45
1 October 23, 2017
1
October23,2017
2
Kristen GiombiRTI International
Mary SegawaWashington State
Liquor & Cannabis Board
Jay ButlerAlaska Department of
Health & Social Services
3www.rti.orgRTI International is a registered trademark and a trade name of Research Triangle Institute.Donotdistributewithoutpermission
Consumer Research to Inform Marijuana Policy
Presented by: Kristen GiombiRTI International
4
Reasons Focus Group Participants Like Edibles
NO SMELL
NO SECOND HAND SMOKE
MORE CONVENIENT
MOREDISCREET
LESS INTENSE HIGH
REDUCE ANXIETY
LONGERHIGH
TASTE
AID RELAXATION
5
Reasons Focus Group Participants Dislike Edibles
6
• Include universal symbol to prevent unintentional ingestion• Provide consumption advice and highlight on label
“Until you know the effects of this product eat only half of a segment, and wait a minimum of 75 minutes before consuming another portion.”
• Simplify labels: use large font and limit amount of information • Provide web site address consumers can access for more information• Provide information/education in variety of formats to inform consumers
about possible risks and how to safely consume edibles
Recommendations to Improve Labels for Edibles
Colorado Oregon
7
Poll Question #1
8
Mary Segawa
Public Health Education Liaison,
Washington State Liquor and Cannabis Board
9
Mary Segawa, M.S.Public Health Education LiaisonWA State Liquor and Cannabis Board
Legal Cannabis in Washington State
10
Background – Washington StateMedicaluseofmarijuanaapprovedforqualifyingconditions(I-692)*
1998 2012 20142011 2016
SB5073- Regulatedmedical,partiallyvetoed
Initiative502– Retailsalesandpossession,limitedquantities,ages21andover
Retailstoresopened– July2014
SB5052– Integratedmedicalmarijuanamarket;effectiveJuly1
*Didnot“legalize”medicaluse;providedaffirmativedefenseforqualifyingpatientswithvalidrecommendationandtheirdesignatedproviders.
11
• Legalized system of producing, processing, and retailing marijuana
• Possession limits – 21 and over• 1 ounce useable• 16 ounces solid form• 72 ounces liquid form• 7 grams concentrates
• Taxation • Excise tax of 37 percent on retail
• Public safety and education
Key Elements of Regulatory System
12
• Shelf stable – no refrigeration or heat required
• Cannot be especiallyappealing to children
• Cannot require cooking or baking
• No high risk products (e.g. fruit or vegetable butters, pies that contain egg, etc.)
WAC 314-55-077
Product Limitations
13
• Limited servings and concentration per package
• Maximum 10 mg per serving, 10 servings per package
• Each serving individually wrapped
• Child resistant packaging• Liquids with more than 1
serving must have measuring device
Current WA Packaging Requirements
14
• Number of servings in the package and amount of product per serving
• “Not for Kids” symbol• “This product contains
marijuana.”
• All products:• This product has intoxicating effects
and may be habit forming.• This product may be unlawful
outside Washington state.
• Edibles:• Caution: When eaten or swallowed,
the intoxicating effects of this drug may be delayed by two or more hours.
Current WA Labeling Requirements
15
• Must be included when sold at retail.• Must include the following statements:
• There may be health risks associated with consumption of this product.
• Should not be used by women that are pregnant or breast feeding.• For use only by adults twenty-one and older. Keep out of reach of
children.• Marijuana can impair concentration, coordination, and judgment.
Do not operate a vehicle or machinery under the influence of this drug.
Accompanying Materials
16
• Solid edibles must be homogenized
• All cannabis-infused products to be approved in advance by a staff panel
• All lots tested by independent, accredited labs
• Recipes are approved by the Dept. of Agriculture
• Processing facility must pass an inspection by the Dept. of Agriculture
• All items are tracked through the LCB’s traceability system
Additional Requirements
17
• Wide range of products• Defining “especially appealing”
to children• Age variation• Product and label
• Defining language that is “curative” or “therapeutic”
• “Candy,” “Natural,” “Additive-free”• Alcohol-related terms
Challenges / Gaps
18
• Cost and effectiveness of child-resistant packaging
Where to place health-related information?
• Label• Accompanying material• In-store signage• QR code• Education campaign
Challenges / Gaps (continued)
• Limited label “real estate”• Warnings• Symbols• Ingredients
Packaging considerations:• Inner package or outer?• Thickness of plastic• Resealable• Consumer response• Environmental considerations
19
• Learn from other states• Understand the market
and the process• Involve variety of
stakeholders (industry, public health, prevention, poison center, consumers, etc.)
