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We Dont Rinse Cannabis Leslie McAhren, MPH, A Domestic & - PowerPoint PPT Presentation

We Dont Rinse Cannabis Leslie McAhren, MPH, A Domestic & Global Perspective MFA, DrPH (20) on IPM & Use of Pesticides This Is A Hot, Sexy Topic https://youtu.be/6z2HNCIsHzg September 18, 2019 BUT The Conversation is Deep


  1. We Don’t Rinse Cannabis Leslie McAhren, MPH, A Domestic & Global Perspective MFA, DrPH (’20) on IPM & Use of Pesticides

  2. This Is A Hot, Sexy Topic https://youtu.be/6z2HNCIsHzg September 18, 2019

  3. BUT The Conversation is Deep • Detection of Pesticides • Applying Tobacco Pesticide Research to Cannabis • Setting The Research & Policy Trajectory • Occupational Health • Phytoremediation & Phytoextraction

  4. We Know the Pests in Cannabis Cultivation • Insects • Mites • Thrips • Fungus • Powdery mildew • Nuclear tactics… McPartland, J.M. (1996). Cannabis pests. J. Internatl. Hemp Assoc.3(2): 49, 52–55. http:// www.internationalhempassociation.org/jiha/iha03201.html

  5. What is a Pesticide ? 
 • A pesticide is any substance intended to control, destroy, repel, or attract a pest • This includes insecticides, fungicides, herbicides, rodenticides and sanitizers.

  6. Pesticide Regulation is Federal • The Federal Insecticide, Fungicide, and Rodenticide Act ( FIFRA ) is a United States federal law • The U.S. system of pesticide regulation is meant to protect applicators, consumers, and the environment • The EPA is responsible for regulating pesticides under the Federal Insecticide, Fungicide, and Rodenticide Act ( FIFRA ) and the Food Quality Protection Act ( FQPA )

  7. Standards For Quality Control Are Out There 


  8. Heavy Metal Limits Guideline For Elemental Impurities Already Exist International Conference On Harmonisation Of Technical Requirements For Registration Of Pharmaceuticals For Human Use Recommended For Adoption To The Regulatory Bodies Of The European Union, Switzerland, Japan, USA & Canada ICH q3d (2014)

  9. We Understand Safety Limiting Toxicity – Cadmium, for example Cadmium has been shown to be genotoxic and has been acknowledged as a human carcinogen (Group 1; IARC, 2012). Cadmium and cadmium compounds cause cancer of the lung. An inhalation unit risk of 0.0018/µg/m 3 has been derived by the US EPA (1992). INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE (12/2014) https://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Quality/Q3D/Q3D_Step_4.pdf

  10. We Know The Cautionary Tale That Is Roundup “Weed-killer” • endocrine disruptor • “probably carcinogenic to humans” Bayer, which bought Roundup maker Monsanto last year, has reportedly offered $8 billion to settle thousands cancer claims. https://www.cbsnews.com/news/monsanto-parent-bayer-said-to-propose-8- billion-settlement-over-glyphosate-claims/

  11. Dose Response “ the dose makes the poison ” important concept in human health risk assessment & toxicology Paracelsus (16 th century)

  12. Toxicity Acute toxicity = the hazard associated with a single exposure Chronic toxicity = the hazard associated with long term exposure to a chemical, such as repeated ingestion of low doses in food residues

  13. Dose Response & Therapeutic Effect Therapeutic effect is at the intersection of beneficial effects & adverse effects

  14. Theoretically, We Have All The Tools We Need To Regulate Pesticides Used In Cannabis Cultivation

  15. 
 Theoretically, We Have All The Tools We Need To Regulate Pesticides Used In Cannabis Cultivation 


  16. Pesticides Have been Detected in Cannabis Smoke • Chemical residues present on the cannabis flowers directly transfer into the mainstream smoke and ultimately…. to the end user Sullivan N, Elzinga S, Raber JC. (2013). Determination of pesticide residues in cannabis smoke. J Toxicol.; 2013:378168. https://www.hindawi.com/journals/jt/2013/378168/

  17. Pesticides Have Been Detected in Edibles • July 29, 2016 • Denver Post reported a large-scale product recall due to pesticide contamination • States are all regulating pesticides differently • There is no meaningful federal oversight Baca and Migoya, 2015 Gourdet, C., Giombi, K. C., Kosa, K., Wiley, J., & Cates, S. (2017). How four U.S. states are regulating recreational marijuana edibles. The International Journal on Drug Policy , 43 , 83–90. https://doi.org/10.1016/ j.drugpo.2017.01.018

