Tuesday, July 29, 2014

Federal marijuana bill would legalize some cannabis strains

from cnn







STORY HIGHLIGHTS
  • Charlotte's Web Medical Hemp Act of 2014 would amend Controlled Substances Act
  • Federal bill introduced in U.S. House of Representatives by Rep. Scott Perry
  • Bill would exempt plants with low percentage of THC, chemical that makes users high
(CNN) -- Doctors in Macon, Georgia, told Janea Cox that her daughter, Haleigh, might not live another three months.
That was the middle of March, when Haleigh's brain was being short-circuited by hundreds of seizures a day, overrunning the array of five potent drugs meant to control them. Worse, the drugs were damaging Haleigh's organs.
"She was maxed out," Cox said. "She'd quit breathing several times a day, and the doctors blamed it on the seizure medications."
Cox had heard that a form of medical marijuana might help, but it wasn't available in central Georgia. So a week after hearing the ominous diagnosis, she and Haleigh packed up and moved to Colorado Springs, Colorado. There, Haleigh began a regimen of cannabis oil: four times a day and once at night.
By summer, she was down to just a handful of seizures a day. In less than three months, doctors were able to wean her off Depakote, a powerful medication that had been damaging her liver.
Janea Cox and her daughter Haleigh fly to Colorado Springs, Colorado.
Janea Cox and her daughter Haleigh fly to Colorado Springs, Colorado.
Haleigh had never been able to walk or talk. But freed from seizures in Colorado, "She said 'Mama' for the first time," Cox said. "She's playing with puzzles; she's walking. She's almost being a normal child."
Despite all the good news, Cox is living in limbo. Her husband, a paramedic, couldn't afford to leave his job and pension; he still lives and works in Forsyth, Georgia. The family is relying on charity to keep their Colorado apartment for the next few months; beyond that, the future is uncertain.
A bill being introduced Monday in the U.S. House of Representatives could be Cox's ticket home. The three-page bill would amend the Controlled Substances Act -- the federal law that criminalizes marijuana -- to exempt plants with an extremely low percentage of THC, the chemical that makes users high.
If passed, it would be the first time that federal law allows any medical marijuana use.
"No one should face a choice of having their child suffer or moving to Colorado and splitting up their family," said Rep. Scott Perry, R-Pennsylvania, the bill's sponsor. "We live in America, and if there's something that would make my child better, and they can't get it because of the government, that's not right."
The bill will land in a Congress that may be open to change. Across the country, highly sympathetic patients and a nonintoxicating product have proved a popular mix. This year alone, 11 states have passed legislation loosening regulation of cannabis strains with high cannabidiol and/or minimal THC content.
In this atmosphere, Perry says that once members and their staffs are brought up to speed, he expects the bill to attract "overwhelming" support.
"It wouldn't be surprising if we see broad support for this proposal," agreed Mason Tvert, communications director at the Marijuana Policy Project, which advocates for marijuana and medical marijuana legalization. "If this bill gets support, it will demonstrate that there is recognition of marijuana's medical benefits."
Photos: Charlotte\'s WebPhotos: Charlotte's Web
Dubbed the Charlotte's Web Medical Hemp Act of 2014, the bill is named after Charlotte Figi, a young Colorado girl whose parents have campaigned nationwide for easier access to medical marijuana after successfully controlling their daughter's seizures with cannabis oil. Since her story became known, a growing number of parents have flocked to Colorado, hoping for similar success.
The Charlotte's Web cannabis strain, developed by the Realm of Caring nonprofit organization in Colorado Springs, is in high demand, in part because of the attention it's received in the media. Many families wait months for a batch to be grown and processed into cannabis oil. Perry's bill, however, would apply to any cannabis strain with a THC content of less than 0.3%.
Charlotte's Web and similar strains not only have minimal THC, they have high levels of cannabidiol, another chemical. A growing body of anecdotal evidence suggests that cannabidiol can effectively control seizures, though there are no published studies to support its use.
It's easy to find critics who say parents should follow a more traditional route.
"There is no evidence for marijuana as a treatment for seizures," Rep. John Fleming, R-Louisiana, a physician, claimed during a congressional hearing last month. "We hear anecdotal stories, and that's how myths come about."
