Orlando Sentinel

People are dying from fake weed

Just as the push is on in Florida to legalize recreation­al marijuana

- By Cindy Krischer Goodman Sun Sentinel health reporter Cindy Goodman can be reached at cgoodman@ sunsentine­l.com

Outside the grocery store, farmer’s market and outdoor festivals, solicitors carry clipboards and urge Floridians to sign their petitions.

The multimilli­on movement pushes forward in Florida to allow voters to decide whether to make recreation­al use of marijuana legal in 2024. Behind the push are big players in the cannabis industry who already cater to the 788,297 people in Florida with medical marijuana cards. The multistate cannabis operator Trulieve has been a major contributo­r, giving $5.5 million to the “Smart & Safe Florida” political committee spearheadi­ng the petition drive.

Legalizing recreation­al marijuana is a high-stakes initiative that comes as Florida is poised to award cannabis-growing licenses to another 22 companies in April, adding to the 22 currently licensed operators.

“Florida is the largest medical marijuana market in the country,” said Cris Rivera, Florida Regional President, Cresco Labs, a cannabis company that operates 23 Sunnyside stores in Florida. “It’s a really, really great market. We have fantastic quality products and every assortment mix you can imagine.”

With marijuana production in the state poised to ramp up further, researcher­s are studying the risks. So far, research shows fake weed has made its way into the state, sickening or killing Floridians. The real stuff, which has medicinal benefits for some people, has health risks, too.

Will recreation­al marijuana soon be legal?

When Floridians vote for their next president in 2024, they also may have the chance to vote whether to legalize marijuana for recreation­al use. As of 2022, 21 states already have legalized the adult use of marijuana for recreation­al purposes.

The Smart & Safe Florida initiative to get legalized recreation­al marijuana on the November 2024 ballot already passed its first hurdle, collecting enough signatures to get the Florida Supreme Court to review the proposed constituti­onal amendment. If given the green light by the Supreme Count, the measure would still need hundreds of thousands more signatures to get onto the ballot.

Proponents believe they will clear all hurdles.

A survey released in February 2022 by the University of North Florida’s Public Opinion Research Lab revealed three in four Floridians are ready to legalize pot. The survey shows majority support for legalizing cannabis possession across every demographi­c, including party, age, sex, race and education.

“There’s a lot of enthusiasm around it,” said John Sullivan, executive vice president of government affairs for Cresco Labs. “Sixty percent of the voters have to approve it so it’s going to be about getting the word out.”

In 2014, Florida voters approved making medical marijuana legal. The last few years have seen particular­ly big increases in demand — the number of people with medical cannabis cards jumped from about 65,310 cardholder­s in 2018 to nearly 789,000 in 2023.

“If it gets approved for recreation­al use, we are going to see a massive change from today’s numbers,” said Cresco Labs’ Rivera. “We are going from less than a million people that we are servicing to a population of 22 million people [in Florida],

plus visitors to the state — estimates suggest 70 to 80 million people in addition to the people who live here are going to now have access to cannabis.”

That potential, Rivera said, already has existing license holders looking to invest in expanding their groves and adding more dispensari­es.

As demand rises, so, too, does opportunit­y.

For the first time in five years, Florida state regulators said they will accept applicatio­ns for up to 22 new medical marijuana licenses, doubling the size of the state’s industry. The state has allocated more funds for staffing for its Office of Medical Marijuana Use to keep up with a growing demand for medical marijuana.

In Florida, anyone who holds a license must control the product from creation to distributi­on to retail where someone with a medical marijuana card can buy it. Unlike other states, there is no limit on how many retail locations one license holder can open.

Companies now see opportunit­y to get a license and bet on the explosive growth and profits that legalized recreation­al use of cannabis could bring. The state will accept applicatio­ns between April 24 and 28.

“People see an opportunit­y to build an infrastruc­ture with a license for medical marijuana and then capitalize on it when recreation­al market opens,” said Dustin Robinson, founding partner of Mr. Cannabis Law in Fort Lauderdale. “When that happens, Florida could be the largest market in the world.”

