we don’t rinse cannabis - new mexico public health ... and... · • the epa defines integrated...
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We Don’t Rinse CannabisPESTICIDES&PUBLICHEALTH
Exposure & Health Effects of Pesticides Used in the Cultivation
of Cannabis
LeslieMcAhren,MPH,MFA,DrPH (expectedMay2020)
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https://youtu.be/6z2HNCIsHzg
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Outline
• ImportantTerms/Concepts• DetectionofPesticidesinCannabis• Lessons/ResearchFromTobacco&Pesticides• SettingtheResearch&PolicyTrajectoryfortheIdealCannabisPesticide
Post,2019
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TypicalPestsinCannabisCultivation
• Insects• Mites• Thrips
• Fungus• Powderymildew
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RoutesofIngestionforCannabis
Abramsetal,2007
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CannabisForms&TheExtractionProcess
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Pyrolysis
• decompositionbroughtaboutbyhightemperatures
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WhatisaPesticide?
• Apesticideisanysubstanceintendedtocontrol,destroy,repel,orattractapest• Thisincludesinsecticides,fungicides,herbicides,rodenticidesandsanitizers.
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USAPesticideRegulation
• TheFederalInsecticide,Fungicide,andRodenticideAct(FIFRA)isaUnitedStatesfederallaw• U.S.systemofpesticideregulationtoprotectapplicators,consumers,andtheenvironment
• TheEPA isresponsibleforregulatingpesticidesundertheFederalInsecticide,Fungicide,andRodenticideAct(FIFRA)andtheFoodQualityProtectionAct(FQPA)
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TimingofPesticideswithintheCultivationLifecycle
• Sprayingatdifferentpointsinthelifecyclehasdifferentimplications• Sprayingduringthefloweringphase endsuponthefinishedproduct• Howdoweknow?
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PesticidesHavebeenDetectedinCannabisSmoke
• Chemicalresiduespresentonthecannabisflowersdirectlytransferintothemainstreamsmokeandultimatelytotheenduser(1)• Pesticidesaredesignedtodegradefairlyquicklyintheenvironment(2),butmultiplestudiesnotethedistillationbehaviorofpesticidesinsmoke(1)(3)• Whencomparing“abong”toaglasspipe,thequantityofpesticiderecoverywasthehighestinhand-heldglasspipe• Routeofingestionisaconsideration
(1)NicholasSullivan,2013 (2)Purkis 2011(3)Lorenz,1987
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PercentRecoveryofPesticidesFromTheSmokeStreamofDifferentDevices
Sullivan,2013
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TobaccoisFiltered– CannabisTypicallyisNot
• Priorstudyhada7.5gcarbonfiltercartridge
• AccordingtoTitle35,Article9,C.R.S.,Coloradoisprimarilyusingpesticidesapprovedontobacco
• Falseassumptionsaboutconsumerbehaviormaymakepesticidesusedontobaccoalessviableregulatorycomparison
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• Therearenopesticidesregisteredspecificallyforuseoncannabis.• Theuseofpesticidesoncannabisplantshasnotbeenreviewedforsafetyorhumanhealtheffects.
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Massachusetts- Sept2018– CaseStudy
• CodeofMassachusettsRegulationsexplicitly statedthat“applicationofanynon-organicpesticideinthecultivationofmarijuanaisprohibited”
• MADept ofPHruledthat“animmediateorseriousthreattothepublic’shealth,safety,orwelfare”andissuedacease-and-desistandquarantine
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Massachusetts- Sept2018
• PesticideregulationsweremodifiedafterManagementandOperationsProfile(MOP)submitted• GoodChemistrygrowingfacilityinBellinghamwasusing• Sulfur,pyrethrinsandReynoutriasachalinensis (giantknotweedextract)
• AllhavebeenapprovedbytheU.S.EnvironmentalProtectionAgencyforotheragriculturalpurposes
• ThestatesofColorado,Nevada,Washington,andOregonspecificallyallowthesepesticidestobeusedoncannabiscrops.
