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Illicit drugs - common
Illicit drugs - rarer
Medicines - methadone
Alcohol & benzo tranquilisers
Road Victim Rights
Land Transport Act - seeking safer laws

| Break the trip, power-nap
if; |
You realise you are driving impaired as;
- tired body or mind
- making mistakes
- forgot part of trip |
SST White Rose
RAM
SADD
BADD
Akilla
Skylight
Fuelled driving
No More Lives Wasted
| DOPER Delay
- travel (3 hrs)
Open - fridge Phone - a
ride
Exercise - walk there Rest Up And
you'll live to smoke or party another day!
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Victims
Barry
Andrews killed David Culverwell 14 (in a head-on after centre-line
crossing) while DUI marijuana punishable by 5
years had he instead been drunk. He faced careless driving only and was sentenced as
a result to 2 months
imprisonment.
Phillipa Spargo - killed herself after crossing the
centre-line and causing a collision
while DUI marijuana and prescription drugs.
Graeme Bignall 16, learner driver
killed
himself + 2 friends during un-signalled U-turn into a trucks path while DUI marijuana near
Taupo.
Clive Reid
killed elderly Regina
Walker in a head-on in Northland while DUI marijuana. This self-victim died
too along with numerous other drugged drivers that kill or cripple themselves in crashes
here each year.
Med-pot
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Candor envisages no major new
issues. Controlled administration will remove peaks of
intoxication, and medpot can be formulated to remove the high
Responsible patients may be less of a
road hazard than users of alternate painkillers like methadone.
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MORE
ABOUT POT DRIVING
WEED KILLS - POLICE STUDY
STATISTICS (IN LIGHT OF INTERNATIONAL CULPABILITY STUDIES) SHOW...
THAT AFTER ALCOHOL IT IS
THE NUMBER 1 KILLER DRUG ON NZ ROADS... IT DOESN'T LAG FAR BEHIND.
POT
PLUS... POT PLENTY... POT JUST
LATELY & POT JUNIOR DRIVER ARE WHERE
THE BIG RISKS LIE.
EARLIER STUDIES FINDING
NO POT DRIVING ISSUE DUE TO "COMPENSATORY CAUTION" ARE
THOROUGHLY DEBUNKED AS THEY MISTAKENLY LOOKED AT THC-CARBOXY
- A few pot driving deaths here lately were due to unwise overtakes and
several studies are coming in co-relating pot driving to speed.
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Cannabis
impairs driving ability. Though obvious effects aren't as severe as alcohol's
they're complex and highly dangerous due to it's sedative and stimulant properties.
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Studies
consistently show much higher crash odds and culpability ratings for
cannabis users than sobre drivers, and greater danger than from driving on P
(Drummer 2004).
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Users are being targeted by Road Police everywhere today because of
increased use (UNODC) & often strength, greater traffic volumes
(personal vehicle use) with concomitant increased exposure to road risk.
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NZ
Government reports indicate Maori
economies of Northland and the East Coast are dependent upon
growing. Studies accordingly show extremely
high use in Maori communities amongst most age groups which has been a
public Health concern, along with doubled road tolls per capita of others.
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Cannabis
use at dangerous levels (over 10ng in blood) is now present in slightly more crash deaths than alcohol
over limits
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Major
household surveys indicate while most smokers are responsible about 8 000
Kiwi users regularly drive stoned. Young male smokers or those mixing use
with alcohol have the greatest crash risk per a small Waikato Hospital study
- quite consistent with overseas findings.
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The
Illicit Drug Monitoring System survey of 2005 found 15-17 year olds are more
likely to purchase marijuana from tinny houses than from known trusted
sources. This lays young users open to buying potentially laced product with
even worse than ill effects on driving than may have been anticipated.
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Considering
that near 40% of Northlands crash dead are found to have consumed cannabis
and that local roading is no life saver for local people experiencing 'a
lapse' it's no surprise Northland Cops stressed over a 2006 local
Xmas toll total of 27 - 4 more than the
2005 total. This years is another disaster.
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Cannabis
crop areas generally buck the National trend of slowly reducing road tolls.
And never more than during harvest season it would appear. Time and again
multi fatality crashes feature cannabis as a contributing factor - often
atop fatigue, a hang over or a hard long days work.
Some
tolerance could save lives
In the interests of road
safety Candor would like Cabinet to consider following Canada's example, of
reducing penalties for possession of under 15gms of dope when it's found
in the car of an unimpaired driver. To administrative fines of say $150
for adults / $100 for under 18 year olds. Better in the car than in the
driver!
The most acute impairment
related to intoxication occurs in the first 60 minutes after use. In the
next 90 minutes impairment subsides quite rapidly. The degree of
impairment during the residual phase depends on the dose of THC
consumed. After a typical dose of 20ng the residual phase should last
2-3 hours.
