Abstract

BackgroundIn 2017, the Jamaican government banned the sale of cannabis-infused edibles after reports of over-intoxication in adults and children. There is a general lack of public awareness regarding the risk involved with edible dosage. Vandrey et al. in 2015 reported that random cannabis edibles sampled from dispensaries in California and Washington in the USA failed to meet the basic labeling standards for pharmaceuticals (Vandrey et al.; JAMA 2015). This study aims to measure the levels of THC and CBD in a variety of edibles available locally in order to establish current cannabinoid content and to report on safety and packaging. This study is deemed necessary as no such study has been done to measure the potency levels of edibles and to raise awareness of the potential risk to children.MethodsForty-five cannabis-infused edible items were collected as convenience samples over a 4-year period (2014–2018) and analyzed. The QuEChERS technique (modified) was used to extract cannabinoids from each item. The extracts were then derivatized with MSTFA prior to analysis by gas chromatography-mass spectrometry (GC-MS). The descriptive statistics were calculated using the Statistical Package for Social Sciences—SPSS Software. Descriptive statistics presented include the mean, median, standard deviation, and range for each product category. The distribution of data with a box and whisker plot and frequency of THC to CBD ratios with a histogram was also presented.ResultsEdibles on the Jamaican market comprise baked goods, candies, frozen foods, and beverages. Eighty-six percent of samples were poorly labeled and failed to meet basic labeling requirements. None of the packages were observed to be child-proof. THC levels ranged from 0.01 to 99.9 mg per product while CBD levels ranged from 0.001 to 69.2 mg per product. The highest THC and CBD levels were detected in cookies and brownies. Thirty percent of the samples had THC levels greater than the recommended 10 mg THC per serving.ConclusionThe lack of proper labeling and the wide range of THC levels in cannabis edibles raises public health concerns for all consumers including inexperienced persons who may be at a greater risk of overdosing. Concern must also be raised over the possibility that the attractive and tasty ways in which the drug is being presented might tempt young children and teens to take cannabis.Impact statementIt is hoped that this information will raise public awareness of the current potential danger these edibles pose to children and inexperienced users and that policymakers will see the need for the imposition of suitable regulations.

Highlights

  • Cannabis is the most widely used illicit substance globally with 5.6% of adults and youth reporting use (United Nations Office on Drugs and Crime, 2018)

  • This study suggests a similar trend in Jamaica with baked goods comprising 56% and candies 29% of the total sample size respectively

  • The study revealed that some local users creatively infuse cannabis into popular Jamaican sweet treats like peanut cake, busta, stewed June plum, and tamarind balls, which might appeal to local consumers and provide a wider base of choice for cannabis users

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Summary

Introduction

Cannabis is the most widely used illicit substance globally with 5.6% of adults and youth reporting use (United Nations Office on Drugs and Crime, 2018). There have been accelerated changes in drug policy in regard to cannabis globally (Abel et al 2011; Oshi et al 2019). Such changes include decriminalization which involves the removal of criminal penalties for possession of a small amount of the substance or legalization of cannabis (Abel et al 2011). This study is deemed necessary as no such study has been done to measure the potency levels of edibles and to raise awareness of the potential risk to children

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