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Using wastewater-based analysis to monitor the effects of legalized retail sales on cannabis consumption in Washington State, USA.

ABSTRACT: AIMS:To perform a wastewater-based analysis to explore the impact of newly legalized retail cannabis sales on its use and to determine if this approach could estimate the size of the legal market place, which began 1 August 2014 in the study area. DESIGN:Laboratory study of raw wastewater samples collected and analyzed over the 3-year period from 2014 to 2016. SETTING AND PARTICIPANTS:Samples obtained from the two wastewater treatment plants that serviced a municipality of 200?000 people in the state of Washington, USA. MEASUREMENTS:Quantitative analysis of 24-hour composite influent samples for the metabolite of the active ingredient in cannabis, 11-nor-9-Carboxy-?9-tetrahydrocannabinol (THC-COOH) were performed by liquid chromatography coupled to mass spectrometry. FINDINGS:Wastewater estimates for THC-COOH increased by 9% per quarter, suggesting a doubling in cannabis consumption from 1 December 2013 to 31 December 2016. State-sold THC increased at nearly 70% per quarter, while stores operated from 1 August 2014 to 31 December 2016. Estimating the proportion of the total cannabis market supplied by state-regulated cannabis from these data is not currently achievable. CONCLUSION:A wastewater-based measure of cannabis consumption suggests a significant increase in consumption in Washington, USA following legalization, and that legal sales appear to have displaced a large portion of the illicit market.

SUBMITTER: Burgard DA

PROVIDER: S-EPMC6814135 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Using wastewater-based analysis to monitor the effects of legalized retail sales on cannabis consumption in Washington State, USA.

Burgard Daniel A DA Williams Jason J Westerman Danielle D Rushing Rosie R Carpenter Riley R LaRock Addison A Sadetsky Jane J Clarke Jackson J Fryhle Heather H Pellman Melissa M Banta-Green Caleb J CJ

Addiction (Abingdon, England) 20190618 9

<h4>Aims</h4>To perform a wastewater-based analysis to explore the impact of newly legalized retail cannabis sales on its use and to determine if this approach could estimate the size of the legal market place, which began 1 August 2014 in the study area.<h4>Design</h4>Laboratory study of raw wastewater samples collected and analyzed over the 3-year period from 2014 to 2016.<h4>Setting and participants</h4>Samples obtained from the two wastewater treatment plants that serviced a municipality of ...[more]

PMID: 31211480

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Project description:AIMS:To (1) assess trends and variation in the market share of product types and potency sold in a legal cannabis retail market and (2) estimate how potency and purchase quantity influence price variation for cannabis flower. DESIGN:Secondary analysis of publicly available data from Washington State's cannabis traceability system spanning 7 July 2014 to 30 September 2016. Descriptive statistics and linear regressions assessed variation and trends in cannabis product variety and potency. Hedonic regressions estimated how purchase quantity and potency influence cannabis flower price variation. SETTING:Washington State, USA. PARTICIPANTS:(1) A total of 44?482?176 million cannabis purchases, including (2) 31?052?123 cannabis flower purchases after trimming price and quantity outliers. MEASUREMENTS:Primary outcome measures were (1) monthly expenditures on cannabis, total delta-9-tetrahydrocannabinol (THC) concentration and cannabidiol (CBD) concentration by product type and (2) excise tax-inclusive price per gram of cannabis flower. Key covariates for the hedonic price regressions included quantity purchased, THC and CBD. FINDINGS:Traditional cannabis flowers still account for the majority of spending (66.6%), but the market share of extracts for inhalation increased by 145.8% between October 2014 and September 2016, now comprising 21.2% of sales. The average THC-level for cannabis extracts is more than triple that for cannabis flowers (68.7% compared to 20.6%). For flower products, there is a statistically significant relationship between price per gram and both THC [coefficient = 0.012; 95% confidence interval (CI) = 0.011-0.013] and CBD (coefficient = 0.017; CI = 0.015-0.019). The estimated discount elasticity is -0.06 (CI = -0.07 to -0.05). CONCLUSIONS:In the state of Washington, USA, the legal cannabis market is currently dominated by high-THC cannabis flower, and features growing expenditures on extracts. For cannabis flower, both THC and CBD are associated with higher per-gram prices, and there are small but significant quantity discounts.

