Harm Intensification

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Harm Reduction: Drug-Related Deaths Rose Dramatically in Recent Years, CDC Says

In a report released Wednesday, the Centers for Disease Control (CDC) has found that drug-related deaths -- the vast majority of them overdoses -- increased dramatically between 1999 and 2006, and that drug-related deaths now outpace deaths from motor vehicle accidents in 16 states. That's up from 12 states the previous year and double the eight states in 2003.

More people died from drug-related causes than traffic accidents in the following states: Massachusetts, New Hampshire, Rhode Island, Connecticut, New York, New Jersey, Maryland, Pennsylvania, Ohio, Michigan, Illinois, Colorado, Utah, Nevada, Oregon and Washington.

The news comes even as harm reductionists and public health advocates seek to gain support on Capitol Hill for passage of H.R. 2855, the Drug Overdose Reduction Act, sponsored by Rep. Donna Edwards (D-MD). The bill would create a federal grant program to support both existing and new overdose prevention programs across the country.

"Patients and their families could receive written instructions on how to recognize and respond to an overdose. In addition, college campuses could utilize overdose prevention money to educate students on how to recognize and respond to an alcohol overdose," advocates for H.R. 2855 wrote in a letter to Reps. Henry Waxman (D-CA) and Frank Pallone (D-NJ), chairmen of the House Energy and Commerce Committee and the committee's Health subcommittee, respectively.

Something like H.R. 2855 is desperately needed. According to CDC researchers, who examined death certificate data from around the country, some 45,000 died in traffic accidents in 2006, while 39,000 people suffered drug-related deaths. About 90% of the drug deaths were classified as overdoses, but researchers also included in that figure people who died of organ damage from long-term drug use.

Researchers reported a sharp increase in deaths tied to cocaine and to the opioid analgesics, a class of powerful drugs, used medically for pain treatment (as well as for non-prescription drug-taking via the black market), that includes fentanyl, methadone, morphine, and popular pain relievers like Vicodin and Oxycontin. Cocaine-related deaths jumped from about 4,000 in 1999 to more than 7,000 in 2006, but methadone-related deaths increased seven-fold to about 5,000, and other opioid deaths more than doubled from less than 3,000 to more than 6,000. Interestingly, heroin-related deaths actually declined slightly, hovering just below 2,000 a year throughout the period in question.

And despite all the alarms about young people dying of drug overdoses, the 15-24 age group had the lowest drug-related death rate of any group except those over 65. Only about three per 100,000 young people died of drug-related causes in 2006, compared to six per 100,000 among the 25-34 age group, eight per 100,000 in the 35-44 age group, and 10 per 100,000 in the 45-54 age group.

CDC researchers did not discuss causes for the increase in overall drug-related deaths or the rate of drug-related deaths.

Public Health: Feds Finally Issue Warning on Tainted Cocaine

Three weeks ago, Drug War Chronicle reported on cocaine cut with the veterinary agent levamisole and asked what the federal government was doing about it. Ten days later, the feds responded to the situation, with the Substance Abuse and Mental Health Services Administration (SAMSHA) issuing a public health alert on September 21.

http://stopthedrugwar.org/files/taintedcocainegraph.jpg
The alert, sent out to medical professionals, substance abuse treatment centers, and other public health authorities, warned of the "life-threatening risk" that much of the US cocaine supply may be adulterated with the veterinary anti-parasitic drug. It has been linked to a serious, sometimes fatal, blood disorder called agranulocytosis, with SAMHSA saying there are at least 20 confirmed or suspected cases and two deaths in the US associated with the tainted cocaine.

Despite being first noticed by forensic scientists at least three years ago and by the DEA late last year, there has been little public awareness of the public health threat. SAMHSA expects the number of cases to rise as public and professional awareness spreads.

"SAMHSA and other public health authorities are working together to inform everyone of this serious potential public health risk and what measures are being taken to address it," said SAMHSA Acting Administrator Eric Broderick, DDS, MPH.

