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Coordinating THC/blood levels to driver impairment

THE FOLLOWING STUDIES EXAMINE THE IMPACT OF CANNABIS ON PSYCHOMOTOR SKILLS RELATIVE TO SPECIFIC THC/BLOOD LEVELS. A COUPLE OF THESE (Bedard and Laumon) ALSO MAKE TACIT COMPARISONS TO THC LEVELS VERSUS BAC LEVELS. YOU'LL NOTE THAT VIRTUALLY ALL OF THIS ANALYSIS IS TAKING PLACE OVERSEAS. PROPOSED THC/BLOOD PER SE LIMITS OF 3-5ng/ml (such as those proposed in Michigan) TYPICALLY EMERGE FROM THE BODY OF WORK BELOW.

Bedard et al. 2007. The impact of cannabis on driving. Canadian Journal of Public Health 98: 6-11. http://norml.org/index.cfm?Group_ID=7189

Khiabani et al. 2006. Relationship between THC concentrations in blood and impairment in apprehended drivers. Traffic Injury Prevention 7: 111-116. Online presentation here: http://www.icadts.org/oslo2005/Oslo2005-07.pdf

Raemakers et al. 2006. Cognition and motor control as a function of THC concentration in serum and oral fluid: limits of impairment. Drug and alcohol dependence (E-pub ahead of print).

Laumon et al. 2006. Cannabis intoxication and fatal road crashes in France: population based case-control study. British Medical Journal. http://www.bmj.com/cgi/content/abstract/331/7529/1371

Groetnhermen et al. 2005. Developing science-based per se limits for driving under the influence of cannabis. http://www.canorml.org/healthfacts/DUICreport.2005.pdf

Movig et al. 2004. Psychoactive substance use and the risk of motor vehicle accidents. Accident Analysis and Prevention 36: 631-636.

Raemakers et al. 2004. Dose related risk of motor vehicle crashes after cannabis use. Drug and Alcohol Dependence 73: 109-119.

Drummer et al. 2004. The involvement of drugs in drivers of motor vehicles killed in Australian road traffic crashes. Accident Analysis and Prevention 36: 239-248.

*Note: Several reviews published during this same period assessing the association between the detection of THC-COOH (inactive metabolite in urine) and accident risk and/or self-reported marijuana use and accident risk found no increased association. These include papers by Smink et al, (2005), Soderstrom (2005), Blows et al (2005), Movig (2004) etc.

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