Nicotine Vaping Product Access Coming In Australia

CANBERRA — The Pharmaceutical Society of Australia (PSA) announced that it urges all pharmacists to be aware of regulatory changes to nicotine vaping.

According to a policy document released by the PSA, vaping products that contain nicotine will only be available in Australia through a prescription from a doctor, through a pharmacist, with heightened scrutiny from the Therapeutic Goods Administration (TGA).

(TGA is Australia’s equivalent of the U.S. government’s Food and Drug Administration or the United Kingdom’s Medicines and Healthcare products Regulatory Agency.)

“Liquid nicotine is not currently available through the pharmaceutical supply chain,” reports the Pharmaceutical Society of Australia policy document. “As an unapproved product, pharmacists will need to have clear processes in place to ensure liquid nicotine supplied on prescription and in accordance with the TGA’s approval, complies with the TGA’s product standard for unapproved vaping products, Therapeutic Goods Order 110. The standard includes requirements related to labeling (e.g. warnings and nicotine content), packaging (child-resistant closures), ingredients and contaminants.”

The policy implemented by the coalition government mandating that vapes are prescribed by a doctor will come into effect on October 1, 2021.

“While evidence is still emerging to support the use of vaporized nicotine in smoking cessation or harm minimization, these changes are coming and pharmacists will be there to support patients who present with prescriptions,” notes PSA. “Given the significance of changes to the regulation of nicotine and the high number of people currently using vaporized nicotine, it is essential that pharmacists are guided with appropriate resources including clinical guidelines and practice support tools to assist their patients.”

Chris Freeman, the national president of the PSA, said that pharmacists need to prepare to manage policy changes and support more than 200,000 people who are estimated to be using vaporized nicotine and electronic cigarettes.

“Regulators around the world are rightly cautious on the risks and benefits of inhaled nicotine delivered via electronic cigarettes. Vaping is largely unregulated and overseas its uptake has been largely driven by the tobacco industry,” Freeman said.

Australia’s Nicotine E-Cig Import Regulation is Finalized

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Black Vapers Face Police Violence at Maryland Beach

A violent confrontation that led to the arrests of several black teenagers who were vaping Saturday night on the famous Ocean City, Maryland boardwalk, has gotten attention from civil rights advocates, drug policy reformers, and even rap star Ice-T. But the Ocean City Police Department defended the police officers’ actions.

The incidents began, according to a police department press release, when officers patrolling the boardwalk encountered a “large group” vaping, and “informed them of the local ordinance prohibiting smoking and vaping outside of the designated areas.” When they noticed one person continued to vape, the police confronted him and he refused to provide identification and “became disorderly.”

At that point, multiple confrontations occurred. Police said they “attempted to provide a perimeter to separate the aggressive and hostile crowd and the officers making an arrest.” The crowd appeared agitated by the police tactics. Police say one man tried to hit an officer with a bicycle.

One young man was tackled to the ground and repeatedly kneed in the ribs and abdomen by a police officer. The most disturbing moment occurred when a young man with hands raised was shot with a taser while attempting to comply with an order to remove his backpack. He fell headlong to the ground. Police claim he was resisting arrest, but the video shows nothing of the sort.

When the dust settled, four Pennsylvania teenagers were arrested, and viral videos of the incidents were shared more than a million times, including by civil rights attorney Benjamin Crump and drug policy reform (and vaping) advocate Ethan Nadelmann.

“We are aware of the social media videos circulating regarding this incident,” the OCPD statement says. “Our officers are permitted to use force, per their training, to overcome exhibited resistance.”

Brian Everett Anderson, Kamere Anthony Day, Jahtique Joseph John Lewis, and Khalil Dwayne Warren—all either 18- or 19-years-old, and all from Harrisburg, PA—were charged with various crimes, including failure to provide identity, disorderly conduct, resisting arrest, second degree assault, obstructing and hindering, failure to obey reasonable and lawful orders, and trespassing. All were eventually released on their own recognizance.

The incidents happened on the Ocean City boardwalk, a major East Coast vacation destination. Although Ocean City has only about 7,000 permanent residents, the population swells to over 300,000 on summer weekends. Policing those crowds are 105 full-time Ocean City Police Department officers, and another 100-110 seasonal officers who are sworn in with full authority, and get a badge and gun after attending 250 hours of police academy training. It’s not known if any of the officers involved in the vaping incident were seasonal employees.