Project description:BackgroundCannabis is purported to alleviate symptoms related to cancer treatment, although the patterns of use among cancer patients are not well known. This study was designed to determine the prevalence and methods of use among cancer patients, the perceived benefits, and the sources of information in a state with legalized cannabis.MethodsA cross-sectional, anonymous survey of adult cancer patients was performed at a National Cancer Institute-designated cancer center in Washington State. Random urine samples for tetrahydrocannabinol provided survey validation.ResultsNine hundred twenty-six of 2737 eligible patients (34%) completed the survey, and the median age was 58 years (interquartile range [IQR], 46-66 years). Most had a strong interest in learning about cannabis during treatment (6 on a 1-10 scale; IQR, 3-10) and wanted information from cancer providers (677 of 911 [74%]). Previous use was common (607 of 926 [66%]); 24% (222 of 926) used cannabis in the last year, and 21% (192 of 926) used cannabis in the last month. Random urine samples found similar percentages of users who reported weekly use (27 of 193 [14%] vs 164 of 926 [18%]). Active users inhaled (153 of 220 [70%]) or consumed edibles (154 of 220 [70%]); 89 (40%) used both modalities. Cannabis was used primarily for physical (165 of 219 [75%]) and neuropsychiatric symptoms (139 of 219 [63%]). Legalization significantly increased the likelihood of use in more than half of the respondents.ConclusionsThis study of cancer patients in a state with legalized cannabis found high rates of active use across broad subgroups, and legalization was reported to be important in patients' decision to use. Cancer patients desire but are not receiving information about cannabis use during their treatment from oncology providers. Cancer 2017;123:4488-97. © 2017 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Project description:BackgroundForested wetlands support distinct vegetation and hydrology relative to upland forests and shrub-dominated or open water wetlands. Although forested wetland plant communities comprise unique habitats, these ecosystems' community structure is not well documented in the U.S. Pacific Northwest. Here I surveyed forested wetland vegetation to identify changes in community composition and structure across an elevation gradient that corresponds to flooding stress, asking: (1) How do forested wetland plant communities change across an elevation gradient that corresponds to flood frequency and duration? (2) At what relative elevations do different plant species occur within a wetland?MethodsI measured overstory tree basal area and structure and understory vascular plant composition in three zones: wetland buffers (WB) adjacent to the wetland, an upper wetland (UW) extent, and a lower wetland (LW) extent, surveying individual trees' root collar elevation relative to the wetland ordinary high-water mark (OHWM). I estimated understory plant species abundance in sub-plots and surveyed these plots' height above the OHWM. I used non-metric multidimensional scaling ordination to identify patterns in vegetation communities relative to wetland elevation, and tested for compositional differences between the WB, UW and LW zones using PERMANOVA. I calculated overstory and understory indicator species for each wetland zone using indicator species analysis.ResultsForest overstory composition changed across the elevation gradient, with broad-leaved trees occupying a distinct hydrologic niche in low-lying areas close to the OHWM. Conifer species occurred higher above the OHWM on drier microsites. Pseudotsuga menziesii (mean elevation = 0.881 m) and Tsuga heterophylla (mean elevation = 1.737 m) were overstory indicator species of the WB, while Fraxinus latifolia (mean elevation = 0.005 m) was an overstory indicator for the upper and lower wetland. Understory vegetation differed between zones and lower zones' indicator species were generally hydrophytic species with adaptations that allow them to tolerate flooding stress at lower elevations. Average elevations above the OHWM are reported for 19 overstory trees and 61 understory plant species. By quantifying forested wetland plant species' affinities for different habitats across an inundation gradient, this study illustrates how rarely flooded, forested WB vegetation differs from frequently flooded, LW vegetation. Because common management applications, like restoring forested wetlands and managing wetland responses to forest harvest, are both predicated upon understanding how vegetation relates to hydrology, these data on where different species might establish and persist along an inundation gradient may be useful in planning for anticipated forested wetland responses to restoration and disturbance.

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Using wastewater-based analysis to monitor the effects of legalized retail sales on cannabis consumption in Washington State, USA.

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Using wastewater-based analysis to monitor the effects of legalized retail sales on cannabis consumption in Washington State, USA.

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