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      "body": "# Recommendations from drug policy group would put UK in line with 11 other European countries and 24 US states\n\nhttps://i.guim.co.uk/img/media/d5742c1bb41f14a4225f3095e9d5d3f53accb40e/0_98_3776_2266/master/3776.jpg?w=620&q=55&auto=format&usm=12&fit=max&s=c0b1ff5e99b6044f0e23d4b97b0f8bf8 \nA medical cannabis dispensary in the US state of Colorado. Photograph: Brennan Linsley/AP\n\n\n## Cannabis should be made legal in Britain for medicinal uses, according to a cross-party group of MPs and peers who led an inquiry into the drug’s potential to help patients.\n\nThe recommendation from the group chaired by Lady Meacher would put the UK in line with at least 11 other European countries and 24 US states where laws already allow people to use the drug to alleviate chronic pain and other symptoms.\n\nIn a report published on Tuesday, the group calls on the government to introduce a system that grants people access to cannabis for medical reasons, and to decriminalise the growing of small amounts at home for the same purposes.\n\nThe group took evidence from more than 600 patients and medical professionals on the use of cannabis as a medicine and commissioned a consultant neurologist, Prof Mike Barnes, to review published research on the drug’s potential to alleviate medical problems.\n\nHis review found “good evidence” that cannabis can help with chronic pain, muscle spasms often associated with multiple sclerosis, the management of anxiety, and nausea and vomiting, particularly when caused as a side-effect of chemotherapy.\n\nThe inquiry heard that scores of patients had sought out cannabis to relieve their symptoms even though it was illegal, and that users often found it impossible to get expert medical guidance or supervision as to how they should take the drug. The report claims 30,000 people in the UK use cannabis as a medicine, but adds that the figure could be as high as 1 million, according to the campaign group End Our Pain.\n\n“In Professor Barnes’s report we now have irrefutable evidence that cannabis is an effective medicine for very large numbers of people,” Meacher told the Guardian. “These are people who are suffering the most appalling chronic illness involving severe neuropathic pain, interminable nausea, and anxiety, and all these conditions can be helped, not in every case, but in many cases where prescribed medicines do not work or because there are such appalling side-effects that the person is worse off with prescribed medicine than without.\n\n“About 30,000 patients in the UK currently risk arrest and in some cases are being arrested for buying their medicine from illegal drug dealers, and that is an appalling state of affairs,” Meacher added. “This money goes to drug dealers and terrorists, and we could avoid putting this money into the hands of these people by legalising cannabis for medicinal uses.”\n\nThe report, Access to Medicinal Cannabis: Meeting Patient Needs, from the all-party parliamentary group for drug policy reform, challenges the government’s classification of cannabis under schedule 1, which is reserved for drugs that have no recognised medicinal uses. Under the scheme, the production, possession and supply of cannabis, along with LSD and mescaline, is allowed only for research and other special purposes.\n\nCaroline Lucas, the co-leader of the Green party and an author of the report, said: “The case for legalising the production and use of medicinal cannabis is overwhelming. Doing so would give immediate relief to people in pain, and the evidence from around the world shows that it can be done without increasing drug-related harms.”\n\nDavid Nutt, formerly the government’s chief drugs adviser and now a professor of neuropsychopharmacology at Imperial College London, said it was “outrageous” that the government had “dragged its heels” over legalising cannabis for medicinal uses. The pursuit of patients who used the drug to alleviate pain and other symptoms caused harm and wasted vast amounts of taxpayers’ money in police and court time, he added.\n\n“Cannabis has been a medicine for more than 4,000 years, and in the UK was in the pharmacopoeia until 1971 when the USA forced us to remove it as part of the war on drugs. Now, over 200 million Americans have access to medicinal cannabis whereas we do not,” Nutt said.\n\nMark Ware, a medical cannabis researcher at McGill University in Montreal, said that if the UK was serious about legalising medicinal cannabis, it would do well to learn from the Canadian legal framework.\n\n“We have encountered many of the issues that the UK will inevitably face,” he said, citing the supply of quality-controlled cannabis with a choice of varieties and routes of administration, education on using the drug, and health risks. “Medical cannabis access is an issue that should be faced head-on, openly and collaboratively,” he said. “It is not an issue that patients or health professionals can afford to ignore.”\n\nSource\nhttps://www.theguardian.com/science/2016/sep/13/all-party-group-legalisation-cannabis-medicinal-uses?CMP=share_btn_tw",
