It has been a privilege to consult with so many people over the last five months, and we are deeply thankful to all those who provided their input, time and energy to us. Psilocybin is a naturally occurring psychedelic substance that can be found in a variety of different mushrooms, commonly referred to as “magic mushrooms.” Psilocybin is known to possess a spectrum of psychoactive properties, and has remained a part of medicinal and shamanistic culture around the world for thousands of years. A significant number of consultation participants, whether online or in written submissions, expressed the view that awareness, information and education will be key to success, particularly where youth and parents are concerned. 1997 Sep;58(1):93−101. Such restrictions could still leave room for promotion at the point of sale, which would answer industry concerns about allowing information to be provided to consumers and some branding to differentiate their products from the illicit market and other producers. It is currently legal to grow and produce tobacco for personal use in Canada (up to 15 kg of tobacco or cigars), just as it is legal to produce wine or beer at a residence for personal use. Overwhelmingly, respondents took the view that the criminalization of youth should be avoided. On the one hand, establishing a system with adequate protections that would seek to curb access to cannabis by youth suggests adopting a more restrictive model with numerous controls and safeguards, such as establishing higher age limits, adapting pricing strategies to discourage consumption, and imposing limitations to minimize promotion and commercialization. Taxes could be adjusted over time to reflect changes in market conditions. However, there was agreement among health experts that higher concentrations have the obvious potential to cause more harm, especially to youth, and will have an impact on road and workplace safety. Ideally, all of our recommendations would be based on clear, well-documented evidence. Retail sales should be regulated by provinces and territories in close collaboration with municipalities. She is a member of the steering committee for the Canadian Drug Policy Coalition. To better link THC levels to impairment, which could support the development of a, To develop effective and reliable roadside testing tools to detect THC levels and help law enforcement enforce the rules that are put in place; and. In the online consultation and in meetings with experts and officials, we heard that public education was critical to: There was agreement that messaging about risks should be consistent across the country. The effects of cannabis are due to the actions of its cannabinoids on biological "targets," a system of specific receptors and molecules found throughout the human body, together called the endocannabinoid system. Cannabis production ranges from the cultivation and harvest of the plant material, and its subsequent preparation, to the manufacture of products using cannabis as a raw material including concentrates and other derivatives. While the Task Force was not involved in the development of the ACMPR, in formulating our advice on the future of medical access we have considered how this latest iteration of the Government's medical access regime works and how it is perceived by those most impacted by it. In roundtable discussions, the Task Force often heard that there were certain groups for which education and other "population-level" measures were insufficient to reduce harms significantly. We heard from municipalities and law enforcement, in particular, about the abuse of cultivation provisions under the MMAR and concern that the ACMPR will be exploited in the same way. This report is a synthesis of Canadian values, situated in the times in which we live, combined with our shared experiences and concerns around a plant and its products that have touched many lives in many ways. However, the Task Force sees several advantages to the creation of new federal legislation dealing with cannabis. There was some discussion about permitting cannabis use in designated public spaces, such as cannabis lounges, tasting rooms or social clubs. In seeking this balance, we believe that it is necessary to adopt a public health approach. Regulation would allow for quality control over products, and for appropriate education and in-store information. Should separate retail locations not be feasible everywhere, safeguards to mitigate potential harms should be put in place to discourage co-use and mitigate the other concerns that have been raised. This graph depicts the relationship between the drug policy spectrum on the X-axis (from left to right: ultra prohibition, prohibition with harm reduction/decriminalization, strict legal regulation, light market regulation, commercial promotion), and social and health harms increasing from bottom to top on the Y-axis. It was even suggested that minimizing co-use of cannabis and alcohol or tobacco could be a specific health protection aim of cannabis policy. The framework should draw from the good production practices already established for licensed producers of cannabis for medical purposes, including the use of approved pesticides, testing for solvent residues, testing for THC and CBD levels, and sanitation of premises and equipment. Another key measure underpinning the success of Canada's tobacco control efforts has been the way smoking has become socially unacceptable, or "denormalized", particularly among youth. Most Canadians no longer believe that simple marijuana possession should be subject to harsh criminal sanctions, and support the Government's commitment to legalize, tax and regulate marijuana. Other stakeholders asserted that the approval process used for natural health products would be appropriate to use for cannabis, given that it is a herbal medicine. Some congruence between the amount of cannabis required to meet the demands of the Canadian market and the total quantity allowed for production could serve to minimize risks, at least in the early years of implementation as the marketplace develops. THC has therapeutic effects and is the compound chiefly responsible for the psychoactive effects of cannabis, while CBD has potential therapeutic but no obvious psychoactive effects. She has overseen many highly successful investigations dealing with illegal drugs and organized crime and attributes the success to multi-agency collaboration. Several of the provincial and territorial regulatory and licensing authorities for pharmacists indicated that pharmacy distribution should not be considered until there is additional clinical research demonstrating the therapeutic value of cannabis and until cannabis has been approved for sale by Health Canada as a drug. As shown in the following list, close to half of the responses (49 per cent) came from individuals who describe themselves as users of marijuana for non-medical purposes. The cannabis for medical purposes system requires the testing of products for impurities such as heavy metals and microbial contaminants through approved laboratories. The IHR set out a licensing and permit scheme through which industrial hemp producers are able to cultivate hemp, defined as cannabis plants that have less than 0.3% THC. Driving while impaired by alcohol and/or drugs, including marijuana, is an offence under the Criminal Code of Canada. Legal sales in other jurisdictions occur through a variety of means. In order to limit the environmental impact of the cannabis industry, outdoor production should be permitted with adequate security requirements. Public education and clear and regular communications will be critical during this period. Physicians have standardized information about these drugs and are able to properly advise patients on issues such as interactions with other medication and adverse effects. In Canada alone the illegal trade of marijuana reaps an estimated $7 billion in income annually for organized crime. The cannabis supply chain includes production (including cultivation and manufacturing), distribution and retail. What role, if any, should existing licensed producers under the MMPR have in the new system (either in the interim or the long-term)? 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