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Journal Article

Citation

Wanniarachige D. CMAJ 2015; 187(5): 315.

Affiliation

CMAJ.

Comment In:

CMAJ 2015;187(9):681.

Copyright

(Copyright © 2015, Canadian Medical Association)

DOI

10.1503/cmaj.109-4993

PMID

25691782

PMCID

PMC4361101

Abstract

With the growing use of medicinal marijuana, lower penalties for possession and the movement to legalize pot, experts say Canada needs better screening procedures and smarter laws to reduce the prevalence of drug-impaired driving — and the deaths that result.

In 2008, 37% of drivers who died in vehicle crashes tested positive for one or more psychoactive substances other than alcohol. This is an increase of 7% from 2000, according to the Canadian Centre on Substance Abuse (CCSA), and nearly equal to the 41% of fatally injured drivers who tested positive for alcohol. In reality, the percentage of drivers using psychoactive substances is probably much higher, because fewer than half of the 17 237 people who died in crashes from 2000–2008 were even tested for drugs. Cannabis and depressants, such as Valium, were the most common psychoactive substances.

Despite the danger of drug-impaired driving, enforcers and scientists agree that implementing laws on marijuana use is complicated because of the variable effects of the drug and difficulties defining a legal limit. Yet, other countries and jurisdictions have seemingly solved these issues.

In this series of articles, CMAJ will look at how marijuana affects driving, difficulties with screening and the struggle to clarify laws.

The CCSA estimates that 15 million trips were made by drivers in Canada after using marijuana in 2013. This is an alarming frequency, says Robert Solomon, professor of law at Western University. He is particularly worried about young people, who are already at high risk for motor vehicle crashes. “I am concerned that we are going to see a significant increase in drug-related crashes.”

In a 2011 Canadian addiction survey, 12% of those aged 15–24 reported driving within two hours of using cannabis, compared with 10% who reported driving under the influence of alcohol.

Adults are using too. In a roadside survey of 1197 drivers in British Columbia, cannabis use was reported among all age groups 16–55 and older ...


Keywords: Cannabis impaired driving


Language: en

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