The 14% of Kiwi users who
prefer the stronger weed called 'skunk' (which some countries want
listed as class A) or who use hash or resin (Class B in NZ) will
naturally be impaired for longer than users of basic weed they should note.
And if users believe
that tolerance is any
protection, it is something only gained from nearly daily use, and recent studies
indicate that it does not reduce crash risk any and may even increase
it.
Blurred
vision and far sightedness occur for tokers
What are
the exact effects on driving?
- Drivers under the
influence of a reasonable amount of cannabis, or who have used even
a little of some other risk drugs eg alcohol atop a little pot have
a harder time steering straight and staying in their lane.
- The Drug Driving
Research Unit, Swinburne University (Vic) found while researching various drug effects upon 36 variables of
driving
performance that cannabis consumption significantly increases vehicle
lane weaving
- And that use slows reaction time in 'emergencies'.
Researchers concluded cannabis slows information processing so users
are slow adjusting to changing driving scenarios.
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With any alcohol crash risk is phenomenally increased (Ramaekers lately. Chesher '86,
Henderson 94). John Bailey long past identified the problem of cannabis
plus alcohol causing major trauma on NZ roads.
- 300mcg/kg of THC which
is an average joint or less of strong stuff used solely is as
impairing as being at 0.5 blood alcohol. Addition of a depressant
drug to cannabis eg a little alcohol greatly ups risk of never going
home
- A 2003 French study of
over 10 000 crash deceased by Jean Martin (Universite Claude
Bernard) found users had 16x normal crash risk, and that they were
more vulnerable to effects of the crash so more likely to die.
Perhaps because users favored motorcycles or did not buckle up or
else drowsiness prevented braking.
- Driving on sedating
cultivars or when fatigued on pot can cause more than
"weaving" - falling asleep at the wheel causes a flop
forward and a sharp tug on the steering wheel - perhaps pulling you
into oncoming lane.
- As time sense and
depth vision are affected stoned drivers have reduced ability to judge
distances and changes in the speed of other vehicles on the road.
And to make adjustments to their own speed in time.
- Because dope disturbs
concentration, attention and short term memory drivers can fail to
notice important events and situations on the road (eg car
ahead's brake lights). Slowed and non goal directed thought
processes also affect ability to respond to unexpected hazards on time and even
correctly
- Cannabis users interviewed in Canadian
focus groups noted they felt it may be just as risky to drive during
the 'burnout' phase sometimes following intoxication. It is
something like a hangover and characterised by fatigue. Fatigue is a
common cause of severe crashes as these can happen in a split second
micro-sleep.
- A few studies have now shown that 'to
the extent drivers compensate for the effects of cannabis through
extra effort into focusing, they appear to be able to manage routine
and low demand tasks. But the remaining brainpower seems
insufficient to cope with peak and unexpected demands'. (Smiley
- 1999, Marijuana)
- Cannabis lab studies showing delta 9 thc substantially
impairs attention, concentration, hand / eye co-ordination, tracking and
reaction times include Couper and Logan 2004, Gieringer 1988, Maskowitz
1985
- Some issues found by
NIDA studies were impaired retention, vigilance and divided
attention task ability. Along with poor problem solving due to
uncompleted thought processes. Subjects can pull selves together to
concentrate on simple familiar tasks but only for a few minutes.
Difficulty sustaining and shifting attention was also found during
Blows study.
Additional
more in depth information
Drummers 1995 study (and
similar of the era) that reassured about cannabis safety was wrongly
reassuring as the fact carboxy thc was measured (metabolite present
for weeks) meant the sample was biased toward unimpaired pot smokers.
Other reassuring older cannabis studies were also
flawed as they were based on urine which shows historic use. Using such
samples clearly slanted such studies
towards finding less risk - just as studying drivers who drank a few days
earlier would.
Drummer revisits the issue in 2004.
Using a better
methodology he studied 3398 deceased people. And finds an OR (crash risk) of
6.6 (approaches alcohol limit) for drivers over 5ng blood thc. A level of
5ng can't be reached without recent use within 2-3 hours. Reviews of many
studies find agreement that only high doses of active delta 9 thc (over 5-7ng) or cannabis with other drugs, including any alcohol, cause problems on
road. When use is high or other drugs are in mix culpability is 90% in
crashes.
Longo in 2000 found no heightened risk of
injury crashes with
marijuana. Like alcohol she found higher risk existed instead for more extreme ie fatal
rather than mere injury crashes. Likely due to the crash type often being drowsy related.
No brakes or late braking is associated with serious outcomes so a study
of cannabis crashes for braking is needed.