• GoodChemistrytoldthestatewhatpesticidestheyplannedtouseintheMOP
105CMR725.105(B)(1)(d))
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NewMexico– CaseStudy
• Productlabelingshallidentify“pesticide(s)usedintheproductionofthecannabisorcannabis-derivedproducts.”• Noadditionalspecificationofbestpracticesorforbiddenchemicalcompoundshasbeenmade
• Laboratoryvalidationisexpensive• Confirmatorytestsforpesticideareexpensive- evenforNMScientificLaboratories
NMAC7.34.4.14
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TheInherentFragilityOfTheMedicalCannabisPatientPopulation
• Patientswithcompromisedimmunesystems• Atriskofbacterialandfungalinfections• StrainsofAspergillusandFusariummoldandpathogenicstrainsofEnterobacter,Streptococcus,Klebsiella andSalmonella
• Exposuretopesticidesmaycreateadditionalhealthcomplicationsandinterferewithotherhealthcareapproaches
Sullivan,2014Tashkin,2002Taylor,1982
Ungerleider,1962
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Leadership:California,Colorado,Canada
• UnderCalifornia law• theonlypesticideproductsoncannabisarethosethatcontainanactiveingredientthatisexemptfromresidue-tolerancerequirements
• UnderColorado law• useofapesticideinamannerinconsistentwiththeproductlabelingisprohibited
• Employeesworkinginanareawhereplantshavebeentreatedwithpesticidesorwhomixorapplypesticideshavetherighttoknow.
• UnderCanadian law…thereisMANDATORYPesticideTESTING
3CCRsection640035-10-117(1)(i)C.R.S
CannabisAct (S.C.2018,c.16)
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CanadaSetAcceptableLimitsonOil,Fresh,&DriedCannabisIndividually
CannabisAct (S.C.2018,c.16)
Canadawillrequireproducerstohaveanindependentlabtestallproductsfor100differentpesticidesbeforetheycanbesold.
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TheRoletheEnvironmentalProtectionAgency(EPA)inRegulatingCannabisCultivation
• USEnvironmentalProtectionAgency(USEPA)determineswhatpesticidelevelsonfoodcropsareallowed.TheFederalDepartmentofAgriculture(FDA)andtheUSDepartmentofAgriculture(USDA)takecareofthecontrolofcrops.• FederalPesticideWorkerProtectionStandard(WPS)• Pyrolysisstudies
40CFR152.25(f)
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EPAExemptStatus(25b)=ExemptedfromFIFRA
• MinimumRiskPesticides• TheEPAhasidentifiedcertain"minimumriskpesticides,"commonlyreferredtoas“25(b)pesticides,”whichposelittletonorisktohumanhealthortheenvironment.TheEPAhasexemptedthisspecificsubclassofpesticidesfromtheregistrationrequirementunderFIFRA.• “...Anexemptionfromatolerance (maxamountallowedonafoodcrop)shallbegrantedwhenitappearsthatthetotalquantityofthepesticidechemicalinoronallrawagriculturalcommoditiesforwhichitisusefulunderconditionsofusecurrentlyprevailingorproposedwillinvolvenohazardtothepublichealth.”• 6conditionsneedtobemettobeconsidered25b
40C.F.R.,Part180,SubpartD:180.900FederalFoodandDrugCosmeticAct,U.S.C.Title21,Section408.
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ConditionsforMinimumRiskPesticides
• Condition1:Theproduct'sactiveingredientsmustonlybethosethatarelistedin40CFR152.25(f)(1).
• Condition2:Theproduct'sinertingredientsmayonlybethosethathavebeenclassifiedbyEPAas:• Listedin40CFR152.25(f)(2)• commonlyconsumedfoodcommodities,animalfeeditems,andediblefatsandoilsasdescribedin40CFR
180.950(a),(b),and(c);and• certainchemicalsubstanceslistedunder40CFR180.950(e).
• Condition3:Alloftheingredients(bothactiveandinert)mustbelistedonthelabel.Theactiveingredient(s)mustbelistedbylabeldisplaynameandpercentagebyweight.Eachinertingredientmustbelistedbylabeldisplayname.