The addition of levamisole to cocaine is believed to be done by Colombian drug traffickers. Ingesting the tainted drug can seriously reduce a person's white blood cells, suppressing immune function and the body's ability to fight off even minor infections. People who snort, smoke, or inject crack or powder cocaine contaminated by levamisole can experience overwhelming, rapidly-developing, life threatening infections, SAMHSA warned. Other serious side effects can also occur.

The DEA is reporting that levamisole is showed up in over 70% of cocaine analyzed in July, and authorities in Seattle are reporting that 80% of persons testing positive for cocaine are also testing positive for levamisole.

In its alert, SAMHSA warned that:

THIS IS A VERY SERIOUS ILLNESS THAT NEEDS TO BE TREATED AT A HOSPITAL. If you use cocaine, watch out for:

  • high fever, chills, or weakness
  • swollen glands
  • painful sores (mouth, anal)
  • any infection that won't go away or gets worse very fast, including sore throat or mouth sores; skin infections, abscesses; thrush (white coating of the mouth, tongue, or throat); pneumonia (fever, cough, shortness of breath).

The Centers for Disease Control and Prevention (CDC) is also getting in on the act. CDC will shortly publish a case report analysis in its Morbidity and Mortality Weekly Report and will be working with state public health authorities to collect information on the phenomenon. That information will be "used to guide treatment and prevention initiatives to address this public health concern."

One thing the feds are not doing is coming up with a test kit that would allow users to detect the presence of levamisole in cocaine. That's too bad, said Dr. Michael Clark, assistant professor in the Department of Psychiatry and Behavioral Science at the University of Washington Harborview Medical Center. "I thought to myself, why isn't there a test kit? It is easy to test for," he said. "It would be like testing your hot tub for its chemistry. Take a sample, mix some chemicals together, add a reagant, and see what turns what color."

Clark is working on developing just such a test kit. "It could be used at street level, and it could be used by a lot of public health and harm reduction groups. You want to identify levasimole before people ingest, very much like the Ecstasy testing. You could do the same thing with cocaine and levasimole," he said.

MPP of Nevada to Offer $10,000 Challenge: Marijuana is Safer Than Alcohol

MEDIA ADVISORY   
SEPTEMBER 21, 2009

 

MPP of Nevada to Offer $10,000 Challenge:
Marijuana is Safer Than Alcohol -- Prove Us Wrong and We'll Pay $10,000

Press Conference Sept. 23 to Reveal Details


PHOTO-OP: Large Mock Check For $10,000


CONTACT: Dave Schwartz,  MPP-NV Manager...................................................702-727-1081


LAS VEGAS -- At a Las Vegas news conference Sept. 23, the Marijuana Policy Project of Nevada will announce details of a $10,000 challenge to the people of Nevada. MPP-NV will pay $10,000 to anyone who can disprove three statements of fact that demonstrate that marijuana is objectively and unquestionably safer than alcohol.


     MPP-NV manager Dave Schwartz will unveil a large mock check for $10,000 as he announces specifics of the challenge, which kicks off a long-term public education campaign regarding the relative harms of marijuana and alcohol, and the harm caused by marijuana prohibition.


     WHAT: News conference to announce the Marijuana Policy Project of Nevada's $10,000 challenge


     WHO: MPP-NV manager Dave Schwartz


     WHEN: Wednesday, Sept. 23, 11:00 a.m.


     WHERE:  Near the emergency room entrance of University Medical Center Hospital (behind the hospital), corner of Goldring Avenue and Rose Street, Las Vegas.

     MPP of Nevada is a nonprofit organization dedicated to educating Nevadans about the true nature of marijuana and about the harms caused by marijuana prohibition in the state. For more information about MPP of Nevada, please visit http://www.mppnv.org.