The Ocean City Police Department has faced criticism for excessive force before. Last year, a confrontation over an open alcohol container led to arrests of bystanders videotaping the incident. The OCPD promised to review those arrests, as they have the current one.

“All uses of force go through a detailed review process,” the OCPD says. “The uses of force from these arrests will go through a multi-level examination by the Assistant Patrol Commander, the Division Commander and then by the Office of Professional Standards.”

The incident wouldn’t have happened if not for the city’s ban on public smoking and vaping on the boardwalk. E-cigarettes are included in the ban, along with combustible tobacco products like cigarettes and cigars. When the law passed in 2015, City Manager David Recor said incidents like the one last weekend wouldn’t happen.

“Will we haul people off to jail for smoking on the Boardwalk? No, that’s not our approach,” Recor told USA Today. “We expect people who visit Ocean City to acknowledge and respect local rules and regulations. We don’t expect to take a heavy hand, but expect visitors to self-police themselves.”

“Don’t pass a law unless you’re prepared to see violence exercised to enforce it,” Cato Institute senior fellow Walter Olson tweeted. “For example: laws against public vaping.”

A major objection to the criminalization of marijuana and other drugs is the creation of unnecessary police interactions with drug users, especially young people of color. The history of Drug War-era law enforcement is one of confrontations, arrests, and ruined lives caused by unnecessary laws applied unequally to white and black or latino citizens.

Many fear that new bans and public use restrictions on vaping and menthol cigarettes will re-energize the drug war. Banning popular products will certainly lead to black market sales, which can’t help but create additional opportunities for police and “drug dealers” to clash.

We’ve already seen a preview of the “menthol-free” future in the death of Eric Garner, who was choked to death by a New York City Police officer while being arrested for selling loose cigarettes in 2014. How many more Eric Garners will die if the FDA is able to ban menthol cigarettes?

“Anyone who thinks that banning vapes, flavored ecigs or menthol cigarettes is not going to replicate what we’ve seen with marijuana prohibition, ie, police arresting lots of young people, especially boys and men of color, well, think again!” tweeted Drug Policy Alliance founder Ethan Nadelmann.

Additionally, as vaping of both nicotine and cannabis grows in popularity, the same thing will happen to vapers—especially young vapers who are black and brown. But even small e-liquid manufacturers who continue selling after being unable to navigate the PMTA process, c-store employees selling gray market disposables, and young professionals carrying weed vape pens will have to fear interactions with police.

“If you’re calling for any kind of prohibition in this country in 2021,” Reason editor Mike Riggs wrote in a Twitter thread about the incident, “you’re implicitly saying that the people who enable/do the thing you want prohibited should be assaulted, jailed, and/or killed. Even if you explicitly say otherwise.”

Smokers created vaping without any help from the tobacco industry or anti-smoking crusaders, and vapers have the right to keep innovating to help themselves. My goal is to provide clear, honest information about the challenges vaping faces from lawmakers, regulators, and brokers of disinformation. I recently joined the CASAA board, but my opinions aren’t necessarily CASAA’s, and vice versa. You can find me on Twitter @whycherrywhy

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Finland: Smoking Patterns Amongst Different Socioeconomic Groups 

The study highlighted that people in lower socioeconomic groups tend to be less likely to quit smoking than their peers in higher groups.

“We know smoking has directly adverse effects on human health. Based on the study, it can be said that if this trend continues, so too will the growth of health inequalities,” said Otto Ruokolainen, an expert at the National Institute for Health and Welfare (THL) and author of the study based on the findings indicating that this gap has already grown. The research also indicated that increasing tobacco prices is a motivating factor for smokers to quit.

The study analysed population data covering a 40-year period from 1978 to 2017, and the number of respondents across the different surveys varied from fewer than 1,000 to around 400,000.

Consistent with data from around the world, the research highlighted that people in lower socioeconomic groups tend to be less likely to quit smoking than their peers in higher groups. Ruokolainen said that government policies should take note of this gap and address it.

“There should be better support for smokers and a particular focus on supporting people in lower socioeconomic groups in order to reduce their smoking to the same level as those in higher groups,” he said.

