By Dennis Thompson
HealthDay Reporter

TUESDAY, Might 25, 2021 (HealthDay Information) — Newfangled marijuana merchandise — edibles, concentrates, vapes — are driving an total enhance in pot-related calls to U.S. poison management facilities, a brand new examine exhibits.

There have been greater than 11,100 calls associated to marijuana use in 2019, up from about 8,200 in 2017, researchers mentioned.

Increasingly more of these calls are associated to manufactured merchandise that include distilled quantities of THC, CBD and different chemical compounds present in hashish.

“We noticed this generalized enhance in calls nationally,” mentioned lead researcher Julia Dilley, an epidemiologist with the Oregon Public Well being Division in Portland.

“However after we dug into it, that enhance is being pushed by these manufactured merchandise,” Dilley continued. “Flower hashish publicity calls are literally declining.”

Pot plant exposures made up the majority of calls to facilities in 2017, with 7,146 pertaining to marijuana vegetation and simply 1,094 associated to manufactured merchandise. However by 2019, calls associated to manufactured merchandise totaled 5,503 whereas pot plant publicity prompted 5,606 calls.


The findings have been revealed Might 24 within the journal JAMA Community Open.

Manufactured merchandise are inclined to include massive quantities of THC, the chemical in pot vegetation that causes intoxication, and these numbers present that they pose a higher threat for inflicting a foul response.

Greater than 81% of calls associated to manufactured merchandise got here from folks utilizing these merchandise on their very own, not together with alcohol or another substance, Dilley famous.

“It solely took the hashish product publicity to be critical sufficient that there was some kind of assist wanted,” Dilley mentioned.

Poisoning hazards rise

Then again, solely 38% of pot plant use calls got here from utilizing marijuana alone. “They have been extra typically utilizing it with alcohol or another substance within the combine,” Dilley mentioned.

Edibles make up the best share of poison management calls associated to manufactured merchandise, accounting for simply over half of the exposures.

And “edible product exposures usually tend to be [involving] youngsters than different sorts of merchandise, in order that’s actually a priority,” Dilley mentioned.


Over three years of poison management heart calls, there have been 2,505 circumstances involving manufactured merchandise and children youthful than 10, versus 1,490 reported plant-based exposures in that age group, researchers mentioned.

Nevertheless, Dilley emphasised that greater than 60% of the time, these exposures precipitated minor medical issues. More often than not, folks name in as a result of they simply aren’t feeling proper.

“Some folks is perhaps experiencing one thing that scares them,” Dilley mentioned. “Possibly they’re feeling dizzy and they do not know if that is OK or not, and they also name however they do not actually need medical remedy.”

The poison management name fee was larger in states the place leisure use of marijuana has been legalized, researchers discovered.

For instance, the speed of manufactured product calls was 2.5 per 100,000 folks in 2019 in legalization states, versus 1.3 per 100,000 in states the place leisure pot continues to be outlawed.

“This tells us that states which have legalized marijuana should not doing sufficient to guard youngsters from its harms,” mentioned Linda Richter, vice chairman of prevention analysis and evaluation for the Partnership to Finish Dependancy.


“Edibles can too simply be mistaken for fashionable sorts of sweet and different sweets and are sometimes designed and packaged in a means that explicitly appeals to younger folks [e.g., gummy bears, mini chocolate bars with names and branding that mimic popular brands],” Richter continued. “Vaped marijuana is odorless and very discreet and, due to this fact, carries all the identical dangers to youngsters that we noticed emerge from the latest nicotine vaping epidemic.”

Youngster-resistant packaging cuts threat

State regulators might play a robust position in defending youngsters from inadvertent exposures to marijuana, Dilley mentioned.

“We will design packages which can be robust for youths to get into,” Dilley famous. “I do know Washington state requires that every serving of an edible is individually wrapped, so if a toddler finds an edible product they must open every particular person dose individually. That makes it a little bit harder for youths to get into it and be by accident uncovered.”

NORML Deputy Director Paul Armentano identified one more reason why name charges is perhaps larger in states with authorized leisure use — of us in these locations would possibly really feel extra snug calling a poison management heart, as a result of they face no potential prison fees.


However he agreed that there’s a position for state regulators to play in these new leisure markets.

“These merchandise must be uniquely and distinctly labeled in a way that makes it readily clear that they include hashish and bought in child-resistant packaging, in order to higher discourage inadvertent consumption,” Armentano mentioned.

Elevated public schooling concerning the variations between manufactured merchandise and marijuana plant use additionally would assist, he added.

“With non-traditional cannabis-infused merchandise changing into extra prevalent within the retail market, parallel efforts must be made to extend public consciousness with respect to the dramatic variations in natural versus orally consumed merchandise,” Armentano mentioned. “At a minimal, potential shoppers ought to be knowledgeable that cannabis-infused oral merchandise possess delayed onset, higher variability, and extended length of impact in comparison with inhaled marijuana.

“The imposition of wise laws on the hashish trade, coupled with higher public security data and higher shopper accountability and accountability, are the perfect methods to handle cannabis-specific well being issues as a result of inadvertent ingestion or over-ingestion of those merchandise,” Armentano concluded.


Dad and mom also needs to be inspired to not go away pot merchandise mendacity casually round, in easy accessibility of kids, Richter mentioned.

“As is true of any addictive substance, if these merchandise are within the dwelling, adults ought to make sure you safeguard youngsters from them by making certain that they continue to be out of sight and out of attain of younger folks,” Richter mentioned. “If adults do use them within the presence of kids, they need to be very cautious to clarify that they’re harmful for youngsters to the touch or ingest and will chorus from conveying in any means that the merchandise are innocent or enjoyable or wanted to chill out and luxuriate in oneself.”

Extra data

The U.S. Nationwide Institute on Drug Abuse has extra about marijuana.

SOURCES: Julia Dilley, PhD, epidemiologist, Oregon Public Well being Division, Portland; Linda Richter, PhD, vice chairman, prevention analysis and evaluation, Partnership to Finish Dependancy; Paul Armentano, deputy director, NORML; JAMA Community Open, Might 24, 2021