Really, really slow car crashes.

(BBC) Drivers who use cannabis up to three hours before driving are twice as likely to cause a collision as those not under the influence of drugs or alcohol, says a Canadian study.  This is because cannabis impairs brain and motor functions needed for safe driving, the researchers suggest.

The study in bmj.com reviewed nine studies of 50,000 people worldwide who had been in serious or fatal crashes.  Experts support the close monitoring of serious accidents involving drugs.  The study analysis was carried out by researchers at Dalhousie University in Halifax, Canada.

They looked at observational studies of collisions between one or more moving vehicles on a public road which involved the consumption of cannabis.  Drivers of cars, sports utility vehicles, vans, lorries, buses and motorcycles featured in the studies.

The study found a near doubling of risk of a driver being involved in a motor vehicle collision resulting in serious injury or death if cannabis had been consumed less than three hours before.  However, it added that the impact of acute cannabis consumption on the risk of minor crashes was still unclear.

Blood sample — Mark Asbridge, study author and associate professor at the department of community health and epidemiology at Dalhousie University, said the research was important.  “Our findings provide clarity to the large body of research on cannabis and collision risk.

“They also offer support to existing policies, in many jurisdictions, that restrict driving under the influence of cannabis, and direct public health officials to devote greater attention to this issue.”

All studies tested for tetrahydrocannabinol, or THC, the active chemical in cannabis, by analysing blood samples or using direct reports of cannabis use from those involved.

Most studies used one nanogram per millilitre of cannabis or any amount greater than zero as the cut-off for a positive test result, with one study using a 2ng/ml cut-off.  Duncan Vernon, a road safety manager at the Royal Society for the Prevention of Accidents (RoSPA), said that previous studies in controlled lab conditions had shown that cannabis can impair a driver’s ability to respond to potential dangers. (read more)

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