San Francisco has moved to ban e-cigarettes. Juul has a backup plan

The San Francisco Board of Supervisors on Tuesday unanimously voted to approve first-of-its-kind legislation to suspend the sale of e-cigarettes in the city, amid concerns over underage use of the addictive nicotine products. The measure is already being challenged by the nation’s largest e-cigarette company, Juul, which is laying the groundwork to take the issue to voters in November.

The bill still requires final approval, but the board voted 11-0 to pass the ordinance on the first reading, telegraphing its intent to make it official as early as next week.

The measure, if passed, would go into effect seven months after it is signed by the mayor. It would halt the sale of e-cigarettes in San Francisco’s brick-and-mortar stores and bar the delivery of e-cigarettes bought online to San Francisco addresses until the U.S. Food and Drug Administration reviews the safety of the products, which it has not yet done.

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Most U.S. Pot Users Think They Can Get Away With Driving High

Most Americans think they won’t get caught driving while high on marijuana, a new AAA Foundation survey finds.

Nearly 70% of the nearly 2,600 licensed drivers polled think there’s a low chance that a driver using pot will be stopped by police.

“Marijuana can significantly alter reaction times and impair a driver’s judgment,” said David Yang, the foundation’s executive director. “Yet, many drivers don’t consider marijuana-impaired driving as risky as other behaviors like driving drunk or talking on the phone while driving.”

Seven percent of survey respondents said they approved of driving after recently using marijuana, more than other dangerous behaviors such as alcohol-impaired driving (1.6%); drowsy driving (1.7%); and prescription drug-impaired driving (3%).

Millennials (nearly 14%) were most likely to report having driven within an hour of using marijuana in the past month, followed by Generation Z (10%). (Millennials are 25 to 39 years old; members of Generation Z are 24 and younger.)

Men (8%) were more likely than women (5%) to report driving shortly after using marijuana in the past month, the survey found.

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Suicide rates among America’s young people continue to soar, study shows

Suicide rates among young people have continued to soar in recent years — so much so that the rate among 15- to 24-year-olds climbed in 2017 to its highest point since 2000, new research has found.

An increase was especially seen among 15- to 19-year-olds and young men, according to a research paper published Tuesday in the medical journal JAMA.
The finding hits close to home for the paper’s first author, Oren Miron, a research associate at Harvard Medical School.
“In high school, a friend of mine was bullied, and he unfortunately took his life,” Miron said. “He had such a brilliant future ahead of him, if he just made it two more years through high school.”
Now, “our new information shows that suicide [among] adolescents has reached its highest recorded level, and it shows that there’s especially an increase in recent years in adolescent males,” he said. “The data shows that it is a very real threat.”

The research involved data on deaths in the United States among 15- to 24-year-olds between 2000 and 2017. The data came from the US Centers for Disease Control and Prevention’s Underlying Cause of Death database.

Meth In The Morning, Heroin At Night: Inside The Seesaw Struggle of Dual Addiction

In the 25 years since she snorted her first line of methamphetamine at a club in San Francisco, Kim has redefined “normal” many times. At first, she says, it seemed like meth brought her back to her true self — the person she was before her parents divorced, and before her stepfather moved in.

“I felt normal when I first did it, like, ‘Oh! There I am,’ ” she says.

Kim is 47 now and has been chasing “normal” her entire adult life. That chase has brought her to some dark places, so we agreed not to use her last name, at her request. For a long time, meth, known commonly as speed, was Kim’s drug of choice.

Then she added heroin to the mix. She tried it for the first time while she was in treatment for meth.

Continue reading the rest of the article.

E-Cigarette Exploded in a Teenager’s Mouth, Damaging His Jaw

Kailani Burton bought a vaping kit for her teenage son Austin, hoping he would use it to quit smoking.

In March of last year, she and her husband were sitting in the living room when they heard a loud pop.

Austin raced in, holding his bloodied jaw. An e-cigarette had exploded in his mouth.

“He was bleeding really bad,” Ms. Burton said in an interview. “It looked like a hole in his chin.”

Ms. Burton and her family rushed Austin, then 17 and still in high school, to the hospital in Ely, Nev., a remote mountain town. But realizing quickly that he needed treatment at a trauma center, they then drove the 200-mile, mountainous trek from eastern Nevada to Salt Lake City, arriving about 1:30 a.m.

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The New Sobriety – Everyone’s sober now. Even if … they drink a little?

We all know what sobriety used to be: sober, in all meanings of the word.

It was a seltzer with lime instead of Bordeaux with a Michelin-starred meal; a trip to the gym on Friday evenings while everyone else hit happy hour. For those with a serious alcohol problem, it was a worthy decision, maybe even a lifesaving one. It could even be fun, when it wasn’t all amends and affirmations. But it had an air of privacy and quiet.

Well, my friend, this has changed. It seems not even sobriety will be saved from enjoying a made-for-Instagram moment, with new hashtaggable terms like “mindful drinking” and “sober curious.” No longer do you have to feel left out or uncool for being sober. You maybe don’t even have to completely stop drinking alcoholic beverages?