Similar findings from across the globe

Similar findings were also reported by an Australian paper. Led by researchers from the Australian National University, the study compiled data from 1,388 Aboriginal people from New South Wales, who participated in the 45 and UP study, a longitudinal study run by the Sax Institute of 267,153 people, randomly selected from the NSW population.

The compiled data indicated that half of all deaths amongst Aboriginal and Torres Strait Islander people over the age of 45, were tragically caused by smoking-related illnesses, equating to about 10,000 premature preventable deaths. This means that smokers in these groups, are dying approximately 10 years earlier than non-smokers.

Read Further: YLE

Finland: Report Shows Reduction in Smoking and Vaping Rates

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Minnesota Finally Legalizes Medical Marijuana

Medical marijuana is now legal in Minnesota.

SAINT PAUL — Democratic Gov. Tim Walz signed into law medical marijuana legislation, making Minnesota the latest state in the union to take a necessary step towards liberalization and eventual recreational marijuana legalization.

The legislation, specifically, permits the smoking of medical marijuana products.

Walz made this reform after he signed the omnibus health and human services appropriations bill into law earlier this week, which includes provisions to expand the state’s medical cannabis program that was originally created in 2014 with qualified patients allowed to start purchasing non-smokable variations of the drug.

The state legislature advanced the omnibus health and human services bill earlier this month.

As Marijuana Moment reports on May 17, a bicameral conference committee approved the reform, in additional other marijuana-related policy changes, as a means to further reform as a part of an omnibus health bill.

At this time, the House of Representatives adopted a variation of the report on Monday, through a 77-57 vote in favor of the report.

The Senate followed suit in a 66-1 vote in favor of the bill sending it to the desk of the governor. Walz noted, signed the bill, and now has approved the appropriations forward.

“This is not about legalization. This is about patients. This is about people who are suffering. This is about people who are in pain,” said Rep. Aisha Gomez, a Democrat from Minneapolis.

“It’s a significant accomplishment and a movement not only towards legalization but for patients to be able to access cannabis for health reasons,” adds Rep. Ryan Winkler, the Democratic House Majority Leader.

“As a result of Minnesotans who made their voices heard over the course of years—whether you are a veteran suffering from PTSD, a person with a serious health condition, or a parent with a sick child—more people will gain the ability to live healthy, fulfilled lives,” Winkler said.

“Without Minnesotans’ activism and personal stories, and without a historic vote in the Minnesota House to legalize cannabis for adult use, this accomplishment would not have been possible.”

Minnesota Students Still Vaping Despite Mitigation Efforts

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The UK goverrnent urged to go ‘further and faster’ to hit smoke free targets

The UK government needs to go ‘further and faster’ than it ever has before in the fight against tobacco if it wants to hit its smoke free targets, MPs have warned.

An influential group of cross-party politicians has unveiled its recommendations for eradicating smoking in the UK by 2030.

The All-Party Parliamentary Group on Smoking and Health (APPG) called on the government to take bold action and use its post-Brexit freedom to curb tobacco-related deaths.

It said: “We have been a world leader in tobacco control for well over a decade and have been instrumental in helping shape the development of EU policy.

“However, while we were a member of the European Union, we could not speak for ourselves…now we can and should.

“The EU’s ambition is to be Smokefree by 2040…our government plans to get there a decade earlier.”

Coinciding with a crucial parliamentary debate on smoking and vaping regulation, the APPG’s ‘Delivering a Smoke Free 2030’ report outlines a number of strategies to end the tobacco epidemic.

Key recommendations include:

  • Legislate to make tobacco manufacturers pay for a Smokefree 2030 Fund to bring an end to smoking
  • Consult on raising the age of sale for tobacco from 18 to 21
  • Ensure all pregnant smokers are given financial incentives to quit in addition to smoking cessation support
  • Changing misperceptions and addressing misinformation surrounding e-cigarettes and vaping products and
  • Standardising access to stop smoking services including vaping 

The report has gained the support of the industry, with advocacy groups applauding it for acknowledging the vital role that vaping plays in helping people quit.

John Dunne, Director General of the UKVIA, said:

“We warmly welcome this report and endorse efforts and recommendations designed to encourage smokers to make a less harmful choice.

“We are pleased to see among the recommendations proposals for the expanded use of e-cigarettes, which have helped more than one million British smokers to transition from combustible tobacco in the last decade.”