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      "body": "With consciousness comes mental ringing\nA dial up modem of whirring cogs, live wires\nRendering the recurring image of bald-worn routes\nScrambled pathways- inner trudge of daily burdens\nIntimidating slopes of grinding gradient\nCoiling upwards around themselves clutching\nAt diseased skies which quiver at their weight.\nHere, the rocky stitch rubbles among nettles, thistles, skin snatchers.\nSnagged already, I have little energy to breathe.\nLeeched of life force- how should I begin?\nHappy bottle, my solitary companion\nRemove the glare from dagger thoughts\nDull their blades.\n\n.\nThese are my days.\nLocked inside a brain cell.\n\n.\nThis voice I hear is not my own\nSynapses whisper against me\nConspire against me, plotting in my skull.\nThey dictate notes in my tone,\nWhich they disguise as invitations\nSealed with my forged stamp\nI recognise my voice,\nFamiliar but full of foreign phrase.\nAfter little deliberation\nMy action against the coup:\nDrown the deserters\nKill\nthem all.\n\n.\nThese are my days.\nLocked inside a brain cell.\n\n.\nFamily and friends: blinding lights\nTo a thing which can’t help but take up too much space.\nI’m sorry for it all, sorry for it all\nI should have been a counterfeit bill\nWorth nothing before or after inking\nI wish I could dissolve from memory\nSo I could happily disappear.\nA briefcase full of false notes, I sink.\n\n,\nThese are my days.\nLocked inside a brain cell.\n\n.\nI listen to the circling of my thinking,\nBuzzards watching a fallen fawn,\nI hide in my skull cave\nBecause no one else can see it.\nNo one else can feel.\nSelf medication\nDrinking, drinking, drinking.\nI am my only company.\nA grounded child watching the summer pass the windows.\nUntouched by sunlight.\nLaughter distant as rain.\nFun and happiness are identical twins, poles apart\nA brain can be a universe or a black hole.\nMine is a galaxy of exercises, pills, therapists\nSpirals in an endless swirl.\n\n.\nThese are my days.\nWhy… I don’t know.\n\n.\nII\n.\nIt doesn’t start how you might think\nIt’s minute and you watch your thoughts wander down\nNever ventured alley ways.\nYou find yourself saying “Sure\nThat’s a perfectly reasonable thought…\nBut I wouldn’t usually think it”\nAnd so it begins\n\n.\nAnd is the light today particularly dazzling?\nSuch is the almost imperceptible sparkle of the fruit bowl\nThe table top, the cushions\nYou explore a thought for a long time\nAnd realise how fickle your attention span is\nThen you follow your mind up into the clouds\nAnd out and out and out\nAnd so it begins\nTwin planets, shy to the resting place of stars,\nWhose brightness, obstructed, reveals dim jewels which dutifully adorn in orbit, in joyful dance, in\ndelicate and dervish formations.\nElement rich Petri dishes, carefree of the future,\nSimply because they exist.\nWe look and they tell us little.\nWhat can they answer for?\nAs much in wonder of themselves as we of them, as we of ourselves, as we of all.\n\n,\nThis is how the dead dream: in patterns old as fossilised light\nIn the shapes light saw as it split from matter\nEverything equal, except the weight of significance.\nEverything\nThe soil in which lime trees grow\nThe molecules which make the scent\nOf straw, lichen, musk and mango\nThe stone of buildings and the fabric\nOf a tube seat.\nAtoms and planets equal\nKnowing only their equal worth\nEqual to, exactly and exactly the opposite of nothing, which is what we know till we know\neverything\nOne lab slide home to millions\nOne giant home to gas particles\nTwo and one the same\n\n,\nAnd then I’m full of unlearned laughter- it is all so simple.\nWith no more images of myself it is impossible to stifle\nThe laughter at the back of a classroom.\nThe laughter of a caveman.\nThe laughter of a spring emerging into sun rays, playfully basking, pirouetting over riverbed,\nleaping towards what it is eternally part ofTowards\nits life in the death of the seas.\nAnd it trickles and I’m an ocean of laughter\nThe waves ripple into the universe, ripple past Pluto, gracing and penetrating Kepler’s surface,\nwarming all space\nAnd I have every mothers love, those living or dead or to be\nI am loved by everything\nThe birds call my name\nThe planets turn towards me in affection\nAnd then all is silent in order to communicate\nFor the truth of the world is love\nAnd it does not have a name.\nWords refract its meaning.\nIt cannot be uttered without distortion.\nThere are only two ways to live your life:\nOne is as though nothing is a miracle.\nThe other is as though everything is a miracle.\nEverything one.\n\n,\nIII\n.\nHow is any of this possible?\nWhy is it necessary?\nWe’ve come too far…\nA billion lights at night when we should be sleeping\nAdvertisement fantasies when we should be dreaming\nMedicines prolonging lives when we should be dying\nIntoxicants available on every corner when we should be breathing\nPsychological disease because we never feel good enough\nBuilding, building, building\nSo much light we forget we have shadows.\nPropulsion\nProgress\nFaster.\n\n.\nFollow me through these unfathomable doors\nNimble between the pendulum\nWe both know parts of the path\nOur lights effective on different shadows\nYour spotlight accustomed to terrain\nWhich is foreign and impenetrable to mine\nPlease illuminate the hills of thesis\nSo I might guide you down the snags of antithesis\nTogether we shall reach the rich lands of synthesis\nIllusive as Atlantis, a lost city we once knew.\nPut the scientists and philosophers into government\nVoid all currencies\nGrade newspapers as class A, B or C relative to harmfulness\nEnforce conscription for aid in other countries\nErase memories of religionIf\nfaith is found independently, it’s yours to keep\nEncourage mobile and free thinking communities\nSupport the sensitive- they’re susceptible to addiction\nListen to what is true and act upon it\nHelp us help one another\nLet us help one another\n5000 years and we don’t know how.\n\n,\nOne exists for other people.\nImagine\nImagine the possibilities.\n\n \n\nSeki Lynch\nIllustration Nick Victor",