This is according to a new generation of kinda-sorta temporary temperance crusaders, whose attitudes toward the hooch is somewhere between Carrie Nation’s and Carrie Bradshaw’s. To them, sobriety is something less (and more) than a practice relevant only to clinically determined alcohol abusers. Now it can also just be something cool and healthful to try, like going vegan, or taking an Iyengar yoga class.

Continue reading here.


(June 2019) Medical marijuana is available in Ohio, but that doesn’t automatically mean employees can use the drug without risking their job. Under Ohio House Bill 523 employers are not required but are not prohibited from allowing the lawful use of marijuana as medicine (unless prohibited by an authority like the Department of Transportation.

This means that employers need to determine – then communicate to their employees — where they stand on this issue. This is especially important in light of the assumptions their employees might have both about the law and what it means to them and their workplace:

  1. “Now that medical marijuana is accessible in Ohio, my employer has to allow it.”
    As we’ve shared, employers can choose whether or not they will make any exceptions for an employee’s medical marijuana use. Furthermore, employers can establish and enforce drug-testing, drug-free workplace policy or zero-tolerance drug policies and take adverse action against employees who violate their program.
  2. “Once a doctor prescribes marijuana, the employee has a right to use it.”
    There is no such thing as a “prescription” for marijuana since the Food and Drug Administration (FDA) has not approved marijuana as medicine. Instead of being given a prescription, qualifying patients in Ohio are given a written recommendation from their doctor and placed on the patient registry so they can purchase marijuana at an authorized licensed dispensary. Because it’s not a prescription, an employer can’t treat it like one (e.g., include it under the prescription drug rule in their drug-free workplace policy). As a result, employees following a doctor’s medical marijuana recommendation could be violating their employer’s drug-free policy if they test positive for marijuana.
  3. “Now that marijuana is legal in Ohio, my employer won’t be testing for it anymore.”
    Employers are allowed to establish and enforce a drug-free workplace program, including testing for marijuana. In best-practice drug testing, there is an established “cut-off level” for marijuana. A test result for marijuana at or above that level is sent to a Medical Review Officer (MRO) who reaches out to the employee for an explanation. But because marijuana is NOT a prescription, the MRO will rule the test “positive.”

For employers allowing the use of medical marijuana, they will then have to take the positive test result and work with the employee to verify the medical marijuana recommendation, discuss dosage and determine whether it is safe for the employee to work. Employers should use caution in these discussions, as they could learn of medical information and history about their employee that they might not want to know.

Continue reading here.

CBD oil coming to Kroger stores in coming weeks

You could soon buy CBD oil at Kentucky Kroger stores, according to the Cincinnati-based grocery giant, but you will have to wait to buy it in Ohio.

Kroger joins national retailers across the country such as CVS and Walgreens in selling CBD topical products. CBD oil will be sold in Louisville-area stores in Kentucky and Indiana, according to a spokesperson.

The Louisville division – which covers parts of Kentucky, Indiana and Illinois –will begin selling a “curated selection” of topical hemp-derived CBD products in select stores and online in the coming weeks, a spokesperson said.

“We will not be selling ingestible at this time. We are offering our customers a highly-curated selection of topical products like lotions, oils, balms and creams that are infused with hemp-derived CBD,” Louisville division’s spokeswoman Erin Grant said.

The Enquirer has also reached out to the Cincinnati division for comment and timing.

“CBD is a naturally-occurring and non-intoxicating compound that has promising benefits and is permitted within federal and state regulations. Our limited selection of hemp-derived CBD topical products is from suppliers that have been reviewed for quality and safety,” a statement from Kroger said.

Read the rest of the article here.

‘Deaths of despair’ from drugs, alcohol and suicide hit young adults hardest

Young adults were more likely than any other age group to die from drugs, alcohol and suicide over the past decade, underscoring the despair Millennials face and the pressure on the health care system to respond to a crisis that shows little sign of abating.

Drug-related deaths among people 18 to 34 soared 108% between 2007 and 2017, while alcohol deaths were up 69% and suicides increased 35%, according to an analysis out Thursday of the latest federal data by the non-profit Trust for America’s Health and Well Being Trust.

The analysis of Centers for Disease Control and Prevention data found the increases for these three “deaths of despair” combined were higher than for Baby Boomers and senior citizens.

The Millennial generation is typically defined as people born between 1981 and 1996 – so are 23 to 38 years old today – although some definitions include young people born through 2000. They make up about a third of the workforce and the military.

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‘Mental Health Parity’ Is Still An Elusive Goal In U.S. Insurance Coverage

Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming only about 100 calories a day.

But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that unless she weighed 10 pounds less — which would have put her at 5-foot-7 and 90 pounds — or was admitted to a psychiatric unit, she wasn’t eligible for coverage.

“I remember thinking, ‘I’m going to die,’ ” the Las Cruces, N.M., resident recalls.

Eventually, Bacon, now 35, switched to a plan that paid for treatment, although she says it was still an arduous process getting the services approved.

Continue reading here.