John Dunne, UKVIA

Dunne explained that many of the APPG’s suggestions align with the UKVIA’s own views, with the trade body’s ‘Blueprint for Better Regulation’ also urging the government to use vaping in the fight against tobacco.

He said:

“The Government’s smoke free targets can be put firmly back on track by encouraging more of the UK’s seven million smokers to consider vaping as a method of quitting. 

“For far too long vaping has suffered from myths and misconceptions about both its safety and effectiveness in helping smokers quit.

“That situation must now change, and we watch with interest to see how the APPG on Smoking and Health’s recommendations are received by Government.” 

John Dunne, UKVIA

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The State of Alabama Receives Failing Grades In Its Efforts to Reduce Smoking 

Sadly the ALA has a reputation for maintaining an outdated stance towards tobacco harm reduction, and has on multiple occasions shared misinformation on the topic.

“’State of Tobacco Control’ 2021 provides an important roadmap on how states like Alabama and the federal government can put in place the policies proven to have the greatest impact on reducing tobacco use and exposure to secondhand smoke,” said Ashley Lyerly, the director of advocacy for the association. “Because of COVID-19, we are all thinking more about lung health. Now is the time for lawmakers in Alabama to act and take this opportunity to achieve lasting reductions in tobacco-related death and disease.”

Sadly, when referring to tobacco products, the ALA is also including safer alternatives such as vaping products. Unfortunately, the association has a reputation for maintaining an outdated stance towards tobacco harm reduction, and has on multiple occasions shared misinformation and counter productive guidance on the topic.

Teen vaping campaign

Last September, the association launched a teen vaping campaign with an integrated, multi-component approach to support parents, schools and students, aimed at ending the alleged “youth vaping epidemic.”

The initiative claims to strive towards eliminating youth “tobacco” use by 2025. The Chief Mission Officer for the ALA, Deb Brown said that the association is working to ensure that kids are not pressured to vape. “That exposes them to harmful chemicals, and really sets them up for a lifetime of addiction,” said Brown, referring to vaping. She added that besides other health risks, vaping can lead to decreased lung health, especially in younger users.

To this effect, the ALA is collaborating with the Ad Council to promote resources that can best inform families about these dangers. “We use that to help parents understand the facts about e-cigarettes,” Brown continued, “and how to support conversations with their children before they start to vape.” She explained that the association is also launching a vape-free initiative for schools along with a research program looking into the effect of vaping on developing lungs.

Moreover, the initiative includes a plan for targeted advocacy at all government levels. “The Lung Association will implement a targeted advocacy plan to impact tobacco policies, including e-cigarette policies, at local, state and federal levels. The plan will urge the FDA to exercise robust regulatory authority over all tobacco products, including e-cigarettes and youth directed e-cigarette marketing,” reads the ALA website.

Read Further: The Alabama Political Reporter

Tobacco 21 Sweeps Alabama

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South Africa to Introduce Further E-Cig Restrictions

The new Control of Tobacco Products and Electronic Delivery Systems Bill, was first announced in May 2020 by Deputy Health Minister Joe Phaahla, and has been going through a review process.

The Bill would set in place stricter e-cig regulations, that include restrictions on the use, marketing, and sales of certain tobacco products.

The Bill would prohibit smoking in public spaces, and also set in place stricter e-cigarettes regulations, that include restrictions on the use, marketing, and sales of certain tobacco products. Moreover, it would set in place a provision allowing the government to implement a “100% public cigarette ban”.

Health department spokesperson, Lynn Moeng, has recently been quoted by EWN as saying that the government is working as ‘fast as it can’ to have the bill processed. “We are now finalising the process and once we have done that before it even gets to Cabinet, it needs to be approved by a few technical committees,” she said. “We are in the process where we’ll now be able to submit to the various committees.”

SA’s Govt. has ignored comments received during the public consultation

The bill was first approved by president Cyril Ramaphosa’s cabinet in 2018. Meanwhile, the South Africa Tobacco Transformation Alliance (SATTA) has recently pointed out that more than 21,000 comments had been received when the Tobacco Bill was first published for public comment, and yet the latest version of the bill remained unchanged.

“Is the department honestly saying that none of the 21,000 comments made in 2018 were of significance or meaning?” said SATTA chairman Ntando Shadrack Sibisi. “Or did the department not deem those comments to have merit? If so, why bother with this consultation process? It feels like a mere box-ticking exercise, and we believe that makes this process a sham.”