####

Location: 
NV
United States

Overdose and Other Drug-Related Deaths Now Closing In on Car Wrecks as Leading Accidental Killer in US

In a report released Wednesday, the Centers for Disease Control (CDC) has found that drug-related deaths—the vast majority of them overdoses—increased dramatically between 1999 and 2006, and that drug-related deaths now outpace deaths from motor vehicle accidents in 16 states. That's up from 12 states the previous year and double the eight states in 2003. More people died from drug-related causes than traffic accidents in the following states: Massachusetts, New Hampshire, Rhode Island, Connecticut, New York, New Jersey, Maryland, Pennsylvania, Ohio, Michigan, Illinois, Colorado, Utah, Nevada, Oregon and Washington. According to CDC researchers, who examined death certificate data from around the country, some 45,000 died in traffic accidents in 2006, while 39,000 people suffered drug-related deaths. About 90% of the drug deaths were from overdoses, but researchers also included in that figure people who died of organ damage from long-term drug use. Researchers reported a sharp increase in deaths tied to cocaine and to the opioid analgesics, a class of powerful drug that includes fentanyl, methadone, morphine, and popular pain relievers like Vicodin and Oxycontin. Cocaine-related deaths jumped from about 4,000 in 1999 to more than 7,000 in 2006, but methadone-related deaths increased seven-fold to about 5,000, and other opioid deaths more than doubled from less than 3,000 to more than 6,000. Oddly enough, heroin-related deaths actually declined slightly, hovering just below 2,000 a year throughout the period in question. And despite all the alarums about young people dying of drug overdoses, the 15-24 age group had the lowest drug-related death rate of any group except those over 65. Only about three per 100,000 young people died of drug-related causes in 2006, compared to six per 100,000 among the 25-34 age group, eight per 100,000 in the 35-44 age group, and 10 per 100,000 in the 45-54 age group. CDC researchers did not discuss causes for the increase in overall drug-related deaths or the rate of drug-related deaths, but several plausible (and complementary) explanations come to mind: the introduction and widespread use of Oxycontin, the fentanyl-tainted heroin epidemic that appeared in 2006, the increasing non-medical use of prescription pain relievers, and the increasing use of methadone as a pain reliever.
Location: 
Atlanta, GA
United States

Harm Reduction: Pennsylvania Allows Syringe Sales Without Prescription, Effective Immediately

Responding to years of agitation by harm reductionists and public health advocates, the Pennsylvania Board of Pharmacy Saturday published new regulations that will allow pharmacies to sell syringes without a prescription. The change goes into effect immediately. The move was lauded by activists as a significant public health victory in the battle against the spread of HIV/AIDS and Hepatitis C via injection drug use.

http://stopthedrugwar.org/files/nline.gif
popular syringe exchange logo
Under previous regulations, pharmacies could sell syringes only to people who obtained a doctor's prescription. The new regulations carry no limit on the number of syringes that can be purchased at a time, nor do they have age limits.

"This change is particularly important in Pennsylvania because we have only two locations -- Pittsburgh and Philadelphia -- in which legally authorized syringe exchange programs operate," said David Webber, an attorney for the AIDS Law Project of Pennsylvania. "These two programs alone are simply not adequate to address this problem across the entire state, but syringe exchange programs continue to be crucial in providing sterile syringes as well as access to drug treatment and health care for injection drug users."

"This is a chance for every pharmacy to become part of HIV prevention in Pennsylvania," said Scott Burris, professor at Temple University's School of Law and a national authority on syringe regulation and HIV prevention. "The pharmacy board has taken an important step forward for evidence-based policy."

It didn't come swiftly or easily. Activist organizations including the Pennsylvania Aids Law Project, Prevention Point Pittsburgh, Prevention Point Philadelphia, as well as legislators, HIV workers, and others had lobbied for the change for a decade. An article in the Lancaster Intelligencer Journal cited several efforts:

  • In 2002, a group called the Pennsylvania Coalition for Responsible Syringe Policy asked the Pharmacy Board to consider deregulation.
  • In 2005, another group called Pennsylvanians for the Deregulation of Syringe Sales filed a formal petition to the Board, and met with legislators and officials in the Rendell Administration.
  • In 2007, the the Pennsylvania Pharmacists Association endorsed syringe deregulation and asked the Pharmacy Board to move swiftly on it.

