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A28    SCIENCE
                       Monday 8 april 2019

            Smoking pot vs. tobacco: What science says about lighting up



            NEW YORK (AP) — As more                                                                                             research  on  the  health  ef-
            states  make  it  legal  to                                                                                         fects  over  time,  and  they
            smoke  marijuana,  some                                                                                             worry  about  its  potency
            government  officials,  re-                                                                                         when vaped.
            searchers and others worry                                                                                          The  American  Lung  Asso-
            what  that  might  mean  for                                                                                        ciation  is  concerned  that
            one of the country's biggest                                                                                        vaping will ultimately prove
            public  health  successes  :                                                                                        damaging  to  lung  health
            curbing cigarette smoking.                                                                                          and  is  alarmed  about  a
            Though  there  are  notable                                                                                         surge  in  underage  e-ciga-
            differences  in  health  re-                                                                                        rette use. And adding legal
            search  findings  on  tobac-                                                                                        marijuana  to  the  picture
            co and marijuana, the jux-                                                                                          "only makes it a more com-
            taposition  strikes  some  as                                                                                       plicated  issue,"  says  Erika
            jarring after generations of                                                                                        Sward,  an  assistant  vice
            Americans have gotten the                                                                                           president.
            message  that  smoking  en-                                                                                         Others,  though,  think  poli-
            dangers their health.                                                                                               cymakers should view vap-
            "We're trying to stop people                                                                                        ing as a relatively safe way
            from  smoking  all  kinds  of                                                                                       to use pot.
            things. Why do you want to                                                                                          "I  would  say  the  risks  are
            legalize marijuana?" a New                                                                                          going  to  be  less  with  that
            York  City  councilman,  Re-  In this Friday, March 29, 2019 photo, a man smokes a joint at a Spleef NYC canna-cocktail party   form of consumption," says
            publican  Peter  Koo,  asked   in New York.                                                                         Rebecca  Haffajee,  a  Uni-
            at  a  recent  city  hearing                                                                       Associated Press  versity  of  Michigan  health
            about  the  state's  potential                                                                                      policy  professor  who  co-
            legalization  of  so-called  tobacco  use.  And  while  a major cause of heart dis-    the  use  of  the  other,  and  wrote a 2017 piece calling
            recreational pot use.        smoking    cannabis   may  ease, the report concluded  vice versa, which can esca-     for  recreational  marijuana
            Marijuana  advocates  say  be  less  dangerous  than  it's  unclear  whether  mari-    late  a  path  to  addiction,"  programs  to  allow  only
            there's  no  comparison  be-  tobacco  to  lung  health,  juana use is associated with  says Dr. Sterling McPherson,  nonsmokable  forms  of  the
            tween  joints  and  tobacco  pot doesn't get an entirely  heart attacks or strokes.    a  University  of  Washington  drug.
            cigarettes.   A   sweeping  clean slate.                  But there's strong evidence  medical professor studying  Meanwhile,    some    local
            federal assessment of mari-  Some  health  officials  and  linking  long-term  cannabis  marijuana  and  tobacco  governments      have    ad-
            juana  research  found  the  anti-smoking  activists  also  smoking  to  worse  coughs  use among teens.            justed public smoking bans
            lung-health risks of smoking  worry about inserting legal  and  more  frequent  bouts  The  National  Academies  to  cover  both  vaping  and
            weed  appear  "relatively  marijuana into the growing  of  chronic  bronchitis,  ac-   report  found  pot  use  likely  pot. The Los Angeles Coun-
            small"  and  "far  lower  than  world of vaping, given un-  cording  to  the  report  from  increases the risk of depen-  ty  Board  of  Supervisors
            those of smoking tobacco,"  certainties about the smok-   the National Academies of  dence  on  other  substanc-    tweaked  its  prohibition  just
            the  top  cause  of  prevent-  ing  alternative's  long-term  Sciences,  Engineering  and  es, including tobacco.   last month.
