Pubdate: Sat, 07 May 2016 Source: Pueblo Chieftain (CO) Copyright: 2016 The Pueblo Chieftain Contact: http://www.chieftain.com/ Details: http://www.mapinc.org/media/1613 Authors: Shawn Nakamura and Krystal Nakamura POT VERY MUCH A GATEWAY DRUG We are presenting this information in regard to the recent article that stated "Pueblo relies on our industry." Toward the end of the article, Dr. Richard Rivera stated, "Nothing shows that cannabis is a gateway drug." Most importantly, Dr. Rivera stated the following, "I believe from a health point of view, there are no health issues connected to cannabis use whatsoever." As health professionals concerned about the people of Pueblo, it is our responsibility to fully educate on risks associated with all drugs and in this case, marijuana. Is marijuana a gateway drug? A national study conducted by Robert Secades-Villa and his colleagues and published in the International Journal of Drug Policy revealed 44.7 percent of individuals with lifetime cannabis use progressed to other illicit drug use. The National Institute of Health states that marijuana use can lead to the development of problem use, known as a marijuana use disorder, which in severe cases takes the form of addiction. Recent data suggest that 30 percent of marijuana users may have some degree of marijuana use disorder. Another study published in the proceedings of the National Academy of Sciences found that persistent cannabis users lost an average of 5 to 6 points in their IQ, with early teen persistent users losing up to 8 points. THC results in effects of impaired body movement, difficulty with thinking and problem-solving and impaired memory and learning. It is linked to higher likelihood of dropping out of school and many known and unknown effects with child development during and after pregnancy. Keep in mind many of these studies include lower potency marijuana. Potency increased from 3.4 percent in 1993 to potencies now as high as 36 percent and higher. Local authorities are reporting potencies as high as 40 to 45 percent use in vapor cigarettes. There are great financial gains in the marijuana industry, as there are in the pharmaceutical industry and the illicit drug industry. However, we must be honest about the health effects of marijuana. No drug is without unwanted effects. We must be honest about its addictive qualities, its effects as a gateway drug, the effects on mental health, the risks while driving impaired. Most importantly, we must address its effects on our youth. We will need more drug addiction programs, drug education, more healthy alternatives for our children and definitely more research on the newer higher potent drug itself. Dr. Shawn Nakamura, MD and Dr. Krystal Nakamura, MD Pueblo - --- MAP posted-by: Jay Bergstrom