Auckland University
Study by Blows et al suggested it is habitual not casual or even recent
pot use that ups crash risk of smokers by nearly 10x in NZ. Candor
thinks its unusual finding that it is not recent use that's the issue are wishy washy. As they say any
raised risk detected after recent use was discounted by taking into
account
fatigue and non seatbelt use.
Candor note use may still
be what increased the crash
risk due to it's increasing the impact of fatigue while under the influence
(or causing fatigue in 'burn out') and by
intoxicant effects causing or contributing to carelessness.
Studies (Jesso et al) have shown drug drivers tend to worse
driving regardless due to a typically greater risk taking type personality
(quite aside from intoxicant effects compounding the problem in some
cases). This is also the case with drinkers but the fact can not undermine the
importance of drink itself increasing risk. As a dose dependency to ever heightening risk is
demonstrable.
This was also shown lately to be the case with cannabis in
several experimental studies. Which made clear impaired cognition and
psycho-motor functioning (co-ordination) are THC dose related. And that
detrimental effects are more prominent in some driving tasks than others.
Highly automated behaviours like road tracking are more affected than
complex driving tasks requiring conscious conscious
On road studies are today cementing evidence as different
variables affect risk in reality than lab studies can account for. Earlier
on road studies were difficult due to methodological issues like needing
fast blood tests.
But the fact saliva tests now co-relate very well to active blood drug cannabis
levels (only high soon after use), and are only 1% inaccurate has made
important studies lately possible.
On road studies show active cannabis is present in anything from 2% of injured drivers to 32%
(Italy) depending where you look – Kelly et al '04. NZ likely takes the cake in whole world with
ESR study results 2006 showing 47% of dead drivers used weed up from 22% a decade ago.
The sample may be a little skewed due to collection in green areas.
Impairment on driving simulators lasts up to 3 hours. Shinar et
al in 2004 found smokers had decreased driving speed (doesn't equate to
safer driving ), but also poor vehicle control and they again related this to attention problems as evidenced
by correlating variability in heart rates.
Ramaekers view is that 7-10ng is the
thresh-hold separating lower risk pot drivers from menaces. Though some US
states have set limits at 2mg. Europe has tended to go for 5ng.
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Aims of
Candor Trust |
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Inform;
drug & alcohol travel dangers
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Assist
DUI victims
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Advocacy
for 1st world 'tolls' in NZ
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Support
measures likely to reduce DUI impacts
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Memorial
Wall Project
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Who smoked cannabis in the last 3 hours,
or used hashish or other "hard" drugs
Who may have injected anything or taken
pils to get high that day
Who had more than 2 drinks the first hour
then 1 each one after
With red eyes, highly coloured eyes
(?heroin) or big pupils (? P or E)
Whose speech is slurred (booze), delayed
(benzo's) or just strange
Whose driving worries you, or it really
should (if only you were sobre). Who
is hungover from drugs or alcohol and/ or has had minimal sleep. |
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0800
787 797 for ADANZ help-line or maybe try N.A.
THC
is the main psycho-active ingredient in cannabis; it changes perception,
mood, thinking & behaviour One
in 10 cannabis users becomes addicted, which means use is too consuming
& worsens life's difficulties
The NZ Illicit Drug Monitoring
System found though cannabis was perceived as a low health risk by most
frequent users, most also reported use related psychological problems
like odd thoughts, anxiety and paranoia. Users low risk perception did
not match their self reported experience.
Ramaekers
et al
...identified
that adding alcohol has a strongly additive effect to the impairing
effects of both drugs. And a sharp increase in 'mixers' culpability
in crashes is well borne out in other experimental and epidemiological
studies.
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Latest
Research about drug driving crash risks
The most
major drug driving study ever, the Immortal Project (just to hand) found the crash risk
or OR for sole illicit drug users not alarming in the case of most risk
drugs. Sole opiate
users are the only high risk sole users at OR 32.4
Though sole drug use was no
huge concern the poly-druggers by comparison were found to have
an OR (crash risk) of 24 as against someone on the alcohol limit who sits
at an OR of 16.
People at a high blood
alcohol of 1.3 had OR 87 but a person with a blood alcohol of 0.8 or
over plus a risk drug had a shocking OR of 179.
The OR for drug takers
with a blood alcohol level below 0.8 is 8-45 dependent on combinaton and
dose.
The part of Immortal that can be
seen as having policy implications as regards dope driving is this; 87% of cannabis users were
positive for cannabis use alone with no significant risk evident for
injury - provided use was not recent.
But the other 13% which constitutes a
large driving population subset constituted a full 70% of the very highest risk
group among drug drivers ie of the poly-drug abusers.
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