Once again, Dr. Harris Faigel has written to the Justice about the dangers of marijuana, presumably because he opposes the HEMP club's efforts to legalize the cannabis plant. And once again he uses flawed arguments and incorrect facts to support his points. Faigel refers to "the scientific and medical literature," but fails to give any specific citations. In the highly politicized area of cannabis related research, such citations are necessary for any meaningful debate. There exists a large body of studies supposedly showing the dangers of marijuana, which are either seriously flawed or nonexistent, but are nevertheless often quoted or used in fact sheets, ads, and propoganda. For example, the claim that marijuana kills brain cells began with a study in which monkeys were forced to inhale marijuana smoke so quickly that there was little room for oxygen, and they suffered from asphyxiation and carbon monoxide poisoning (Heath/Tulane study, 1974). In the social "sciences", research is even more questionable. A few good examples are summarized in a 1990 article in the Hartford Courant, "Untruths, unreliable data create obstacles in war on drugs." Among them, a study which claimed that drug use lowers worker productivity in fact was simply a comparison of the average incomes of people who use and do not use drugs, and found, predictably, that drug use was higher in the lower income groups. The writers of the article were unable to locate the source of another study which claimed that marijuana causes long term impairment, a result which is widely quoted in the literature. One of the most common slams is that marijuana smoking is more likely to cause cancer than tobacco smoking. Cannabis is often condemned for the high "tar" content of its leaves, when in fact most users smoke the flower buds, which are low in "tar". Also left out of most literature is that marijuana smoke contains no radioactivity, which tobacco smoke does. In 1990, US Surgeon General Ed Koop said that radioactivity is probably responsible for most tobacco related cancer. (For pointers to research on radioactivity in tobacco, see Winters, Franza, "Radioactivity in Cigarette Smoke", New England Journal of Medicine, 1982, 306(6): p364-365; also Reader's Digest, March 1986, p123-127.) According to my search, no case of cancer has ever been conclusively shown to have been caused by marijuana smoking, nor has any study been done showing higher rates of cancer among marijuana smokers. The only research I am aware of which attempted to track large numbers of marijuana smokers, "Ganja in Jamaica" (Vera Rubin and Lambros Comitas, 1968-1974, published 1975) reported no unusual incidence of cancer, although the subjects smoked much more marijuana than most American users. Lung specialist Dr. Eugene Tashkin of UCLA has studied the effects of both tobacco and marijuana smoke on the lungs, and has not linked marijuana smoking to lung cancer. Despite such counterexamples, advocates of marijuana prohibition continue to base their claims on circumstantial evidence. Including, ironically, a part of a 1976 report by Dr. Tashkin which found that marijuana causes more lesions in the large air passageway of the lung than does tobacco. The facts that the large air passageway is not affected much by tobacco smoke, that marijuana has a neutral or positive effect in other areas of the lung, and that NONE of the marijuana subjects Tashkin studied went on to get cancer, is ignored. Instead, Tashkin received new federal funding for marijuana studies involving only the large air passageway. Science, or politics? (See The Emperor Wears no Clothes, Jack Herer, 1991, p80; also Dr. Tashkin's studies at UCLA, 1969 - 1990). Although it is possible that marijuana smoking increases a person's cancer risk, there is no scientific evidence that verifies this claim, and there is sufficient data to show that it is not as harmful as tobacco smoke. If there is a risk, it could be reduced or eliminated by using filters, water pipes, or taking marijuana orally, all of which are made much more difficult by prohibition. If Dr. Faigel is worried about the effects of marijuana smoke, logically he should support legalization so that safer means are more widely available. In fact, contrary to Dr. Faigel's unfounded claims, cannabis does have known medical uses. For most of history, it was one of the most commonly used medicines in most parts of the world. Medical use of marijuana was prevalent in the US until it was made illegal in the 1930s, and a synthetic form of THC, marijuana's active ingredient, is approved by the FDA for use today, although it is not as effective. When marijuana was first outlawed on a federal level, the American Medical Association sent a representative to express their objection to the bill (transcript of House Ways & Means Committee hearings on Marijuana Tax Act, April 1937). In a 1990 survey of 10% of America's oncologists, more than half said they would prescribe smokable marijuana to some of their patients if they could. 44% said they had in fact recommended marijuana use to patients, despite the legal risk. (See Marijuana as Antiemetic Medicine: a survey of oncologists' experiences and attitudes, Doblin & Kleiman, Journal of Clinical Oncology, July 1991) The DEA, which classifies marijuana as having "no known medical use", in 1987/88 held hearings on the subject. DEA administrative law judge Francis Young heard 15 days of testimony from all sides of the issue, received depositions, and after a year of deliberation recommended that the DEA reclassify marijuana to allow medical use. He wrote, "The evidence in this record clearly shows that marijuana has been accepted as capable of relieving the distress of great numbers of very ill people, and doing so with safety under medical supervision... In strict medical terms, marijuana is far safer than many foods we commonly consume... marijuana in its natural form is one of