Just one or two experiences with marijuana may alter teen brains

Agencies
January 16, 2019

Jan 16: Teens who use pot just one or two times may end up with changes to their brains, a new study finds.

There were clear differences on brain scans between teens who said they had tried cannabis a couple of times and those who completely eschewed the drug, researchers reported in the Journal of Neuroscience.

There have been hints that even small amounts of pot at a young age might impact the brain, said the study’s lead author, Catherine Orr, a lecturer at the Swinburne University of Technology in Melbourne, Australia. “Research using animals to study the effects of cannabis on the brain have shown effects at very low levels, so we had reason to believe that brain changes might occur at even the earliest stages of cannabis use,” Orr said in an email.

Still, she said, “I was surprised by the extent of the effects.”

With an estimated 35 percent of U.S. teens using cannabis, the new findings are concerning, the researchers noted.

Orr and her colleagues saw widespread increases in the volume of grey matter in brain regions that are rich with cannabinoid receptors. Grey matter, which is made up of nerve cell bodies, is involved in sensory perception and muscle control.

To take a closer look at the impact of mild marijuana use in developing brains, Orr’s team analyzed brain scans gathered as part of the larger IMAGEN study, which was designed to look into adolescent brain development.

The researchers analyzed images from 46 14-year-olds who said they had used marijuana once or twice, as well as images from 46 non-cannabis using teens matched “on age, sex, handedness, pubertal status, IQ, socioeconomic status, and use of alcohol and tobacco,” Orr said.

The researchers spotted clear differences between the two groups, which they suspect are due to the low-level pot use. They acknowledge that the study didn’t actually prove that marijuana led to the differences seen in the scans. It’s possible that those who chose to use weed were different to begin with and that the marijuana hadn’t played a role in brain development.

To try to address this question, the researchers analyzed scans from a third group of teens who had not tried marijuana before they had their brain scans at age 14. By age 16, 69 of these kids said they had used marijuana at least 10 times. But their brain scans at age 14 looked no different than brain scans of other kids who had not taken up cannabis by age 16 - which meant there wasn’t any inborn brain difference that would have predicted who would later become a pot user.

There may be serious implications to the brain changes noted by the researchers. “In our sample of cannabis users, the greater volumes in the affected parts of the brain were associated with reductions in psychomotor sped and perceptual reasoning and with increased levels of anxiety two years later,” Orr said.

The reason for the higher volume of grey matter in cannabinoid-rich regions of the brain may be related to a normal process called “pruning” which may go awry when kids use marijuana, Orr said. As young brains develop, unnecessary or defective neurons are pruned away, she explained. When the system doesn’t work correctly, those cells remain in place.

The new findings are a step toward understanding the impact of cannabis on young brains, said Dr. Michael Lynch, a toxicologist and emergency medicine physician and director of the Pittsburgh Poison Center at the University of Pittsburgh Medical Center. “It’s important that there was a change,” Lynch said. “Adolescent brains are going to be more vulnerable to anything drug or environmentally related.”

If pruning isn’t working right, “the brain may not work as efficiently as it should,” Lynch said. “But I don’t think we can make a final determination on that from this study.”

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Agencies
July 7,2020

The World Health Organization (WHO) is reviewing a report that suggested its advice on the novel coronavirus needs updating after some scientists told the New York Times there was evidence the virus could be spread by tiny particles in the air.

The WHO says the Covid-19 disease spreads primarily through small droplets, which are expelled from the nose and mouth when an infected person breaths them out in coughs, sneezes, speech or laughter and quickly sink to the ground.

In an open letter to the Geneva-based agency, 239 scientists in 32 countries outlined the evidence they say shows that smaller exhaled particles can infect people who inhale them, the newspaper said on Saturday.

Because those smaller particles can linger in the air longer, the scientists - who plan to publish their findings in a scientific journal this week - are urging WHO to update its guidance, the Times said.

"We are aware of the article and are reviewing its contents with our technical experts," WHO spokesman Tarik Jasarevic said in an email reply on Monday to a Reuters request for comment.

The extent to which the coronavirus can be spread by the so-called airborne or aerosol route - as opposed to by larger droplets in coughs and sneezes - remains disputed.

Any change in the WHO's assessment of the risk of transmission could affect its current advice on keeping one-metre physical distancing. Governments, which also rely on the agency for guidance policy, may also have to adjust public health measures aimed at curbing the spread of the virus.

"Especially in the last couple of months, we have been stating several times that we consider airborne transmission as possible but certainly not supported by solid or even clear evidence," Benedetta Allegranzi, the WHO's technical lead for infection prevention and control, was quoted as saying in the New York Times.

WHO guidance to health workers, dated June 29, says that SARS-CoV-2, the virus that causes Covid-19, is primarily transmitted between people through respiratory droplets and on surfaces.