Robert Field, organizer of Pennsylvanians for the Deregulation of Syringe Sales and co-chair of the Lancaster-based Common Sense for Drug Policy, told the Intelligencer Journal he looked at syringe deregulation after efforts to start a syringe exchange program in Reading met with opposition. The board responded in August 2007, proposing new regulations allowing for over-the-counter syringe sales and opening them up for public comment. Thanks to concerns expressed by harm reduction and public health groups during the comment period, the board removed age and quantity restrictions.

The board heard a number of concerns from the Pennsylvania Medical Society that the rule change would increase drug use. But research won the day. "Studies indicate that making syringes available will reduce the spread of HIV and will not lead to an increase of illicit drug use," said Field.

The board also rejected record-keeping requirements requested by the House Professional Licensure Committee, saying it "does not believe that maintaining a record and requiring individuals to provide a name or other identifying information would advance the public health and safety."

Now the number of states that do not allow syringe sales without a prescription is down to two: Delaware and New Jersey.

Harm Reduction: Pennsylvania Allows Syringe Sales Without Prescription, Effective Immediately

Responding to years of agitation by harm reductionists and public health advocates, the Pennsylvania Board of Pharmacy Saturday published new regulations that will allow pharmacies to sell syringes without a prescription. The change goes into effect immediately. The move was lauded by activists as a significant public health victory in the battle against the spread of HIV/AIDS and Hepatitis C via injection drug use. Under previous regulations, pharmacies could sell syringes only to people who obtained a doctor’s prescription. The new regulations carry no limit on the number of syringes that can be purchased at a time, nor do they have age limits. “This change is particularly important in Pennsylvania because we have only two locations--Pittsburgh and Philadelphia--in which legally authorized syringe exchange programs operate,” said David Webber, an attorney for the AIDS Law Project of Pennsylvania. “These two programs alone are simply not adequate to address this problem across the entire state, but syringe exchange programs continue to be crucial in providing sterile syringes as well as access to drug treatment and health care for injection drug users.” “This is a chance for every pharmacy to become part of HIV prevention in Pennsylvania,” said Scott Burris, professor at Temple University’s School of Law and a national authority on syringe regulation and HIV prevention. “The pharmacy board has taken an important step forward for evidence-based policy.” It didn’t come swiftly or easily. Activist organizations including the Pennsylvania Aids Law Project, Prevention Point Pittsburgh, Prevention Point Philadelphia, as well as legislators, HIV workers, and others had lobbied for the change for a decade. In August 2007, the pharmacy board proposed new regulations allowing for over-the-counter syringe sales and opened them up for public comment. Thanks to concerns expressed by harm reduction and public health groups during the comment period, the board removed age and quantity restrictions. The board rejected record-keeping requirements requested by the House Professional Licensure Committee, saying it “does not believe that maintaining a record and requiring individuals to provide a name or other identifying information would advance the public health and safety.” Similarly, it rejected a number of concerns from the Pennsylvania Medical Society that the rule change would increase drug use. The board’s action reflected well-established scientific evidence that access to clean syringes is a critical component of stemming the spread of blood-borne diseases such as HIV and Hep C among injection drug users. Now the number of states that do not allow syringe sales without a prescription is down to two: Delaware and New Jersey.
Location: 
PA
United States

Feature: Tainted Cocaine Sickening, Killing People, But Feds Slow to Act

On the last day of August, media outlets around the country ran an Associated Press story reporting that nearly one-third of the cocaine in the country is tainted with a veterinary medicine, a de-worming agent called levamisole. According to the AP, the tainted cocaine is responsible for at least three deaths in the US and Canada, as well as sickening more than a hundred other people.

According to health authorities, the cocaine tainted with levamisole is linked to an unusual incidence of agranulocytosis, a condition of a suppressed immune system, whose symptoms include persistent sore throat, persistent or recurrent fever, swollen glands, painful sores, skin infections with painful swelling, thrush, and other unusual infections.

