The Public Health Framework of Legalized Marijuana in Colorado

Abstract

On January 1, 2014, Colorado became the first state in the nation to sell legal recreational marijuana for adult use. As a result, Colorado has had to carefully examine potential population health and safety impacts as well as the role of public health in response to legalization. We have discussed an emerging public health framework for legalized recreational marijuana. We have outlined this framework according to the core public health functions of assessment, policy development, and assurance. In addition, we have discussed challenges to implementing this framework that other states considering legalization may face.

Issues in the implementation and evolution of the commercial recreational cannabis market in Colorado

“…In addition internet pop-up advertisements are prohibited. (Ghosh et al,2015). However there are exceptions.…”

Place over traits? Purchasing edibles from medical marijuana dispensaries in Los Angeles, CA

“…1 This distribution model has come with an increased availability of marijuana-infused edibles, such as cookies, brownies, or candy. 2 Studies have observed higher consumption of marijuana-infused edibles in states permitting medical and/or recreational marijuana use when compared to states not permitting this use. 3–4 …”

“…Thus users may take more in an attempt to feel high more quickly, increasing the likelihood of erratic behaviors associated with adverse psychological effects arising from overconsumption. 2 Second, accidental ingestion by and poisonings of young children may occur because edibles often look like candy or baked goods. 5 These products are also attractive to adolescents as it makes it easier to conceal use.…”

Colorado vs Uruguay : deux modes opposés de légalisation du cannabis

“…Celui-ci regrettant l'autorisation donnée par l'État à la production de cannabis « comestible » (edibles) (source : Cannalex). Il s'avère aujourd'hui que la consommation de cannabis comestible constitue une part majeure dans la croissance importante des admissions aux urgences hospitalières de l'État consécutives à l'usage de cannabis (Ghosh, 2016 ;Kim, 2016). avec environ 11,2 millions de dollars pour le secteur « récréationnel » et 2 millions de dollars pour le secteur « médical ».…”

“…À la suite de cette décision judiciaire, le nombre de dispensaires agréés (licensed dispensaries) passe en quelques années de 250 à 532 et le nombre d'usagers de marijuana médicale de 4 000 à plus de 115 000 (Ghosh, 2015) [25] . Il serait cependant caricatural de réduire le modèle du Colorado à sa seule dimension économique libérale (Ghosh et al, 2016). Un certain nombre de régulations publiques ont été mises en place, puis renforcées après quelques mois d'application de la réforme.…”