The vape industry is in favour of sensible regulations

On the otherhand, the Vapour Products Association of South Africa’s (VPASA) has emphasized that contrary to what is generally assumed, the industry welcomes the introduction of sensible e-cig regulations. “VPASA’s second successful diginar in its Vaping Conversations series ended in consensus – that governments, including South Africa’s, should regulate vaping – and that these laws should be grounded in a risk-based approach which ensures users are both educated and informed. All decisions must be based on the latest available scientific data.”

Actions by South Africa’s Government Suggest Another Possible Tobacco Sales Ban

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Mayo Clinic Study: Vapers NOT More Likely to Get COVID

Despite dire warnings from tobacco control activists, there is no evidence that vaping increases the risk of being infected with SARS-CoV-2, the coronavirus that causes COVID-19. That’s the conclusion of a study just published by a group of Mayo Clinic researchers in the Journal of Primary Care and Community Health.

The team analyzed data from over 69,000 patients who visited Mayo facilities between September 2019 and November 2020, and determined that “current or former e-cigarette use was not associated with COVID-19 diagnosis.” The patients’ vaping or smoking status was ascertained by their physicians during visits.

The researchers also found that “Current, but not former, smokers were less likely to have a COVID-19 diagnosis compared to never smokers.” This finding aligns with thousands of studies and datasets from around the world showing current smokers are less likely to seek medical attention for COVID-19 than non-smokers. A meta-review of more than 200 studies by UK researchers reached the same conclusion.

The result is the exact opposite of the narrative advanced during the past 15 months by anti-vaping scientists, public health authorities and politicians. As we reported in early March 2020, political opportunists like New York City Mayor Bill de Blasio were already claiming—with literally zero evidence—that “If you are a smoker or a vaper that does make you more vulnerable.”

Later in March, then-Surgeon General Jerome Adams speculated that vaping could be the reason that American coronavirus infections skewed toward younger people than in other countries. Of course, they actually didn’t.

On April 1, U.S. Representative Raja Krishnamoorthi asked the FDA to temporarily “clear the market” of vaping products, claiming there was evidence that vaping exacerbated coronavirus risk. “Reducing the number of smokers and vapers that fall ill with coronavirus will not only help them, but the entire health system,” wrote the Illinois congressman.

Later in April, National Institute on Drug Abuse (NIDA) Director Nora Volkow got into the act, warning without evidence that “COVID-19 could be an especially serious threat to those who smoke tobacco or marijuana or who vape.”

In June, a World Health Organization (WHO) scientific brief said that evidence “suggests that smoking is associated with increased severity of disease and death in hospitalized COVID-19 patients.” But if something in cigarettes (probably nicotine) is protective against severe COVID complications, isn’t that exactly what would happen when a patient enters the hospital and is forced to stop smoking?

The WHO did admit that “Although likely related to severity, there is no evidence to quantify the risk to smokers of hospitalization with COVID-19 or of infection by SARS-CoV-2” in the available scientific literature.

Scientists who began researching the potentially protective effects of nicotine were pilloried by anti-tobacco organizations, accusing them of being tobacco industry tools. Yet, clinical trials with nicotine patches were planned at a French hospital.

The most damaging (and most obviously dishonest) news stories came in August, after Stanford anti-vaping activist Bonnie Halpern-Felsher and two colleagues published a study that purported to show adolescents and young adults were five to seven times more likely to test positive for COVID-19 than non-vapers. Hundreds of news outlets across the country lapped up and regurgitated the claims, but few dug into the details of the study.

Based on online survey data from early May, the study claimed to show that “COVID-19 diagnosis was five times more likely among ever-users of e-cigarettes only, seven times more likely among ever-dual-users [people who smoke and vape], and 6.8 times more likely among past 30-day dual-users.”

But something was missing: the study showed no association between current exclusive vaping (or exclusive smoking) and COVID. How could vaping or smoking at some point in the past make a teenager five times more likely to be diagnosed with COVID-19 than a past-30-day—or even daily—vaper? Wouldn’t that result indicate that regular vaping or smoking is protective against COVID?

Furthermore, who were all these teenagers getting coronavirus tests during the early weeks of the crisis, when tests were very hard to come by, and the vast majority of hospitalized COVID patients were elderly and middle-aged?

