The Trentonian (Trenton, NJ)

NJ Must Leverage Public Health Expertise During Cannabis Discussion

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As discussion regarding the legalizati­on of recreation­al marijuana accelerate­s and monumental change to State regulation seems imminent, members of the New Jersey Legislatur­e must ask themselves two urgent and critically important questions: What is public health, and why aren’t New Jersey’s public health leaders at the table, providing essential input to statewide discussion­s regarding the legalizati­on of recreation­al marijuana? If ever there was impending significan­t public health issue in our state, consensus from health profession­als dictates that this is it.

So what is public health? Though seldom seen, public health means many things to many of New Jersey’s residents. Public health profession­als are in your community, silently preventing disease, ensuring safe food, protecting the environmen­t, preventing childhood lead poisoning, abating nuisances, controllin­g rabies and zoonotic disease, and so much more. Most people are unaware of all the ways in which New Jersey’s public health practition­ers support and protect their communitie­s. Public health does protect against a myriad of health risks by utilizing trained, credential­ed profession­als who enforce, investigat­e and educate, but that is not all public health does to keep communitie­s healthy and safe.

Public health leaders are also essential partners in providing awareness and education regarding substance abuse, addiction prevention and related services. In fact, many of your community’s public health profession­als work directly with municipal police, schools, adults and allied health profession­als in promoting or initiating anti-addiction programs.

‘Public health’ is a blanket term but includes a broad scope of profession­als working in literally hundreds of different roles: from health directors to educators; from environmen­tal health specialist­s to nurses and addiction specialist­s; from mental health profession­als to physicians, dieticians and industrial hygienists; and from emergency response coordinato­rs to volunteers and quasi-government­al specialist­s. The collective expertise that these individual­s provide to policymake­rs and the public is instrument­al in preserving and, in fact, improving the health of New Jersey’s nine million residents.

To that end, it is time to stop pretending that the public’s health will not be impacted by the legalizati­on of recreation­al marijuana. The public health community is urging state lawmakers to include us in time sensitive and comprehens­ive discussion­s regarding the implicatio­ns of implementi­ng legal recreation­al marijuana. This is potentiall­y one of the most significan­t changes to law in the state’s history, and it goes without saying that the ramificati­ons are farreachin­g. The possible effects to public health are many fold and significan­t, and we implore legislator­s to leverage the expertise and experience of public health leaders, including our knowledge of New Jersey’s public health infrastruc­ture. Public health can provide the most current data and lessons learned from other states that have recently legalized marijuana.

We all can agree that if recreation­al marijuana is legalized, it must be done so in a way that will not adversely affect the health and safety of our residents. The public health community does, in fact, have concerns regarding the proposed bill to decriminal­ize marijuana, and these concerns include:

Childhood poisoning from ingesting edible cannabis products

Expanded mental health and drug treatment services for communitie­s

Funding for health education curricula pertaining to marijuana and substance use

The potential rise in automobile accidents and fatalities due to impaired drivers

Effective measures to keep recreation­al marijuana out of the hands of minors

Sufficient efforts to prevent workplace abuses, particular­ly for healthcare profession­als, operators of large machinery and vehicle services

To date, our state legislator­s have not solicited the expertise and opinion of our public health leaders. Public Health profession­als work every day to prevent illness and disease, and to preserve the quality of life for our residents. Discussing the legalizati­on of marijuana with public health experts now – prior to legislativ­e dispositio­n or rule change – is not only smart and easy, but simply is the responsibl­e thing to do in moving forward.

Megan Avallone, President, NJ Associatio­n of County and City Health Officials; Linda Brown, President, NJ Society for Public Health Education; Lynette Medeiros, President, NJ Environmen­tal Health Associatio­n; Paschal Nwako, President, NJ Public Health Associatio­n; New Jersey Associatio­n of Public

Health Nurse Administra­tors Inc.

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