• Condition4:Theproductmustnotbearclaimseithertocontrolormitigateorganismsthatposeathreattohumanhealth,orinsectsorrodentscarryingspecificdiseases.
• Condition5:Thenameoftheproducerorthecompanyforwhomtheproductwasproducedandthecompany’scontactinformationmustbedisplayedprominentlyontheproductlabel.
• Condition6:Thelabelcannotincludeanyfalseormisleadingstatements.
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Whatistheidealpesticide?
• Aswithmedications,theidealpesticideissafeintermsofhumanandecosystemhealthandeffectiveatcontrollingthetargetspecies
• USDADefinitionofCertifiedOrganicProducts• organicoperationsmustdemonstrateprotectingnaturalresources,conservingbiodiversity,andusingonlyapprovedpesticidesubstances
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IntegratedPestManagement
• TheEPAdefinesIntegratedPestManagement(IPM)asanenvironmentallysensitiveapproachtopestmanagement• Californiaisaleaderinthis• Thelifecyclesofpestsareusedtointerruptandcontrolinfestations
• NewYorkisaleaderinIPM• CornellUniversity
• Managepestswhilesimultaneouslyintroducingtheleastpossibleriskhumanhealth,property,andtheenvironment
Radcliffe,2019
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OccupationalHealth&WPS• FederalWorkerProtectionStandards(WPS)offerguidelinestoreduceriskinoccupationalsettings• WPSmeasuresincluderestricted-entryintervals,useofpersonalprotectiveequipment,andpostingsthatnotifyworkersofpesticideapplicationsandre-entrytimes• Employersshouldprovideasafeworkplaceandtrainingtoworkersinalanguagetheycanunderstand.Thisincludesfilingapesticide-relatedworkplacecomplaintorcontactingalocalcountyagriculturalcommissioner
Stone,2014
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FarmBill2018
• Allowsindustrialhempcultivation• Thiscouldproducefederal-levelcannabispesticideregulations• OnAugust12,2016,TheUnitedStatesDepartmentofAgriculture(USDA)inconsultationwiththeU.S.DrugEnforcementAdministration(DEA)andtheU.S.FoodandDrugAdministration(FDA),publishedaguidancedocumentontheorganicproductionofUSDAcertifiedindustrialhemp.
• Insteadofaddressingproductionstandardsfortheconsumableproduct,theUSDAhasaddressedtheindustrialproduct
Section7606oftheAgriculturalActof2014/HempFarmingActof20187C.F.R.§ 205.501GeneralRequirementsforAccreditation
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TakeHomeMessgaes• Regulatingpesticideswillbedifficultbutwehaveaplaybook(USDAorganicandUSP)andexperienceregulatingpesticidesalready!
• Routeofingestion- matters• Temperature- matters(burningmaybebetterthanvaporization…)• Concentration– matters(concentratesmaybeworsethanflower)• Whenyouspray– matters(don’tsprayduringflowercycle)
• Wedon’twanttoretrofitourregulations–aswe’vedoneforalcohol &tobacco
Richter,2014
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References• California- LegalPestManagementPracticesforCannabisGrowersinCalifornia
• Colorado- ManagementBestpractices
• SullivanN,ElzingaS,RaberJC.Determinationofpesticideresiduesincannabissmoke.JToxicol.2013;2013:378168.
• SubritzkyT,PettigrewS,LentonS.Intothevoid:RegulatingpesticideuseinColorado'scommercialcannabismarkets.IntJDrugPolicy.2017;42:86-96.
• GourdetC,GiombiKC,KosaK,WileyJ,CatesS.HowfourU.S.statesareregulatingrecreationalmarijuanaedibles.IntJDrugPolicy.2017;43:83-90.
• RussoEB.Currenttherapeuticcannabiscontroversiesandclinicaltrialdesignissues.FrontPharmacol.2016;7:309.
• SubritzkyT,LentonS,PettigrewS.Legalcannabisindustryadoptingstrategiesofthetobaccoindustry.DrugAlcoholRev.2016;35(5):511-513.