Halpern-Felsher and her co-authors refused to provide the raw numbers of survey participants. But, by working backwards from the published odds ratios, University of Louisville researcher Brad Rodu estimated that the two eye-popping results (five and seven times more likely) were based on just five and three survey responses. Other academic responses to the article questioned the paper’s methods and the data itself. Some called for a retraction.

Unfortunately, it’s unlikely that the news outlets that so gleefully reported Halpern-Felsher’s debunked study will try to correct public understanding of the issue by describing the new research from the Mayo Clinic and explaining how it clashes with the seriously flawed Halpern-Felsher paper.

Halpern-Felsher herself certainly won’t come out and admit her study was a glaring example of junk science. Neither will her Bloomberg-funded supporters at the Campaign for Tobacco-Free Kids and PAVe. And none of the politicians who use teen vaping as an easy publicity generator will make their way to a microphone to apologize for their speculation and lies.

And that leaves us right where we were before the Mayo Clinic study was published.

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New Zealand: Vape Products With Health Warnings In The Maori Language

The Bill included a tobacco age limit of 18, restricting the sales of flavoured vaping products to specialist vape retailers, new advert regulations and the implementation of standards to ensure product safety, such as labelling.

Last Summer, the Smokefree Environments and Regulated Products (Vaping) Amendment Bill was passed, setting in place a number of restrictions an regulations. These included a tobacco age limit of 18, restricting the sales of flavoured vaping products to specialist vape retailers, new advert regulations and the implementation of standards to ensure product safety, such as labelling.

The local government had earlier this year launched a consultation on the bill, which was set to close on March 15th. Yet if the proposed draft is approved, e-cigarettes containing nicotine will be required to carry a health warning labels in both English and te reo Māori, similar to those that are required on cigarette packs.

Vape and hookah specialist Shosha on New Plymouth’s Devon St West, is one step ahead of the curve and has already placed warnings labels on vaping products. “He nikotini kei roto i tenei mea, he matu tino whakawara” (this product contains nicotine which is a highly addictive substance), read the labels.

Maori customers have responded positively

Store manager Prince Mehra said he believes this is a good initiative anyway, and customers have responded positively. “The people who understand Māori are excited to see it in their language,” he said. “I’ve had a lot of positive feedback.”

This initiative came about as a result of a Shosha study of 1000 New Zealanders indicating that Māori were significantly more likely to use vaping products than the national average, at 33% versus 24%, either as part of a smoking cessation programme or as substitutes for cigarettes.

Read Further: Stuff

Australian Study: Smoking Causes 50% of Indigenous Australians’ Deaths

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Top US Health Official Calls For Marijuana Descheduling, Research

A federal health official said that marijuana should be legalized and descheduled by law enforcement.

WASHINGTON — Francis Collins, the director of the United States National Institutes of Health (NIH), expressed his support for the therapeutic potential of psychedelics and the advancement of marijuana rescheduling and research for wider medical purposes.

Sen. Brian Schatz, D-Hawaii, asked Collins about these questions during a Senate Appropriations subcommittee hearing earlier this week.

“I think as we’ve learned more about how the brain works we began to realize that these are potential tools for research purposes and might be clinically beneficial,” Collins said.

The NIH director also said that the progress being made in access to medical marijuana for federal research is positive and should continue to the eventual descheduling and recreational legalization nationwide.

“There has been a resurgence of interest in psychedelic drugs, which for a while were sort of considered not an area that researchers legitimately ought to go after,” Collins replied during testimony before the committee.

Collins: “And I think as we’ve learned more about how the brain works, we’ve begun to realize that these are potential tools for research purposes and might be clinically beneficial.”

“We’re making some progress. You may know that in the past, researchers who wanted to do clinical studies on marijuana had all kinds of limitations,” Collins said.

He added that for the past five decades had been only one source of marijuana for federal research purposes.

“That of course is an issue because it’s a limited opportunity for access,” said Collins in the statement. He added that the Drug Enforcement Administration had expanded the granted permission to expand the number of research marijuana providers.

“What we really need is to moderate the schedule 1 limitation,” Collins said in the final stage of the testimony that was delivered.

Mexico Passes Measure to Legalize Marijuana For Recreational Purposes

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