The DEA suspects that levamisole is being added as a cutting agent by Colombian drug traffickers. Researchers speculate that it may boost the cocaine high by acting as a dopamine reuptake inhibitor, but there is of yet little research to support that.

While the cumulative death toll and illness count was news, the fact that cocaine is being laced with levamisole shouldn't have been. Delaware public health officials issued a health advisory on levamisole-tainted cocaine in 2005, and British researchers reported in 2006 on 14 deaths in a one-year period from the tainted cocaine.

http://stopthedrugwar.org/files/taintedcocainegraph.jpg
Last fall, the DEA quietly reported in its obscure Microgram Journal that levamisole-contaminated cocaine had been encountered beginning in April 2005 and that the percentage of contaminated cocaine had generally increased since then to reach 30% of all samples by October 2008 (page 83). But it didn't publicize those findings.

Soon after, local public health alerts about levasimole-tainted cocaine deaths or illnesses began trickling in, including Alberta, Canada, in November 2008, Los Angeles County in December 2008, New Mexico in January, Erie County, Pennsylvania, in March, and King County, Washington, in June.

Also early this year, researchers reported on cases of agranulocytosis after consumption of levamisole-laced cocaine in January in the Annals of Internal Medicine, and Criminal Justice Policy Foundation head Eric Sterling blogged about it in March.

Given the large number of cocaine users in the US, tainted product poses a significant public health risk. According to the most recent National Survey on Drug Use and Health released yesterday, there are 1.9 million "current cocaine users."

"If it really 30% of the cocaine, that would be a huge public health problem," said Dr. Sharon Stancliff, medical director for the Harm Reduction Network. "Medical people need to be aware of this."

They aren't, said Dr. Eric Lavonas, assistant director of the Rocky Mountain Poison and Drug Center in Denver, where nearly half of the cocaine is thought to be cut with levasimole. "I would think it would be fair to say the vast majority of doctors in the United States have no idea this is going on," he said. "You can't diagnose a disease you've never heard of."

But despite the mounting pile of reports and alerts and the potential public health risks, federal officials have remained silent. That may be about to change.

"The Center for Substance Abuse Treatment (CSAT) is going to put out a 'dear colleague' alert," said Stancliff. "It should happen relatively soon."

The Centers for Disease Control is also expected to issue an alert, sources told the Chronicle, though a media specialist at CDC denied that. "We don't do drugs," she said -- unaware of the CDC's involvement in a national alert about fentanyl-tainted heroin in 2006 and 2007 and pointing the Chronicle toward CSAT. CSAT had not responded to Chronicle inquiries by press time.

The 2006-2007 wave of fentanyl-tainted heroin overdoses -- hundreds of people died from them -- provides a model for how CSAT and the CDC might respond to the ongoing levasimole-tainted cocaine problem. As the Chronicle reported at the time, people began overdosing on the tainted heroin in the fall of 2006.

While the initial response by federal agencies was slow, by the summer of 2007, CSAT had issued a nationwide alert to outreach workers, treatment providers, and hospitals warning of the deadly problem. The CDC also got involved, although to a lesser degree. That summer, a team of CDC epidemiologists went to Detroit in response to a request from the Michigan Department of Community Health. The team assisted state and local officials with autopsy reports and analysis to help understand the overdose wave and formulate prevention guidelines for clinicians and educators.

The current wave of deaths and illnesses related to levasimole-tainted cocaine is not as severe as the fentanyl overdoses -- so far at least -- but as indicated above CSAT is set to act soon. Whether the CDC will actually get involved this time around remains to be seen.

While waiting for the feds to act, harm reductionists and public health workers are struggling with how to best act on the tainted cocaine. "Medical people need to be aware of this," said Stancliff, "but can we make warnings about smoking versus shooting versus snorting? I have no idea. There may be differences in terms of biomedical availability, but we don't know that yet," she said.

