Pubdate: Fri, 08 Mar 2002 Source: Dominion, The (New Zealand) Section: Edition 2, Page 1 Copyright: 2002 The Dominion Contact: http://www.dominion.co.nz/ Details: http://www.mapinc.org/media/128 Author: New Zealand Press Association CANNABIS POISONS TODDLERS THIRTY-THREE children under 2((1/2) years of age have been admitted to North Island hospitals with cannabis poisoning in the past six years -- and a paediatrician fears the number is just the tip of the iceberg. John Goldsmith, who collected and collated the information from five North Island hospitals, said he had also received informal reports of cases in the South Island. "It is a nationwide problem," he said. "I believe up to 100 children each year may be admitted to New Zealand hospitals but not all doctors recognise the symptoms. "As most of the children recover within 12 hours, the doctors may not always do a urine test to find the cause of the child's coma or muscle spasms, so they are not identified to the health system." Dr Goldsmith, of Wanganui, said that in all the collated cases, the children were aged between eight months and 2((1/2) years, and either had eaten cannabis oil from capsules they found lying around, or had cannabis identified in their urine tests. "Some may have deliberately been given cannabis or exposed to cannabis smoke." All the children were drowsy but some were deeply unconscious, and some needed admission to intensive care units. Some also needed tests such as spinal fluid collection or CT scans because the cause of their coma was not known, and about half of them had worrying symptoms such as slow breathing or muscle spasms that looked like convulsions. In addition, some were treated unnecessarily with strong antibiotics or sedatives for suspected infections or epilepsy. Dr Goldsmith said parents were usually reluctant to admit that their child had access to cannabis but they often confirmed the suspicions of health workers when asked. "Apart from the risks to small children from cannabis in such a concentrated and readily accessible form as cannabis oil, the children often have uncomfortable and invasive tests, which could be avoided if the problem was identified at the beginning when the child is taken to the hospital. "There needs to be much better public education about the dangers of cannabis to small children, and more research is urgently required to find out how big the problem really is, how best to treat these children, and what the long-term effects of such massive exposure to cannabis might be," Dr Goldsmith said. "Doctors and nurses need to be aware that cannabis may be a cause of drowsiness or coma in children, that urine tests can be very helpful, and that the associated muscle spasms are not convulsions so that the children are not treated with inappropriate medicines." - --- MAP posted-by: Beth