Fewer Children Seeking ER Treatment for Cannabis Ingestion

Cannabis-Related Pediatric Emergency Department Visits by Month. Source: Virginia Hospital Association

by James A. Bacon

The number of pediatric patients visiting hospital emergency rooms in cannabis-related incidents fell 21.5% in the first half of 2023 compared to the same period the year before, a decline that some attribute to bipartisan legislation regulating the production, sale, and potency of tetrahydrocannabinol (THC) in marijuana-related products.

A Virginia Hospital & Healthcare Association analysis shows that the volume of cannabis-related visits among pediatric patients had been trending higher over the past several years, peaking in late 2022 and early 2023 before dropping sharply in June 2023.

“This law was introduced to protect Virginia children and families from being harmed by ingesting unregulated, intoxicating products that can pose serious health risks,” said Delegate Terry Kilgore, R-Gate City, who sponsored the bill to regulate THC-infused products. “So, it is certainly welcome news to see that this policy change appears to be having a positive effect in terms of declining pediatric emergency department visits due to cannabis exposure.”

“We will continue to monitor this data, and as appropriate, consider further legislative action regarding retail THC products,” said Senator Barbara Favola, D-Arlington County, who supported the legislation.

Health impacts on children who consumed products with THC — which range from gummy candies, chocolate bars, lollipops, cookies, and brownies to cupcakes, popcorn and ice cream — “have included vomiting, hallucinations, low blood pressure, low blood sugar, altered mental status and anxiety; some hospitalizations have occurred,” said State Health Commissioner Dr. Karen Shelton in a recent letter informing Virginia clinicians about the surveillance program to track the number of adverse incidents.

Bacon’s bottom line: As much as I support the regulation of THC in products that might be consumed by children, I find it a bit premature to declare victory. The decline assuredly does look impressive. But two things to note: first, March t0 June 2022 saw a drop of comparable magnitude before trending back upward. Second, the decline in 2023 occurred in June, before the law went into effect in July. Perhaps the dip can be explained by the fact that vendors were adapting to the law in advance knowing that it was coming. But that’s no more than a surmise.

I’d like to see a sustained trend before getting too excited about the data. Still, the numbers do look promising. We can all celebrate a rare bipartisan effort.


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28 responses to “Fewer Children Seeking ER Treatment for Cannabis Ingestion”

  1. LarrytheG Avatar
    LarrytheG

    I thought this comparison interesting:

    ” How many children were reported as victims of abuse or neglect in Virginia? During State Fiscal Year (SFY) 2021, there were 30,223 approved reports of child abuse or neglect completed by Virginia’s city and county departments of social services.”

    https://www.dss.virginia.gov/files/about/reports/children/cps/all_other/2021/CPS_Fact_Sheet.pdf

    “The Health Department provided data showing an increase in emergency room visits involving minors being exposed to cannabis, and said the new surveillance system will help bolster those tracking efforts. In 2019, there were 52 ER visits. By 2023, the number had grown to 377.

    https://www.marijuanamoment.net/virginia-officials-launch-surveillance-system-to-track-cannabis-related-adverse-events-among-children/#:~:text=In%20an%20April%2024%20letter,keep%20tabs%20on%20the%20issue.

    child abuse and neglect in virginia sfy 2021

    1. WayneS Avatar

      I thought this comparison interesting

      What comparison?

        1. WayneS Avatar

          That is not a comparison. It’s an infographic of data from a particular time period.

          In order to be a comparison you would need to be comparing it to something else – say, another time period.

        2. WayneS Avatar

          That is not a comparison. It’s an infographic of data from a particular time period.

          In order to be a comparison you would need to be comparing it to something else – say, another time period.

  2. Nancy Naive Avatar
    Nancy Naive

    “Louisiana moves to add abortion pills to list of controlled dangerous substances“

    I know it was the hardest habit I ever kicked. One pill and I was addicted, and the stuff on the street is stepped on to the point it’s a joke.

    Don’t even get me started on Midol.

    1. LarrytheG Avatar
      LarrytheG

      Elect Republicans in Va and they’ll add it to the list… ask the candidates and they’ll lie!

  3. Lefty665 Avatar
    Lefty665

    Like you say, take the good news. OTOH, the difference from where it was is only 1 per day. If legislation has made a measurable positive difference that’s better than some things we get from the ledge.

    Thankfully those are not big numbers overall, a good month is 6 incidents per day and a bad month 9. It is not a huge change. Prior months at similar lower levels quickly went back up. The standard deviation is pretty big.

    1. Lefty665 Avatar
      Lefty665

      For all you statisticians out there. The average is 215.6 and standard deviation is 34.6. The most recent number, 165 is less than 1 1/2 standard deviations from the mean. The number would fall in the range of 165-265 around 80% of the time.

      What has happened since the law changed is that the variances have all skewed in one direction, down.

      All the numbers since the law went into effect are below average, and the mean for them has dropped by about a standard deviation to 187 while the standard deviation for that small data set reduced by more than half to 15.4. The numbers remain within 1 1/2 standard deviations of the mean.