the safest therapeutically active substances known to man." Predictable, though, politics once again won out over the facts. Young's recommendation was denied by a DEA administrator. Marijuana is known to be useful for treating nausea associated with chemotherapy (See Vinciguerra, Moore and Brennan, "Inhalation Marijuana as an Anti-emetic for Cancer Chemotherapy", NY State J. Med. 88, Oct 1988), glaucoma (See Hepler and Frank, "Marihuana Smoking and Intraocular Pressure", Journal of the American Medical Association 217, 1971 p1392), multiple sclerosis (See Ellenberger, "Treatment of human spasticity with delta 9-THC", Journal of Clinical Pharmacology, Aug-Sep 1981; Ungerleider, Andyrsiak, Fairbanks, Ellison, Myers, "Delta-9-THC in the treatment of spasticity associated with multiple sclerosis", U.C.L.A. School of Medicine 1987), loss of appetite in AIDS patients (the so called "munchies"), as an analgesic (See Noyes, Brunk, Avery, and Canter, "The Analgesic Properties of Delta-9-THC and Codeine", Clin. Pharm. and Therapeutics 18, 1975), and several others. In fact, marijuana was probably the most commonly prescribed pain reliever in the US until it was replaced by Aspirin around the turn of the century. While no drug is completely safe for everyone who takes it, or completely free of side effects, marijuana is one of the safest. An evaluation of a variety of studies about the dangers and benefits of marijuana can be found in an article from the National Academy of Sciences, "Marijuana and Health", edited by Dr. Arnold Relman (National Academy Press, 1982). Regarding claims that today's marijuana is more potent or dangerous than what was used in the past, see Mikuriya, Tod H. and Aldrich, Micheal R., "Cannabis 1988 Old Drug, New Dangers, The Potency Debate", Journal of Psychoactive Drugs, Jan-Mar 1988. If Dr. Faigel is unaware of these facts, that is not surprising. Politically motivated censorship has caused a lot of information about marijuana to remain hidden or unpublished, and finding the facts often requires a lot of work. For example, the monkey study described in the beginning of this article was originally publicized without the details of its methodology; The National Organization for the Reform of Marijuana Laws had to wait six years for their FOIA request for this information to be granted. Copies of a film distributed by the US government during WWII to encourage farmers to grow cannabis hemp, "Hemp for Victory," were removed from the Library of Congress, and erased from the catalogue. Legalization advocate Jack Herer found a reference to the film in a decades old paper copy of the catalog, and replaced the film itself in the library with a copy from an old farmer who had received it from the government during the war (See The Emperor Wears no Clothes, Jack Herer, 1991). Other cases of this politicization, such as the misinterpretation of Dr. Tashkin's studies referenced above, have succeeded in fooling many otherwise competent and informed people. Dr. Faigel's letter goes beyond being merely misinformed, however. As in his last letter, he repeats his claims that marijuana is dangerous because it is often sold laced with more dangerous drugs such as PCP. Did he not see HEMP's response the previous week? If marijuana were legalized, it could be properly labeled, like every other legal drug. If "people who sell marijuana too often are liars," as Faigel claims, then why not allow users to grow their own? Faigel claims that "the HEMP club is displeased with the news that there may be medical problems with the use of marijuana." I do not recall seeing such a statement from them. While there may be medical problems with marijuana, there are much more serious medical problems associated with many legal and commonly used medicines. Aspirin overdose is an often used form of suicide, for example, while marijuana overdose is impossible (there is not a single recorded case of death from marijuana overdose). Does the danger of Aspirin overdose, or the addictiveness of valium, "disturb" Dr. Faigel? Perhaps so, but this is hardly relevant to the issue of legalization. Faigel refers to the dangers of driving while under the influence of marijuana, ignoring the fact that practically all advocates of legalization agree that DUI laws that apply to alcohol should apply to marijuana as well. Those who want marijuana to be legal are not promoting its use while driving. Faigel claims that marijuana causes poor academic performance, a delay in social and emotional development, and lack of motivation. These claims have never been scientifically validated, and stem from studies with poor methodologies, such claims that correlation implies causation. Other studies, such as "Ganja in Jamaica" (referenced above) actually show increased motivation and performance in school among marijuana users. The only thing that is clear is that these effects of marijuana are more likely related to society's treatment of it than they are to marijuana's phamacological properties. Perhaps the most telling comments come at the end of Faigel's letter, where he talks about the dangers of ignorance. Just as ignorance of marijuana's dangers doesn't make it safer, he says, people who do not realize the dangers of a high fat diet aren't any safer from heart disease. In the context of Faigel's support of marijuana prohibition, are we to presume that he would also lend his support to a law banning high fat, high cholesterol diets? Should McDonald's patrons be jailed for their vice? Faigel accuses the HEMP club of being disingenuous and of not having done their homework. I don't know about HEMP, or about Dr. Faigel, but I for one have been doing my homework on this subject for over six years. What is truly disingenuous is the way Dr. Faigel deliberately ignored HEMP's arguments, countered with an illogical and poorly researched letter, and made this accusation against HEMP. -- Ofer Inbar, GRAD-COSI