But airborne transmission via smaller particles is possible in some circumstances, such as when performing intubation and aerosol-generating procedures, it says.

Medical workers performing such procedures should wear heavy-duty N95 respiratory masks and other protective equipment in an adequately ventilated room, the WHO says.

Officials at South Korea's Centers for Disease Control said on Monday they were continuing to discuss various issues about Covid-19, including the possible airborne transmission. They said more investigations and evidence were needed.

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Agencies
May 26,2020

Tedros Adhanom Ghebreyesus, the World Health Organisation's (WHO) Director-General, said that a clinical trial of hydroxychloroquine (HCQ) on COVID-19 patients has come to "a temporary pause", while the safety data of the the anti-malaria drug was being reviewed.

According to the WHO chief, The Lancet medical journal on May 22 had published an observational study on HCQ and chloroquine and its effects on COVID-19 patients that have been hospitalized, reports Xinhua news agency.

The authors of the study reported that among patients receiving the drug, when used alone or with a macrolide, they estimated a higher mortality rate.

"The Executive Group of the Solidarity Trial, representing 10 of the participating countries, met on Saturday (May 23) and has agreed to review a comprehensive analysis and critical appraisal of all evidence available globally," Tedros said in a virtual press conference on Monday.

The review will consider data collected so far in the Solidarity Trial and in particular robust randomized available data, to adequately evaluate the potential benefits and harms from this drug, he said.

"The Executive Group has implemented a temporary pause of the HCQ arm within the Solidarity Trial while the safety data is reviewed by the Data Safety Monitoring Board. The other arms of the trial are continuing," Tedros added.

WHO initiated the Solidarity Trial, a plan to evaluate the safety and efficacy of four drugs and drug combinations against COVID-19 more than two months ago, which include HCQ.

According to the WHO, over 400 hospitals in 35 countries are actively recruiting patients and nearly 3,500 patients have been enrolled from 17 countries under the Solidarity Trial.

Tedros added that the safety concern over the drug related only to the use of HCQ and chloroquine in COVID-19, and "these drugs are accepted as generally safe for use in patients with autoimmune diseases or malaria".

"WHO will provide further updates as we know more," he added.

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News Network
January 31,2020

Jan 31: Cervical cancer could be eliminated worldwide as a public health issue within the next 100 years, according to two studies which may lead to better strategies for screening and vaccination against the malignant disease.

According to the studies, published in the journal The Lancet, more than 74 million cervical cancer cases, and 60 million deaths could be averted, and the disease eliminated in the 78 countries which have the highest disease burden.

The researchers, including those from Laval University in Canada, said cervical cancer is the second most frequent cancer among women in low-income and lower-middle-income countries (LMICs) with 2,90,000 (51 per cent) of the 5,70,000 new cases worldwide reported in women living in LMICs.

In the current studies, the scientists used the WHO draft strategy of cervical cancer elimination which defines plans for vaccination against the disease's causative agent, the human papillomavirus (HPV).

These plans, they explained, call for 90 per cent of girls to be vaccinated against HPV by 2030, and for 70 per cent of women to be screened for cervical cancer once or twice in their lifetime.

About 90 per cent of women with precancerous lesions, or cervical cancer are also advised to receive appropriate treatment, according to the WHO draft strategy, the scientists said.

In the second study, the research team analysed the impact of three elements of the WHO strategy on deaths from cervical cancer -- modelling the impact of scaling up cancer treatment, as well as vaccination and screening

"Our findings emphasise the importance of acting immediately to combat cervical cancer on all three fronts," said Karen Canfell from the University of Sydney in Australia, who co-led both the studies.

"In just 10 years, it's possible to reduce deaths from the disease by a third and, over the next century, more than 60 million women's lives could be saved. This would represent an enormous gain in terms of both quality of life, and lives saved," Canfell said.

By adding the two screening tests, and with the treatment of precancerous cervical lesions, cases of the cancer may drop by 97 per cent, and 72 million cervical cancer cases could be averted over the next century, the researchers said.

Scaling-up of appropriate cancer treatment could avert 62 million cervical cancer deaths, the study noted.

"For the first time, we've estimated how many cases of cervical cancer could be averted if WHO's strategy is rolled out and when elimination might occur," said Marc Brisson, study co-author from Laval University.

"Our results suggest that to eliminate cervical cancer it will be necessary to achieve both high vaccination coverage, and a high uptake of screening and treatment, especially in countries with the highest burden of the disease," Brisson added.

Based on the results of the studies, WHO's cervical cancer elimination strategy has been updated which will be presented for adoption at the World Health Assembly in May 2020, the scientists noted.

"If the strategy is adopted and applied by member states, cervical cancer could be eliminated in high income countries by 2040, and across the globe within the next century, which would be a phenomenal victory for women's health," Brisson said.

"However, this can only be achieved with considerable international financial and political commitment, in order to scale-up prevention and treatment," he added.

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