      But, as JAB noted the number just before the law changed was also very low, so the law change may just be correlation, not causation.

      Also as JAB observed I wouldn’t pat the GA on the back just yet, but it doesn’t look like they did anything bad, and they may have done something good. That’s more than we can say sometimes.

      We’d know more if we had January-April numbers.

  4. Nancy Naive Avatar
    Nancy Naive

    Or, it could be that people are being more careful…. Nah.

    This is more serious and easily solved.

    Storefront crashes have become an epidemic in the United States.

    Each and every day, a news report comes out about an individual crashing their car into a building or, even worse, a group of people.

    Main causes of these accidents include pedal mistakes, losing control of the car, distracted driving, and even terrorist attacks.

    According to Storefront Crash Expert Rob Reiter, storefront crashes happen 60 times per day, causing injuries to over 4,000 people annually and killing as many as 500 people per year.

    1. how_it_works Avatar
      how_it_works

      That’s why every Sheetz and Wawa has bollards around the building.

      It’d be interesting to know how many cases of “pedal misapplication” occur in vehicles with manual transmissions vs. automatic transmissions.

      1. LarrytheG Avatar
        LarrytheG

        We got a new WaWa at Spotsy CH. They have the bollards around the building but forgot them around the nice perimeter fence. Inside of a month it had been taken down twice!

        Okay, someone tell me you have NEVER EVER hit the accel to go forward and you went back! 😉

      2. Nancy Naive Avatar
        Nancy Naive

        I noticed bollards at a Raceway last year, and then at the Sheetz and Wawa in Pa. Apparently 7-11 doesn’t believe in them.

        I wonder how many are two-footed drivers. I hate ‘em. They’re constantly brake-checking. Get stuck behind them and it’s almost as bad as the drivers who put their flashers on in heavy traffic, rain, fog, or snow and just LEAVE THEM ON. “Okay, okay, we’re all doing 20, and have been for 15 minutes. You can turn ‘em off! You’re inducing a flash-fit effect back here!”

        1. how_it_works Avatar
          how_it_works

          I suspect that a lot of them are two-footed drivers. I can get 80K or 90K on a set a brakes. I wonder how many miles those two-footed drivers get on a set of brakes.

          1. LarrytheG Avatar
            LarrytheG

            You must drift toward red light then, eh? And I bet you get tailgated and passed on the way to the light!

          2. how_it_works Avatar
            how_it_works

            Engine braking.

          3. LarrytheG Avatar
            LarrytheG

            yep. But too many not only don’t do that -they wanna be on the accelerator right up til they are just behind those stopped. It’s inane but it’s most folks these days.

            Folks drive way too fast for conditions these days. They run into other people – all the time.

            If you don’t have a dash cam, they’ll lie out the backside after they hit you!

          4. how_it_works Avatar
            how_it_works

            Yes, even some of our esteemed servicemen will lie about what happened.

          5. LarrytheG Avatar
            LarrytheG

            Trust but verify? Dash Cams are literally worth their weight in gold… not enough cops, too many liars.

          6. how_it_works Avatar
            how_it_works

            Need a front AND rear camera. Maybe side views too.

          7. LarrytheG Avatar
            LarrytheG

            need front/back… side views harder unless you get a big bucks model. You can do the “fake” camera thing and that’s enough to make the liars think before they stick to a story.

        2. Eric the half a troll Avatar
          Eric the half a troll

          “Get stuck behind them…”

          I am that guy who sees your grill in his rear view (and nothing else) and strategically brake checks… sorry for the agitation… 😂

          1. Nancy Naive Avatar
            Nancy Naive

            “Welcome to Virginia. Slow traffic keep left. All others find someone to tailgate.”

          2. how_it_works Avatar
            how_it_works

            Another Virginia driving thing is to never, ever be in the correct lane for your upcoming turn. It’s preferable to change lanes at the last possible second while forcing other drivers to hit their brakes to avoid hitting you.

          3. DJRippert Avatar
            DJRippert

            Sung to the tune of I’m A Yankee Doodle Dandy …

            I’m a Maryland moron
            An empty suited buffoon
            I don’t know how to drive my car
            But I’d better learn pretty soon

            You see, there are no jobs in Maryland
            So I commute to old V – A
            And if I keep driving like a fool
            Someone will shoot me one day

            But for now I’m in the Old Dominion
            Confirming everyone’s opinion
            Marylanders are the worst by far
            Uh oh, I think I just hit that car

          4. Nancy Naive Avatar
            Nancy Naive

            If could add just ONE thing to the Federal budget, it would be a separated 4-lane limited access highway with entrances and exits in Towson and Ashland — no others.

      3. LarrytheG Avatar
        LarrytheG

        We got a new WaWa at Spotsy CH. They have the bollards around the building but forgot them around the nice perimeter fence. Inside of a month it had been taken down twice!

        Okay, someone tell me you have NEVER EVER hit the accel to go forward and you went back! 😉

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