            able death in the U.S.       effects.                     Medicine.                    To  some  public  health  of-  ___
            Unlike for cigarettes, there's  Here's  a  look  at  the  issues,  The  report  also  looked  at  ficials, it makes sense to le-  TWO VIEWS
            evidence of certain health  science and perspectives:     other effects, finding a mix  galize  marijuana  and  put  As a former cigarette smok-
            benefits  from  marijuana,  SMOKING  POT  VS.  TOBAC-     of possible risks, upsides and  some guardrails around it.  er,  New  Yorker  Gary  Smith
            such  as  easing  chronic  CO                             unknowns.  For  example,  "For tobacco, we know that  is  dismayed  that  his  home
            pain.  And  marijuana  can  While  cigarette  smoking  is  the  report  said  marijuana  it's  inherently  dangerous  state  might  OK  smoking
            be  used  without  smoking  the  top  risk  factor  for  lung  can  ease  chemotherapy-  and  that  there  is  no  safe  pot.
            it. Most states now have le-  cancer,  some  of  scientific  related nausea and adults'  amount of tobacco to use,"  He  knows  research  hasn't
            gal medical pot programs;  evidence  suggests  there's  chronic pain but also found  says  New  York  City  Health  tied  smoking  marijuana  to
            10 states and the District of  no link between marijuana  evidence the drug is linked  Department  drug  policy  lung  cancer,  which  killed
            Columbia  have  approved  smoking  and  lung  cancer.  to  developing  schizophre-     analyst  Rebecca  Giglio.  three  cigarette  smokers  in
            recreational use.            That's according to a 2017  nia  and  getting  in  traffic  Whereas  with  marijuana,  his  family  and  struck  him
            "They're  different  products,  federal  report  that  round-  crashes.                "we  see  this  as  an  oppor-  20 years after he quit; he's
            and they need to be treat-   ed up nearly two decades  In  recent  weeks,  studies  tunity to address the harms  been treated. But he fears
            ed differently," says Mason  of  studies  on  marijuana,  have  echoed  concerns  of criminalization while also  the respiratory risks of mari-
            Tvert, a spokesman for the  research  that's  been  lim-  about  high-potency  pot  regulating cannabis."           juana  smoking  aren't  fully
            pro-legalization  Marijuana  ited  by  the  federal  gov-  and  psychosis  and  docu-  But   health   department  known.
            Policy Project.              ernment's  classification  of  mented a rise in marijuana-  opinions  vary,  even  within  "It's  crazy  that  the  govern-
            At  the  same  time,  stud-  marijuana  as  a  controlled  related  emergency  room  the same state: New York's  ment, in order to raise (rev-
            ies  have  shown  crossover  substance like heroin.       visits  after  legalization  in  Association   of   County  enue  from)  taxes,  they're
            between  marijuana  and  While  cigarette  smoking  is  Colorado.                      Health Officials opposes le-  permitting  people  to  suck
                                                                      Tobacco  and  marijuana  galizing recreational weed.      this  stuff  into  your  lungs,"
                                                                      use  can  also  go  together.  ___                        says Smith, 78, an accoun-
                                                                      Blunts — marijuana in a ci-  SO WHAT ABOUT VAPING?        tant from Island Park.
                                                                      gar  wrapper  that  includes  Vaping  —  heating  a  solu-  Hawaii physician and state
                                                                      tobacco  leaves  —  have  tion into a vapor and inhal-    Rep.   Richard   Creagan
                                                                      gained  popularity.  And  ing it — has been pitched  feels no less strongly about
                                                                      studies  have  found  more  as  a  safer  alternative  to  cigarettes.  The  ex-smoker
                                                                      cigarette  smokers  have  smoking.                        and Democrat from Naale-
                                                                      used  pot,  and  the  other  Experts  have  said  vaping  hu  this  year  unsuccessfully
                                                                      way around, compared to  pot  is  probably  less  harm-   proposed  all  but  banning
                                                                      nonsmokers.                  ful to the lungs than smok-  them  by  raising  the  legal
                                                                      "One  substance  reinforces  ing  it,  though  there's  little  age to 100.q
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