Pubdate: Wed, 17 Mar 1999 Source: Oregonian, The (OR) Copyright: 1999 The Oregonian Contact: 1320 SW Broadway, Portland, OR 97201 Fax: 503-294-4193 Website: http://www.oregonlive.com/ Forum: http://forums.oregonlive.com/ Author: Patrick O'Neill 60 OREGONIANS DECLARE INTENT TO USE MARIJUANA As A Result Of A Public Vote, State Law Permits Use Of The Drug To Relieve Symptoms Of A Number Of Diseases National medical experts are prepared to release a landmark scientific review of the medical effects of marijuana today. But Oregon voters decided for themselves in November that marijuana is good medicine, passing a law that permits some sick people to use the drug. So far, 60 Oregonians have formally declared their intent to use marijuana for medical purposes under the law. The Oregon Health Division won't issue registration cards, as required by the new law, until May 1. But Dr. Grant Higginson, state health officer, says 60 people have sent in the paperwork needed to get the cards. "I'm not sure whether that represents anything close to the number we're going to get when the registration system goes into effect," he said. In July, Higginson estimated that 500 people would register to use marijuana to relieve symptoms of such debilitating diseases as cancer and AIDS and to alleviate the nausea of chemotherapy. Under the law, sick Oregonians could begin using marijuana on Dec. 3, 1998, even though the Oregon Health Division's regulatory machinery wasn't scheduled to begin running until May 1. The law provides a legal loophole for users of medicinal marijuana who are arrested and charged with drug law violations. As of Dec. 3, the law provided an "affirmative defense" to criminal charges brought against anyone who otherwise qualified to receive a state registration card. Higginson has recommended that medicinal marijuana users send his office the necessary paperwork so that it would be on file in case they were arrested. To be eligible for medicinal marijuana, a patient must supply documentation from an attending physician stating that he or she has been diagnosed with a debilitating medical condition and that marijuana might mitigate the symptoms. The documentation must include the name, address and birthdate of the patient and the name, address and telephone number of the attending physician. The law permits the patient to designate a caregiver, an assistant who will help with marijuana cultivation. The name and address of the caregiver must be included with the information sent to the Health Division. The law requires the Health Division to keep the information confidential. Specifically, the law permits marijuana to be used for cancer, glaucoma, HIV infection, severe weight loss, pain, nausea, seizures and muscle spasms. Higginson says there's a lot of confusion about what the law allows. Although it permits certain people to use medicinal marijuana, it doesn't answer two of the most important questions. He said the most frequent questions he's asked are: Where can I get medicinal marijuana? What if my doctor doesn't believe in using marijuana for medical purposes? Under the law, it's still a crime to buy or sell marijuana. The only way for medicinal marijuana users to obtain the drug is for someone to give it to them for free. Supporters of the measure have said that over time, the number of medicinal marijuana users will grow and that they will be able to share their plants and seeds with others. Higginson said the Health Division can't give prospective medical marijuana users guidance in finding supplies of the drug. Nor will the agency maintain a list of physicians who will endorse the use of marijuana for medical purposes, he said. Geoff Sugerman, a spokesman for Oregonians for Medical Rights, said both state and federal laws prevent his organization from helping patients connect with sources of marijuana. And, like the Health Division, the organization doesn't keep a list of doctors who will recommend marijuana. But patients can call the organization's toll-free telephone number to ask for help in persuading their physicians to recommend the drug. The number is 877-600-6767. The organization was the principal supporter of the medical marijuana measure. Today, the Institute of Medicine will issue a long-awaited report on hundreds of marijuana studies. The review is expected to assess what is known and not known about the medical applications of marijuana and to give recommendations. The institute is a nonprofit organization whose mission is to provide independent advice to the federal government. A news report about the study will be included in Thursday's newspaper. - --- MAP posted-by: Richard Lake