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      "body": "### Seven years ago, fatalities from opiates overtook fatalities due to road accidents in the US. Sadly, the same phenomenon is now playing out in England. The latest figures from the Office for National Statistics (ONS), show that last year, 1,732 people died in traffic accidents in the UK compared with 1,989 who died due to opiates in England alone.\n\nNew psychoactive substances, referred to as “legal highs”, have received significant media attention, and deaths due to these drugs have risen by 40%, but opiate deaths now outnumber legal-high deaths by 19 to 1, despite a steady decline in opiate use in England and Wales over the last decade.\n\nOf course, opiates are not the only problem – deaths due to cocaine have reached the highest on record at 320, increasing by nearly 30% since last year – but opiates are what we should really be focusing on.\n\n# Premature and preventable\n\nDrug-related deaths of males outnumber those of females by three to one and 60% of deaths occur in 30- to 49-year-olds – compared with an average life expectancy for the rest of the population of 80.\n\nHealth complications resulting from drug use do not entirely explain this inequality in life span. A range of factors are likely to be involved. Purity and quality of heroin are not as critical, borne out by decades of research. Rather it is the risk of accidental overdose by more experienced and tolerant heroin users. Equally, combining heroin with alcohol and or a benzodiazapine such as diazepam increases the risk of death. In 1993, one in four deaths were attributed to combining alcohol with opiates; this has now reached one in two.\n\nIn 2010, the newly elected Conservative government introduced a new treatment strategy. The policy emphasised the importance of achieving abstinence from drugs rather than merely reducing the harm they can cause. This recovery agenda may have inadvertently contributed to the rise in drug deaths. Unfortunately, even if abstinence is achieved, the odds of relapsing are high. Abstinence reduces the ability to tolerate previously manageable doses of heroin, resulting in an overdose for some.\n\n# Treatment risk\n\nTreatment does reduce mortality. A recent report showed that most opiate deaths were of people not in treatment. Treatment usually involves providing a substitute drug with the aim of weaning the individual off heroin. Methadone and buprenorphine are commonly used to do this. But there are two critical factors, retaining people in treatment and what happens when treatment finishes. The month following treatment is particularly important as a person’s tolerance to opiates will have reduced, increasing the risk of overdose if the person relapses. Following up people at this critical stage could help reduce the risk of fatality.\n\nBut the challenge is how to engage those who are not in treatment. Attracting this group requires a more radical approach. Drug consumption rooms provide a safe place for people to use their drugs, providing clean syringes for those who inject heroin. These facilities have an impressive record of reducing fatalities due to drug use. And, just as important, they are the first step towards engaging a marginalised group into health and social care. We don’t need any more evidence as to their value – we need what politicians crave: public support.\n\nNaloxone can also temporarily reverse the effects of an opiate overdose. Making this drug available to opiate users and their families offers the potential to reduce fatalities. Scotland has pioneered this by implementing a national naloxone policy and new regulations in England have allowed this approach to be mirrored. This development gives workers and heroin users access and permission to administer naloxone when an overdose occurs.\n\n# A glimpse into the future?\n\nThe US has witnessed a 200% rise in prescription-opiate deaths since the millennium, driven by increasing availability and lower costs. The regulatory and marketing environments differ in the US and the UK. In the UK, open marketing of opiates is prohibited and there are stricter controls and monitoring of prescribing. But current drug control measures are outdated and easily circumvented by the internet.\n\nSo we need to carefully monitor the use and misuse of a range of prescription drugs such as tramadol. Tramadol is an analgesic used for moderate to severe pain. Prescriptions for tramadol rose dramatically over the last decade, as did deaths thought to be the result of misusing the drug. This prompted new regulations which came into force last year with the aim of curbing tramadol-related deaths. This year’s ONS data shows that one year after the introduction of these regulations deaths have reduced, but we will need to see if this trend continues.\n\nA clear measure of the UK government’s ambition to reduce inequality is halting the rise in drug overdoses. Avoidable fatalities due to drugs serve as a barometer of how equal our society is and how we respond to individual vulnerability. We all lose out when an individual dies this way.\n\nPublic Health England has responded to the trend in drug fatalities, publishing several recommendations. There are some welcome aims but they could be bolder. The time has come to introduce drug consumption rooms – it’s a life or death decision.",
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