work out the role cannabis plays in schizophrenia.

The study follows anecdotal evidence from both doctors who have treated
hundreds of patients with schizophrenia whose symptoms have abated or
decreased when they stopped using cannabis and recurred or increased
when they began again.

'People are worried," says Rolfe. "Carers of people with mental illness
see it ( cannabis use ) in people with illness such as schizophrenia and
observe it and almost uniformly report that its consequences are bad."

"That doesn't mean cannabis causes mental illness. We know that it
contributes to the risk of developing a psychiatric disorder but there
are many other risk factors and the majority of users don't develop a
mental illness."

All of which might help explain Watters' stance. In a letter to The Age
this week, he wrote that the regional forums showed that cannabis
problems were far more prevalent than previously thought and that "even
more disturbingly, that young people are starting to believe that
cannabis is a completely harmless drug".

Another council member is Professor Margaret Hamilton, director of
Victoria's Turning Point Alcohol and Drug centre. Hamilton thinks the
debate on whether cannabis should be decriminalised or legalised has
overshadowed the issue of the health risks of smoking marijuana.

Hamilton sees good reasons for cannabis decriminalisation, notably that
it might stop young people from getting caught up in illicit activities.
However, "we have underplayed cannabis as a health risk in the flurry of
debate about its legal status. "There's been very little debate about
the risk associated with its use.

There are people who are more and less vulnerable, so it's a much more
sophisticated story then whether it is legal or not. Certainly there is
strong anecdotal evidence about heavy cannabis use and first psychosis
in young people. There's no strong evidence of a direct causal
relationship but enough anecdotal evidence to be concerned.

"There is a general view that it is harmless. It's not but it's far
less harmful then many things, even perhaps alcohol."

Hamilton says it is also unhelpful to talk about tackling single drugs,
as most people who use one illegal drug also use legal ones, often at
greater detriment to their health.

"If heroin has bumped anything off our agenda it's alcohol," she says.

Another council member, Professor Wayne Hall of the national drug and
alcohol research centre at the University of New South Wales, says
cannabis isn't killing people as heroin does, but because it is so
widely used there are bound to be problems. However, he cautions
against "alarmist" statements such as "war on cannabis".

Heroin remains the drug that most worries the public, says Hall.

"It may come down to the differences between rural and urban. In Sydney
and Melbourne it's clearly heroin ... cannabis just doesn't rate as an
issue from that point of view but the anxiety of parents in the country
is cannabis, which is much more available."

Five years ago the Kennett government's Drugs Advisory Council
recommended that marijuana be decriminalised so an effective health
campaign could be mounted. The council argued that while it remained
illegal, young people, in particular, would remain immune to the dangers
of its use.

Professor David Penington, head of Kennett's council and now of the
Bracks Government's Drug Policy Expert Committee, says there is no doubt
cannabis use is a problem.

Nevertheless, "to suggest it is comparable to heroin is absolute
nonsense. Many more lives are lost from alcohol and tobacco than
marijuana. Any education about substance abuse should include alcohol
and tobacco as well as marijuana".


 

 

 

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