• KraussMJ,SowlesSJ,SehiA,etal.MarijuanaadvertisingexposureamongcurrentmarijuanausersintheU.S.DrugAlcoholDepend.2017;174:192-200.
• McDanielPA,SolomonG,MaloneRE.Thetobaccoindustryandpesticideregulations:casestudiesfromtobaccoindustryarchives.EnvironHealthPerspect.2005;113(12):1659-1665.
• RichterKP,LevyS.Bigmarijuana--lessonsfrombigtobacco.NEnglJMed.2014;371(5):399-401.
• BarryRA,HiilamoH,GlantzSA.Waitingfortheopportunemoment:thetobaccoindustryandmarijuanalegalization.MilbankQ. 2014;92(2):207-242.
• Post,L.(2019).HigherEtiquette:AGuidetotheWorldofCannabis,FromDispensariestoDinnerParties.TenSpeedPress.
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ApprovedPesticideCountbyState
State Number ofpermittedpesticidesregistered(approved)
California
Colorado 12,000(200)
OR (362)– test59
Canada Test100
Washington (330)
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ActiveIngredientsExemptedUnder25(b)oftheFederalInsecticide,Fungicide,&RodenticideAct• Castoroil(U.S.P.orequivalent)*LinseedoilCedaroilMalicacidCinnamonandcinnamonoil*MintandmintoilCitricacid*Peppermintandpeppermintoil*CitronellaandCitronellaoil2-Phenethylpropionate(2-phenylethylpropionate)Clovesandcloveoil*Potassiumsorbate*Cornglutenmeal*PutrescentwholeeggsolidsCornoil*Rosemaryandrosemaryoil*Cottonseedoil*Sesame(includesgroundsesameplant)andsesameoil*DriedBloodSodiumchloride(commonsalt)*EugenolSodiumlaurylsulfateGarlicandgarlicoil*SoybeanoilGeraniol*Thymeandthymeoil*GeraniumoilWhitepepperLaurylsulfateZincmetalstrips(consistingsolelyofzincmetalandimpurities)Lemongrassoil
Wang,2014
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&
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ManagementBestPractices
• Limitingventilationcanalsobehelpfultobiosecurityeffortsandinminimizingexposuretocontaminants,possiblyreducingrelianceonpesticidesorfungicides.• Universalwastesareasubsetofhazardouswastesthathavereducedmanagementstandardsasdefinedbyfederal,stateandlocallaws,regulations,rulesorotherrequirements..Theseincludemercury-containinglightingandballasts,manytypesofpesticidesorotherchemicalsusedinthecultivationprocess,orotherchemicalsusedintheproductionofcannabisconcentrates.• Purchasematerialsinsmallerquantities andbuynomorethanaone-yearsupplyofproduct.Thishelpsavoidexcessmaterialexpiringorbecomingobsoleteasregulationschange.• Innearlyallcases,productionofcannabiscropsreliesontheuseofbiologicalcontrolagents(“BCAs”),asthegoalofzeropesticideresiduesisfavorableforproductqualityandpatienthealth.
Citation:CDPHE,2018
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Questions
• Whatareyourpolicyandenvironmentalhealthideas?• Couldcannabiscultivationbeanallegoryforclimatechangeandresponsiblestewardshipofnaturalresources?• Whatwouldyoustillliketoknow?
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Whydowecareaboutpesticides?HumanHealth• Pestshaveplaguedhumankindsincethebeginningoftime,asrecordedintheancientwritingsoftheChinese,Egyptian,andHebrewpeoples.(locustsatealltheplantsintheland)• Diseasessuchasplague andmalaria—bothpropagatedbypests—havechangedthecourseofhumanhistory(McNeill,1976;Zinsser,2007).• Aswithmedications,theidealpesticideissafeintermsofhumanandecosystemhealthandeffectiveatcontrollingthetargetspecies.• Healtheffectsofpesticideexposureisanemergingfield• Safetysensitiveproduct(considerthesafetysensitiveworkplace)
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Occupationalhealth– crossdisciplinaryviewBurningPesticides- Heatingpesticidescanchangetheircomposition.…• Sugarcane– workerexposure• Linkthisallbacktooccupationalhealthtopicspresenthereinourschool.