Nor was Stancliff certain about whether it was time to alert needle exchange clients about the problem. "When New York state sent out an advisory, we made sure the Injection Drug Users Health Alliance was aware of it, but I'm never sure when we should be alerting the people going to the needle exchanges. We want to save our alerts for times when people are thinking about changing their behavior."

For Doctor of Public Health David Duncan, a Kentucky-based expert on substance abuse and epidemiology, contaminated drugs are an expected consequence of prohibitionist regimes. "This is one of the things you inevitably have with black market drugs," he said. "You don’t know what you’re dealing with and the makers don’t necessarily know what they’re making. It seems to be an iron law of prohibition--outlaw something and whatever it is, it gets stronger and more dangerous."

"The appropriate public health response is to tell people there is a contaminant, and we’re not sure how dangerous it is," said Duncan. "But all black market cocaine contains contaminants. As long as it is illegal, there is risk of contamination. The only way to make it safe is to make it legal."

Stancliff added that testing for levasimole in cocaine is relatively simple. That leads to the obvious question of whether a drug testing program like those that evolved around Ecstasy and the rave scene may be appropriate. At least one specialist thinks so.

"I thought to myself, why isn't there a test kit? It is easy to test for," said Dr. Michael Clark, assistant professor in the Department of Psychiatry and Behavioral Science at the University of Washington's Harborview Medical Center. "It would be like testing your hot tub for its chemistry. Take a sample, mix some chemicals together, add a reagant, and see what turns what color."

Clark is working on developing just such a test kit. "It could be used at street level, and it could be used by a lot of public health and harm reduction groups. You want to identify levasimole before people ingest, very much like the Ecstasy testing. You could do the same thing with cocaine and levasimole," he said.

But that's addressing the problem on the back end. The solution is an untainted cocaine supply. "Someone needs to talk to those folks in Colombia," Stancliff said. And, as Duncan suggested, someone needs to talk to those folks in Washington--the ones who continue to assist on a prohibitionist regime despite all its negative collateral consequences, of which a tainted drug supply is only one.

Drug War Chronicle Book Review: "Marijuana is Safer -- So Why Are Driving People to Drink?" by Paul Armentano, Steve Fox, and Mason Tvert (2009, Chelsea Green Publishers, 209 pp., $14.95 PB)

In the past few years, Colorado-based activist Mason Tvert has taken the notion of comparing marijuana to alcohol and used it to great success, first in organizing college students around equalizing campus penalties for marijuana and underage drinking infractions (marijuana offenses are typically punished more severely), then in running a successful legalization initiative in Denver in 2005. Tvert and his organization, SAFER (Safer Alternatives for Enjoyable Recreation), continue to hammer away at marijuana prohibition, and now, in collaboration with NORML analyst Paul Armentano and MPP director for state campaigns Steve Fox, he has taken his "marijuana is safer" campaign to a new level -- and, hopefully, to a new and broader audience.

http://stopthedrugwar.org/files/saferbook.jpg
Having known (and repeatedly interviewed) all three coauthors in the course of my duties for the Drug War Chronicle, I assumed "Marijuana Is Safer" would be a good book. I was mistaken. It's a great book, and an extremely useful one. "Marijuana Is Safer" starts out hitting on all eight cylinders with a foreword from former Seattle police chief Norm Stamper and never lets up. It hits its points concisely and engagingly, it is thoroughly researched, and its political arguments are carefully thought out.

Regular readers of the Chronicle may not expect to learn a lot that they didn't know already, but they will likely be surprised, especially when it comes to the deleterious effects of alcohol. Did you know about the nasty effects of acetaldehyde? I didn't. It's what you get when you metabolize ethanol (alcohol), and it's carcinogenic and damages internal organs. Because it is so damaging, the body breaks it down into acetate, but if you're drinking at the rate of more than a drink an hour, you're body starts lagging behind. Something to keep in mind the next time someone invites you to join a drinking contest.