  18. Tobacco Can Teach Us (a Few) Things • Multiple studies note the distillation behavior of pesticides in smoke • Cannabis has seen 10x concentration of pesticides (Voelker & Holmes, 2015; Light, Orens, Lewandowski, 2014) • The raw flower may be safest Lorenz, W., Bahadir, M., & Korte, F. (1987). Thermolysis of pesticide residues during tobacco smoking. Chemosphere , 16 , 521–522. https://doi.org/ 10.1016/0045-6535(87)90261-X Purkis, S. W., Mueller, C., & Intorp, M. (2011). The fate of ingredients in and impact on cigarette smoke. Food and Chemical Toxicology , 49 (12), 3238–3248. https://doi.org/ 10.1016/j.fct.2011.09.028

  19. Limits of What Tobacco Can Teach Us • By virtue of Title 35, Article 9, C.R.S., Colorado is primarily using pesticides approved on tobacco • BUT - Is this the right move? Subritzky, T., Lenton, S., & Pettigrew, S. (2016). Legal cannabis industry adopting strategies of the tobacco industry. Drug and Alcohol Review , 35 (5), 511–513. https:// doi.org/10.1111/dar.12459 Orenstein, D. G., & Glantz, S. A. (2018). Regulating Cannabis Manufacturing: Applying Public Health Best Practices from Tobacco Control. Journal of psychoactive drugs , 50 (1), 19–32.

  20. Cannabis Needs Its Own Research Paradigm Tobacco Pesticide Studies generally • have a 7.5 g carbon filter cartridge Tobacco is Filtered – Cannabis Typically • is Not Data is falsely skewed in the direction • of presumed safety When comparing “a bong” ( filtered • water pipe ”) to a glass pipe, the quantity of pesticide recovery was the highest in hand-held glass pipe Route of ingestion is a major research • consideration in cannabis Sullivan N, Elzinga S, Raber JC. (2013). Determination of pesticide residues in cannabis smoke. J Toxicol.; 2013:378168.

  21. FDA concept of GRAS "GRAS" is an acronym for the phrase G enerally R ecognized A s S afe. Under sections 201(s) and 409 of the Federal Food, Drug, and Cosmetic Act Have we adequately shown what is safe under the conditions of its intended use?

  22. Safety Requirements For Pharmaceutical Excipients A medicine consists of 2 fundamental parts: the active pharmaceutical ingredient and the excipient. In the early times, the safety of excipients was overlooked and no specific safety tests were generally conducted… Today, an excipient's toxicity is not negligible = risk/benefit ratio J Pharm Sci. 2016 Jul;105(7):2019-26. doi: 10.1016/j.xphs.2016.03.019. Epub 2016 Jun 1. An Overview of Pharmaceutical Excipients: Safe or Not Safe?

  23. What Is The Ideal Pesticide? • As with medications, the ideal pesticide is safe in terms of human and ecosystem health & effective at controlling the target species • Definition of Certified Organic Products • must demonstrate protecting natural resources , conserving biodiversity using only approved pesticides • The EU has implemented Integrated Pest Management • low-pesticide-input as part of sustainable food production Subritzky, T., Pettigrew, S., & Lenton, S. (2017). Into the void: Regulating pesticide use in Colorado’s commercial cannabis markets. The International Journal on Drug Policy , 42 , 86–96. https://doi.org/10.1016/ j.drugpo.2017.01.014 EU Integrated Pest Management Regulation (EC) No 396/2005 (Seventh Framework Programme)

  24. Integrated Pest Management • The EPA defines Integrated Pest Management (IPM) as an environmentally sensitive approach to pest management • How nature does it • Fight bugs with bugs (ex. predator release ) • Lifecycles of pests are used to interrupt and control infestations • Co-locate beneficial species (ex. marigold) Kungu, M., Deletre, E., Subramanian, S., Fiaboe, K. K., Gitonga, L., Lagat, Z. O., & Martin, T. (2019). A new mite IPM strategy: Predator avoidance behaviour resulting from the synergetic effects of predator release and acaricide-treated nets. Pest Management Science , 75 (4), 979–985. https://onlinelibrary.wiley.com/doi/pdf/ 10.1002/ps.5203 E. B. Radcliffe,W. D. Hutchison & R. E. Cancelado Radcliffe's IPM World Textbook, University of Minnesota, St. Paul, MN.

  25. Timing of Pesticides within the Cultivation Lifecycle • Spraying at different points in the lifecycle has different implications • Spraying during the flowering phase ends up on the finished product

  26. Setting the Research & Policy Trajectory Regulate for inclusion/expectation for the industry • Rather than exclusion style regulation • Not one molecule away from being on/off the • regulated list Regulate for environmental priorities • Air quality, zoning, water, waste disposal • Regulate for patient safety • Regulate for worker safety • Legal Pest Management Practices for Cannabis Growers in California . (2017) Lockwood AH. Human Testing of Pesticides: Ethical and Scientific Considerations. American Journal of Public Health . 2004;94(11):1908-1916. Sexton, K., & Linder, S. H. (2010). The role of cumulative risk assessment in decisions about environmental justice. International Journal of Environmental Research and Public Health , 7 (11), 4037–4049.

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