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Integratedpestmanagement
• Aphiiosphy asoldasrachel carson• Bugonbugwarfare
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HowNottoDie…video
• https://nutritionfacts.org/video/pesticides-in-marijuana/?utm_source=NutritionFacts.org&utm_campaign=ecd04992e7-RSS_VIDEO_DAILY&utm_medium=email&utm_term=0_40f9e497d1-ecd04992e7-25723773&mc_cid=ecd04992e7&mc_eid=1af7f5bccd
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Pesticidesincannaabi smoke
• https://www.fundacion-canna.es/en/pesticides-cannabis-smoke• Jeffraber,werc shop
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Howarepesticidesregulated/tested–generally?• Thelabelisthelaw• Ifyouapplypesticidestoafield,youmustobtainanoperatoridentificationnumberfromtheCountyAgriculturalCommissioner• Then,submitpesticideusereportstothatoffice.(FAC§ 11408;3CCR§ 6622;3CCR§ 6626.)
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Howcould pesticidesberegulatedforcannabis?• U.S.EPAdesignatescertainpesticideproductsasfederally“RestrictedUse”productswhentheydeterminethoseproductsmaycauseunreasonableadverseeffects
• California“RestrictedMaterials”• requireapermitissuedbytheCountyAgriculturalCommissioner.Permitswillnotbeissuedforcannabiscultivationsites.(FAC§ 14001,etseq.;3CCR§ 6400.)
• PermitonlyminimumriskpesticideunderFIFRAsection25(b)and3CCR§ 6147.(FAC§§ 12973,12995;3CCR§ 6490
• IntegratedpestmanagementApproach?Whatistherealpracticiality ofthis?
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PesticidesandtheConsumer
• Lightingpesticidesonfireandthenconsumingthemisnottypical• Pyrolosis studiesdoexistattheEPA• (seepaperformore)• Dose-responserelationship…needsisbeingestablishedinanaturalexperiement....
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ProductLabeling&LabTesting
• Whatwemighthavetoleratedintheillegalmarketinthepast,wenolongeracceptinamedicalmainstreatm• Illegal,tolerated=coffeeshop(pesticides,heavymetals,bacteria/mold,viarability instrength• Legal=pharmacy
• Coloradocurrentlyhasproducres labelforpesticides• (nothealtheffedts)• Manylabscannottestforpesticidesbecauseitisveryexpensive
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Isthisaglobalhealthissue?
• Indiausesverylittlepesticidecomparedtoothercountries– whataretherecultivationcapabilities?
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Studentvideosaboutpesticides
• Sprayingpesticidesoncherrios• Sprayingafield
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Chemicalsserveasnaturalpesticides&protecttheplantfrompredators• Thc• B-caryophyllene
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Anotherfunstudentvideo– lyme
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Isthistrue?
• ThefederalgovernmentrefusestoaddresspesticidesandothercontaminantsincannabisbecausemarijuanaisanillegalScheduleOne substance.
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TobaccoAdditive- pyrolysisproductsoftobaccoadditives
• https://www.ncbi.nlm.nih.gov/pubmed/27622657• USEPAallows37differentpesticidesontobacco,buttherearenolimitsonthemaximumquantityofpesticidesontobacco
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bifenthrin
• Foundoncannabis1600x.
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• Tobaccosmokersoftenusecigaretteswithcottonfilters.
Cigarettemokers atleasthavefilters
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Edibleshavebeenrecalledforpesticides
• BacaandMigoya,2015• Recallofcontaminatedmarijuanabatchesfrompesticides
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Pesticidelevelsare10xinconcentrates
• Voelker andHolmes(2015)• Light,Orens,Lewandowski(2014)
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Growerssometimesresorttonucleartactics
• Quiteoverwhelmedbypestissues• Danko (2010)p.49