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Journal Article

Citation

Parry C, Myers B, Caulkins J. Lancet 2019; 393(10183): 1804-1805.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/S0140-6736(19)30011-X

PMID

unavailable

Abstract

A South African Constitutional Court (ConCourt) ruling in September, 2018, upheld and extended the Western Cape High Court judgment, which found the criminalisation of home use and cultivation of cannabis by adults, as specified in the Drugs Act of 1992 and the Medicines Act of 1965, unconstitutional.

Deputy Chief Justice Zondo stated that it will not be a criminal offence for an adult to use or be in possession of cannabis in a private place, although the amount a person can be in possession of will need to be decided by parliament. This is probably a sound legal decision. Furthermore, imposing criminal penalties--as opposed to just fines or other civil penalties--appears to be ineffective at reducing demand and can waste state resources.

The initial judgement and its confirmation by the ConCourt, however, does not promote the legalisation of cannabis use, and it does not affect laws governing the trading, use, or possession of cannabis in public.

Although various countries or subregions have decriminalised cannabis use with mainly positive consequences, South Africa is the first country in Africa to have done so. South Africa has high levels of unemployment, a conducive climate for growing cannabis, a problematic level of respect for the law and weaknesses in law enforcement, and a fragile health system. The main concerns with this ConCourt judgment are that, in this context, it will lead to an increase in illegal cannabis growing (beyond private use) and illegal trading of cannabis. These factors could result in more people, including adolescents, using cannabis and thus more people developing cannabis dependence syndrome and having adverse health consequences, such as impaired psychosocial and brain development, mental health and respiratory problems, and increased risk of motor vehicle crashes and cardiovascular disease.

These potential health consequences will occur at a population level and put further pressure on already overextended health and social service sectors. To mitigate negative consequences, shifting financial savings from arresting, prosecuting, and incarcerating private users of cannabis to the health and social sectors should be prioritised...


Keyword: Cannabis impaired driving


Language: en

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