The Telegram (St. John's)

Health concerns

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Dr. Thomas Piggott is the medical officer of health for Labrador-grenfell Health and is based in Happy Valley-goose Bay.

He would not jump to the conclusion that higher per capita online spending in communitie­s in the northern half of the province means people in these communitie­s are consuming more cannabis than people in other parts of Newfoundla­nd and Labrador.

He would suggest less access to retail cannabis probably factors into this increased reliance in online ordering.

From a health perspectiv­e, he says there are some benefits to purchasing cannabis from a legal source, particular­ly when it comes to assuring the product is safer.

There are extra health risks when using illegal cannabis.

“Those include potential cross-contaminat­ion of cannabis with other drugs, as well as chemicals or biological contaminat­ion,” Piggott said.

That said, there are substantia­l concerns about its use within the population.

For youth, Piggott said there are potential mental-health implicatio­ns to using cannabis. Smoking it can lead to serious health problems, and its ability to impair judgment can result in accidents and injuries.

“The recommenda­tion is still to avoid using cannabis, particular­ly for youth, pregnant women or people with other health impacts,” he said.

“But if people are choosing to use — and people are free to make these kinds of individual health choices — then there’s a number of ways the harms can be reduced.”

The Council of Chief Medical Officers of Health has produced a guide on ways to reduce health risk when using cannabis that outlines a number of specific recommenda­tions:

• Starting use later in life lowers the risk of cannabis-related health problems.

• Consider using strains with lower tetrahydro­cannabinol (THC) content (responsibl­e for the psychoacti­ve quality in cannabis).

• Avoid synthetic cannabis products, which have been linked to seizures, irregular heartbeat, hallucinat­ions and, in rare cases, death.

• Consider an alternativ­e to smoking cannabis that’s not harmful to the lungs, such as using oils or edible versions of the drug. (Piggott noted people can be at risk of overconsum­ing edibles, which can lead to a longer-lasting period of inebriatio­n.)

• When smoking it, avoid inhaling deeply or holding your breath. Doing so increases the amount of toxins absorbed.

• Limit its use (for example, once a week or only on weekends).

• Avoid cannabis use before driving or operating machinery.

• Some people should not use it at all (people with a personal or family history of psychosis or substance use problems, and pregnant women).

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