• Err on the side of tight regulations
• Keep first-time user in mind
• Field test warning statements
• Consider capacity for approval and monitoring
• Consider limiting types of products
• Expect creativity• Expect pushback
Tips for Regulating
21
Poll Question #2
22
Jay Butler
Chief Medical Officer and Director
Division of Public Health,Alaska Department of
Health and Social Services
23
Cannabis in The Great Land
JayC.Butler,MDChiefMedicalOfficer,DeptofHealthandSocialServices,andDirector,DivisionofPublicHealth
24
Unique Policy Elements in Alaska: History• Ravin Doctrine (Ravin v Alaska, 1975) made marijuana
quasi-legal >40 years ago• Alaska Supreme Court: right to privacy protected by the Alaska
Constitution includes an adult’s right to possess and use small amounts of marijuana in the home
• Decriminalization flip-flop• Decriminalized by Legislature in 1982, up to 4 ounces• Recriminalized by ballot measure in 1990• Medical marijuana approved by ballot measure in 1998• Court of Appeals overturned ballot measure in 2000s
25
• Ballot Measure 2, November 2014: "An Act to Tax and Regulate The Production, Sale, and Use of Marijuana” passed by 53%
• Alaskans age 21 and older may possess up to an ounce and six plants
• Established Marijuana Control Board in Dept of Commerce• Defined tax at cultivation facility: $50/once; lower tax allowed for
certain parts of plant• Public consumption banned; fine up to $100
Unique Policy Elements in Alaska: History
26
Unique Policy Elements in Alaska: Medical Marijuana• Ballot Measure 8, Nov. 1998,
legalized medical marijuana in Alaska for a number of specific “debilitating conditions”
• Restrictions: Public use prohibited; possession limits
• Statute does not address source of marijuana
27
Unique Policy Elements in Alaska:Local Governance
28
What Has Gone Well• Intradepartmental coordination (for the most part)• Interdepartmental coordination (for the most part)• DHSS coordination with some representatives of industry
and some community partners• Regulations:
• Defining serving size and packaging• Timeline from Ballot Measure 2 (Nov 2014):
• 90 days to legalization• 18 months to develop regulations and issue licenses
29
Herbal Outfitters Opens, Oct. 29, 2016Valdez, Alaska
30
What Has Gone Well
• No more than 10 servings per package
• No cartoon characters• No packaging attractive
to children
31
What We Might Do Differently• Timeline from Ballot Measure 2• Readiness and clear policy• Coordination with all stakeholders• Regulations:
• Attempts to limit concentration ultimately resulted in no limits• Representative input
• Board make-up and support• Tax revenue for public health response
• 50% currently committed to prison recidivism prevention
32
Ongoing Discussions• Labeling requirement
• Currently:• Marijuana has intoxicating effects and may be habit
forming.• Marijuana can impair concentration, coordination, and
judgment. Do not operate a vehicle or machinery under its influence.
• There may be health risks associated with consumption of marijuana.
• For use only by adults twenty-one and older. Keep out of the reach of children.
• Marijuana should not be used by women who are pregnant or breast feeding.
33
Ongoing Discussions
34
Ongoing Discussions
35
Public Messaging: Goals • Share health and legal information
with Alaskans. • Start conversations. • Stay balanced in tone, factual in
content.• Share new information regularly.• Employ humor when appropriate.• Make DHSS a trusted place to go
for reliable information in Alaska.• Use social medial and website as a
source of reliable information, marijuana.dhss.alaska.gov.
• Supplement with traditional PSAs and printed materials.
36
https://www.youtube.com/watch?v=D7yRlxxlLnk
2015 Core Messages• Cannot yet be bought or sold• Legal age is 21 and older• Not legal in public places• Keep away from children• “Driving high is a DUI”• “What’s grown in Alaska,
stays in Alaska”
37
https://www.youtube.com/watch?v=Ie-DZ81W8Hk
2016 Core Messages• Affects people differently• Delayed effects of edibles• Increasing THC content• Advise against use during
pregnancy and breastfeeding• Keep out of reach of children
38
39
40
41
Poll Question #3
42
Questions?
44
Tuesday, January 23, 20182:30 – 3:30 pm ET
Join us for Part 2 of the Marijuana Webinar Series:The Impact of Legalization on Youth
Julia DilleySenior Research
Scientist/EpidemiologistOregon Health Authority
Daniel VigilProgram Manager, Marijuana Health Monitoring and Research Program
Colorado Department of Public Health and Environment
45
Evaluation