Robinson said the applicatio­n pool for the 22 licenses already appears competitiv­e. He expects at least 50 applicants, possibly

even 100. “There are a lot of people who want to get into the Florida markets but it is expensive to get in.”

Fake weed is everywhere

Floridians are getting sick and even dying from synthetic cannabis, fake weed that has made its way into the state. It can come in the form of solids or oils and contain unpredicta­ble contaminan­ts.

In December 2021, more than 50 people in the Tampa Bay area were hospitaliz­ed with severe bleeding after smoking synthetic cannabis products that may have been laced with rat poison.

Synthetic weed is illegal in Florida, and Christophe­r Kimball, Florida’s Director of the Office of Medical Marijuana Use, told lawmakers last week it is not being dispensed from licensed facilities. Yet data shows synthetic cannabis increasing­ly has led to ER visits in Florida, and a new report says it was a factor in two-thirds of the deaths in the state between 2014 and 2020.

“It’s a real problem for the consumers,” said Sullivan of Cresco Labs. “What has happened because of the vagueness of the farm bill back in 2018 and interpreta­tions of that, it’s created kind of a wild, wild west of unlicensed, untested, unregulate­d products flooding into states. A lot of local gas stations and cigarette shop are now carrying products that are unlicensed, untested and have real risk to consumers.”

One researcher says legalizing marijuana for adult use could curb some of the activity.

A review of National Poison Data System data collected between 2016 and 2019 found states with legal

ized recreation­al cannabis had 37% fewer poisoning reports for synthetic cannabinoi­ds compared with states with restrictiv­e laws.

“This study shows some potential public health benefits to the legalizati­on and regulation of adult use of cannabis,” said co-author Tracy Klein of Washington State University.

Benefits vs. risk

The real thing, legally produced cannabis, has its health risks, too.

Florida Atlantic University’s Christine E. Lynn College of Nursing just released a statewide analysis that shows cannabis can be addictive and potentiall­y cause harm.

Researcher­s looked at deaths in Florida associated with cannabis. They used Florida Department of Law Enforcemen­t data from 2014 to 2020 and discovered 386 people died in Florida as a result of cannabis use, mostly as a result of car accidents.

“People need to know marijuana use is not 100 percent safe or therapeuti­c,” said Armiel Suriaga, Ph.D., senior author of the study and an assistant professor in FAU’s Christine E. Lynn College of Nursing. “It affects the brain and can impair judgment,”

Suriaga said he also found about 12.6% of deaths in Florida from cannabis involved cardiovasc­ular-related illnesses. “It can trigger a heart attack because marijuana can cause inflammati­on of the heart.”

The Florida findings mirror larger scale research completed five years ago from 21 observatio­nal studies involving 240,000 participan­ts.

William Checkley, who participat­ed in that research on the health effects of recreation­al and therapeuti­c cannabis use, says a committee of experts found marijuana can help people with chronic pain and chemothera­py-induced nausea and vomiting. But it is not without risk.

“People who use cannabis prior to driving are 22% more likely to get into an accident,” he said.

Checkley, an associate professor of medicine at Johns Hopkins University, said his research also found a correlatio­n with pot smoking and respirator­y issues, and heavy users reported increased thoughts of suicide and depression.

Still, cannabis is one of the few industries in the world that grew during the pandemic, and in Florida, people continue to turn to it for help with their medical conditions.

 ?? JOHN MCCALL/ SOUTH FLORIDA SUN SENTINEL PHOTOS ?? A worker weighs and packages marijuana at the Indiantown facility.
JOHN MCCALL/ SOUTH FLORIDA SUN SENTINEL PHOTOS A worker weighs and packages marijuana at the Indiantown facility.
 ?? ?? Marijuana plants are hung up to dry at a Cresco Labs cultivatio­n facility in Indiantown.
Marijuana plants are hung up to dry at a Cresco Labs cultivatio­n facility in Indiantown.

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