Fleming and others point out that a pharmaceutical version of cannabidiol oil, called Epidiolex, is being tested in clinical trials. But many children aren't able to get into the trials. Haleigh Cox is disqualified because she has type-1 diabetes. Others aren't willing to wait several months to be enrolled.
"With Epidiolex, there just aren't enough seats at the table," said Mark Knecht, a father from Mechanicsburg, Pennsylvania, whose story helped inspire Perry's bill.
His daughter Anna, 11, has epilepsy and suffers anywhere from a handful of seizures a day to more than 100, despite her four anti-convulsant medications. Knecht, the chief financial officer of a large Christian medical nonprofit, says Anna has been evaluated at several top hospitals but couldn't land a spot in the Epidiolex trial.
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Twenty-three states and the District of Columbia have laws on the books allowing medical marijuana for a variety of conditions. But even as states rewrite their regulations, federal law remains the same: Marijuana is illegal to grow, sell or use for any purpose. Under the 1970 Controlled Substances Act, marijuana is listed on Schedule 1, meaning it has "no currently accepted medical use and a high potential for abuse." To backers of reform, the Catch-22 is familiar: Marijuana is restricted in large part because there is little research to support medical uses; research is difficult to conduct because of tight restrictions.
A series of memos from the Justice Department has said that arresting individual medical marijuana users is not a priority, and a 2013 memo added that federal prosecutors should not target large commercial operations except on a case-by-case basis. But most observers say that shipping or transporting the drug across state lines ups the ante.
"For families like us, the biggest issue is the federal issue. You can't take it across state lines," Knecht explained.
His family still lives in Mechanicsburg. But after seeing CNN's medical marijuana documentary last year, Anna and her mother, Deb, established residency in Colorado, where they obtained a medical marijuana card that let them place an order for a batch cannabis oil, in hopes it will control Anna's seizures. If Perry's bill becomes law, Knecht says, "Realm of Caring could just put it in a FedEx package."
The Food and Drug Administration is conducting a review of scientific evidence to determine whether marijuana warrants looser treatment, but a spokeswoman says there's no set date to complete the analysis. A review in 2011 ended with the Drug Enforcement Administration leaving marijuana's status unaltered.
But certain actions in Congress give Perry and his supporters hope.
This month, the House passed a bill allowing banks to handle cash proceeds from dispensaries and other legal marijuana businesses.
The most recent Farm Bill allows industrial hemp -- a strain of cannabis without THC -- to be grown for academic or research purposes. That didn't stop the Drug Enforcement Administration from seizing a shipment of hemp seeds bound for the University of Kentucky this spring. In response, the Senate Appropriations Committee, with support from Senate Majority Leader Mitch McConnell of Kentucky, passed an amendment blocking DEA funds for anti-hemp enforcement.
In May, the House passed a measure blocking money for DEA raids on marijuana dispensaries that are legal under state law.
And just last week, Sen. Rand Paul of Kentucky took it a step further, introducing an amendment to the Jobs Bill that would forbid federal prosecution of doctors and patients whose actions are legal under state medical marijuana laws.
"If states allow doctors to prescribe medical marijuana, and people are in good faith prescribing medical marijuana, we want to make sure it's OK and that the federal government doesn't come in and prosecute somebody," said Brian Darling, Paul's communications director.
The amendment seems likely to die amidst wrangling over the Jobs Bill, but Darling says his boss plans to move forward on a standalone measure.
Too many people have been sentenced to long prison terms for possession of marijuana, Darling says. "The War on Drugs has gone overboard."
Knecht doesn't want to uproot his family to move to Colorado. But he says his hand may be forced. "We're taking this situation one day at a time."
That's where Janea Cox was a few months ago. She hadn't heard about Perry's bill until she got a call from a reporter but says she understands where the Pennsylvania families are coming from. She's angry at home-state lawmakers who failed to push through Georgia's cannabidiol oil bill this spring.
"I lived in Georgia for 17 years," she said, "but here in Colorado, I met my child for the first time, at the age of 5."






