Quebec’s public not-for-profit distribution...
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Quebec’s public not-for-profit distribution system François Gagnon, Ph.D. January 29th, 2019 North American Cannabis Summit, Los Angeles
Transcript of Quebec’s public not-for-profit distribution...
Quebec’s public not-for-profit distribution system
François Gagnon, Ph.D.January 29th, 2019
North American Cannabis Summit, Los Angeles
Québec, Canada?
INSPQ’s mandate: expert support to the Ministère de la santé et des services sociaux du Québec and the regional public health authorities
Une équipe multidisciplinaire:
Réal Morin (project coordinator)
Maude ChapadosGeneviève LapointeSébastien Tessier
Nicole AprilRichard Fachehoun
Onil SamuelAnnie Montreuil
Pierre-André DubéKarine Souffez
François Gagnon
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Prologue
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Source: https://www.fastcompany.com/40428568/what-if-the-pot-industry-was-like-just-a-big-nonprofit-man
Outline
Une équipe multidisciplinaire:2. Quebec’s public not-for-profit
distribution system and public health
Une équipe multidisciplinaire:1. Mass commercialization
of cannabis and public health
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Public health logic
Global consumption reduction
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Road trauma
Addictions
Mental health
Etc.
Acute intoxications
Respitory diseases
Frequent and intense consumption reduction
Other high-risk consumptions reductions(products, situations, sub-groups)
1. Mass commercialization and public health
Netherlands: no link between legal status and use, but link between commercialization and use
(MacCoun 2011)
Europe: no link between consumption and penalty regime (EMCCDA 2011)
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1. Mass commercialization and public health
Systems based on profit growth generate more users, higher riskuses, and harmful cost reduction strategies
For-profit actors can become counter-forces to public health regulation
Alcohol, tobacco, medications
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1. Mass commercialization and public health
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1. Mass commercialization and public health
2009: mass commercialization of cannabis in Colorado (Colorado
Public Heath 2017)
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1. Mass commercialization and public health
Source: NSDUH (2015)
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Cannabis user rates (last month) in Colorado 2002-2014
12 years + 12 to 17 18 to 25 26 +
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1. Mass commercialization and public health
Source: NSDUH (2015)
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Daily or near-daily cannabis use rates amongstdeclared users (last month) in Colorado 2002-2014
12 years + 12 to 17 18 to 25 26 +
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1. Mass commercialization and public health
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2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Daily or near-daily cannabis use rates amongstdeclared users (last month): Colorado – United-States 2002-2014
Colorado United-States
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1. Mass commercialization and public health
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Higher THC concentration in the USA (ElSohly et al. 2016)
1. Mass commercialization and public health
Emergency admissions and hospitalisations possibly linked to cannabis in Colorado(Colorado Public Health - 2017)
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1. Mass commercialization and public health
Poison centre calls linked to cannabis in Colorado(Colorado Public Health - 2017)
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1. Mass commercialization and public health
2. The public not-for-profit distribution system in Québec
Société Québécoise du
Cannabis (SQDC)
Purchase and retail monopoly
Health Canada licensing of producers
(private for profit)
On-Line-sales
Retailers
12 SQDC (t1) -up to 300
Types and potency of products
Qualitycontrol
Model and controls
appropriate?
Prevention and harm reduction
practices?
Sustainable?
Personalproduction (at home or in a
coop): prohibited in
Québec
Constitutional? Applicable? Fair
application?Direct users to
public retailor or to clandestine
market?
« Medical » system
Illegaldistributors
What lawenforcment?What
commercial pressure on
SQDC?
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Mandate: access withoutincreased consumption
Final thoughts : Monitoring, research and evaluation
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2021: Quebec’s and Federal law review
2023: Federal medical law review
Uses and health consequences patterns
Production, distribution and use regulation
Useful for other jurisdictions?
Contact Information
François Gagnon
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Auteur: Jean Gagnon