Similarly, you may share the general conviction that alcohol use can lead to violence, disease, crime, and accidents, but "Marijuana Is Safer" offers up the hard numbers -- complete with footnotes. Here's just one hard number: 35,000. That's the number of deaths each year attributed to chronic alcohol consumption. We all know what the number of deaths attributed to chronic use of the chronic is, don't we? That's right, zero.

Armentano, Fox and Tvert offer a mix of history, science, medicine, media critique, and just plain straight talk as they survey the history of alcohol and marijuana use in America, discuss the differing attitudes toward the two drugs, explain the rise of marijuana prohibition, and, most centrally, compare and contrast the effects of the two drugs on individual consumers and society as a whole.

They also dissect the arguments that legalizers have used -- so far, unsuccessfully -- to try to end marijuana prohibition. While those arguments are perfectly valid, the coauthors argue that they cannot counter the objection of people who might otherwise be persuaded: Why should we legalize another vice?

Naturally enough, Armentano, Fox and Tvert have the answer: "We would not be adding a vice; we would be allowing adults the option to choose a less harmful alternative for relaxation and recreation," they write.

They also provide the "money quotes" for several other skeptical responses to a legalization pitch, all designed to highlight the comparison of alcohol and marijuana. And these three are extremely well-positioned to know what to say; all three have been engaging in this conversation for years.

The coauthors also make a compelling argument that the "marijuana is safer" approach is a winner precisely because it forces listeners to think about alcohol and what it does -- something that all Americans know quite a bit about even if they don't drink. The comparison of marijuana and alcohol brings the discussion down from lofty abstractions about freedom and liberty to real world experiences with America's most popular drugs.

The "marijuana is safer" approach works just fine for marijuana, but potentially subverts broader anti-prohibitionist politics. It is difficult to imagine an argument for drug legalization based on "methamphetamine is safer" or "heroin is safer." It also effectively throws up a wall between "soft" marijuana and "hard" other drugs, abandoning broader drug legalization for freeing the weed alone. But perhaps "abandoning" is the wrong word. After all, Armentano and Fox work for marijuana reform organizations -- not drug reform organizations -- and Tvert's work all along has been about marijuana.

But possible unhelpful side-effects for broader anti-prohibitionism aside, "Marijuana Is Safer" is extremely worthwhile. This is a book you can hand to your mother or your teacher or your preacher and provide him or her with a nice framework for looking at marijuana -- one that by its inexorable comparative logic leads to the inescapable conclusion that marijuana should be legalized.

And for those readers with an interest in activism, this book needs to be on your bookshelf. It's full of handy, well-documented facts, it's got the answers to the questions you're likely to hear, and it's even got a how-to activism section at the back. I guarantee that if you own this book, it's going to be very well-thumbed before very long.

SAFER Book Launch

SAFER is hosting a party to celebrate the launch of Marijuana Is Safer. The event will include appetizers and an auction, and all proceeds from book sales will benefit SAFER. Copies of the book will be available for just $20 -- or for $30, get a copy and have one sent to a Colorado legislator! -- and SAFER's Mason Tvert will be on hand to discuss the book and sign copies.
Date: 
Sun, 08/23/2009 - 2:00pm - 5:00pm
Location: 
1550 Blake Street
Denver, CO
United States

The Great Marijuana Book Bomb

The highly acclaimed book co-authored by SAFER's Mason Tvert, Marijuana Is Safer: So Why Are We Driving People to Drink?, is now available. A book about marijuana has never hit #1 on Amazon.com, but with your help that could change. Please join hundreds of other marijuana reform supporters in purchasing the book via Amazon on Thursday, August 20. Amazon re-ranks book sales on an hourly basis, so Marijuana is Safer doesn't need to be the bestselling book for the past month; it just needs to generate a lot of sales on the day of the Book Bomb. If everyone acts, it will reach the top. For more information visit http://www.MarijuanaBookBomb.com.
Date: 
Thu, 08/20/2009 - 12:01am - 11:59pm

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