Thursday, July 24, 2014

The World Health Organization Wants to Legalize Sex Work and Drugs

from io9.com


Annalee Newitz


The World Health Organization Wants to Legalize Sex Work and Drugs

Earlier this month, the World Health Organization (WHO) released guidelines for helping to prevent the spread of HIV in key populations. The group, which also monitors the globe for pandemic outbreaks, says we have to decriminalize sex work and drugs if we want to stop HIV.
HIV can be controlled with medications and safer sex, especially among people in the developed world who can afford treatment. But outside these pockets of privilege, the virus continues to be a health problem of epidemic proportions. Following the principles that many epidemiologists recommend, the WHO seeks to contain the spread of HIV by identifying key populations where it spreads the most quickly. By bringing treatment to these groups, doctors block the main avenues that the virus uses to get into the general human population.
This new report explains who those key populations are, and offers ways we can stop HIV from spreading among their members. These populations include men who have sex with men, transgendered people, people who use or inject drugs, sex workers, and certain groups of adolescents.
What unites these groups is that their activities are either illegal or heavily stigmatized in many parts of the world. That means that they are unlikely to seek out medical help or advice simply because they don't want to be arrested for being gay or having sex for money. In the case of adolescents, many live in countries where they need parental permission to get birth control or medical care. So they, too, must hide their activities from doctors to avoid being "turned in" to their parents.
When you have populations of people who fear that a trip to the doctor may land them in jail, it makes sense that those populations won't follow medical guidelines about safer sex or clean needles. Either they don't know how to reduce their risks; or if they do, they don't have have access to materials that would allow them to have sex or inject drugs safely.
And that's why the WHO is calling for all countries to decriminalize the behaviors and identities of all these groups so that they can get the health care they need.
Under a section in the report called "decriminalizing the behavior of key populations," the WHO writes:
Supporting the health and well-being of key populations whose sexual behaviours, drug use, gender expression or perceived sexual orientation are currently criminalized may require changing legislation and adopting new policies and protective laws in accordance with international human rights standards. Without protective policies and decriminalization of the behaviour of key populations, barriers to essential health services will remain; many people from key populations may fear that seeking health care will expose them to adverse legal consequences.
Specifically they suggest that all countries immediate decriminalize homosexuality and transgender identities. They also want countries to decriminalize sex work and drugs. Finally, they want countries to allow adolescents to receive reproductive health care without notifying their parents.
Here's how the report puts it:
Countries should work toward developing policies and laws that decriminalize same-sex behaviours.
Countries should work toward developing policies and laws that decriminalize injection and other use of drugs and, thereby, reduce incarceration. Countries should work toward developing policies and laws that decriminalize the use of clean needles and syringes (and that permit NSPs) and that legalize OST for people who are opioid-dependent. Countries should ban compulsory treatment for people who use and/or inject drugs.
Countries should work toward decriminalization of sex work and elimination of the unjust application of non-criminal laws and regulations against sex workers. The police practice of using possession of condoms as evidence of sex work and grounds for arrest should be eliminated.
Countries should work toward developing policies and laws that decriminalize same-sex behaviours and nonconforming gender identities. Countries should work towards legal recognition for transgender people.
Countries are encouraged to examine their current consent policies and consider revising them to reduce age-related barriers to HIV services and to empower providers to act in the best interest of the adolescent. It is recommended that sexual and reproductive health services, including contraceptive information and services, be provided for adolescents without mandatory parental and guardian authorization/notification.
The WHO isn't known for taking controversial stances on social issues. Instead, they are a pragmatic and clear-eyed organization that stands for public health above all else. Though this report sounds radical, it is actually just plain common sense when looked at from a medical perspective.
What the WHO sees are groups of at-risk people who can't get health care because they have been stigmatized for behaviors that do not harm anyone. The solution isn't to crack down on these groups more, because we've already seen that strategy causes HIV to spread — not just to at-risk groups, but beyond them. The at-risk group becomes a vector that harms all of society. So the only sane solution is to decriminalize things like sex work, so that sex workers get proper health care and don't endanger their clients (who in turn endanger their partners, and so on).
The point is that criminalizing sex work and drug use winds up harming everyone. And the WHO is trying to eliminate that harm, but going to the source of the problem.
Read the full study on the WHO's website.