4/22/19 1 DATIA Annual Conference | April 2019 Page 1 Treating Marijuana Like Alcohol: Moving Towards an Impairment-Free Workplace Dr. Mike Lynn, CEO & Co-Founder of Hound Labs April 12, 2019 DATIA Annual Conference | April 2019 Page 2 EMERGENCY PHYSICIAN – CURRENT • ER doctor at Level 1 trauma center in Oakland • Clinical faculty at UC - San Francisco VENTURE CAPITALIST – 10 YEARS • Partner for 8 years at $25 billion investment firm • Led investments in med device and bio-pharma DEPUTY SHERIFF (RESERVE) – CURRENT • Alameda County Sheriff’s Office • Fully qualified and active SWAT team member • Tactical and medical responsibilities for team WHITE HOUSE FELLOW • Only physician on Secretary of State Colin Powell’s policy planning staff during 9/11 attacks • Worked on national protocols for security threats related to infectious diseases (Anthrax, Smallpox, etc.) • Responsible for evaluating technology to prevent WMD attacks and respond to biochemical threats INFECTIOUS DISEASE BACKGROUND • Fulbright Scholar – Tropical Diseases, Sri Lanka • Watson Fellow – Leprosy, India, Thailand • Echoing Green Fellow – Chagas’ Disease, Bolivia • Staff Physician – Northern Uganda field hospital • World Health Organization MIKE LYNN, MD CO-FOUNDER + CEO, HOUND LABS DATIA Annual Conference | April 2019 Page 3 • Marijuana use and public perception • Impact of marijuana legalization • Monitoring marijuana use in the workplace • New technological advancements • Employer challenges AGENDA 3
10
Embed
DATIA Hound Labs - FINAL 04.10.19 - Read-Onlydatia.org/TreatingMarijuanaLikeAlcohol.pdf · workplace drug testing Drug-Free Workplace Act implemented, private employers begin drug
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
4/22/19
1
DATIA Annual Conference | April 2019 Page 1
Treating Marijuana Like Alcohol: Moving Towards an Impairment-Free Workplace
Dr. Mike Lynn, CEO & Co-Founder of Hound LabsApril 12, 2019
DATIA Annual Conference | April 2019 Page 2
E M E R G E N C Y P H Y S IC IA N – CURREN T• ER doctor at Level 1 trauma center in Oakland• Clinical faculty at UC - San Francisco
V EN TU RE C A P ITA L IST – 1 0 YEARS• Partner for 8 years at $25 billion investment firm• Led investments in med device and bio-pharma
D E P U T Y S H E R IF F (R E S E R V E ) – CURREN T• Alameda County Sheriff’s Office• Fully qualified and active SWAT team member• Tactical and medical responsibilities for team
W H IT E H O U S E F E LLO W• Only physician on Secretary of State Colin Powell’s
policy planning staff during 9/11 attacks• Worked on national protocols for security threats
related to infectious diseases (Anthrax, Smallpox, etc.)• Responsible for evaluating technology to prevent WMD
attacks and respond to biochemical threats
IN F E C T IO U S D IS E A S E B A C K G R O U N D• Fulbright Scholar – Tropical Diseases, Sri Lanka• Watson Fellow – Leprosy, India, Thailand• Echoing Green Fellow – Chagas’ Disease, Bolivia• Staff Physician – Northern Uganda field hospital• World Health Organization
MIKE LYNN, MDC O - F O U N D E R + C E O , H O U N D L A B S
• 72% say regular alcohol use is a greater risk to society
• 33% of teens – and 27% of adults – believe driving stoned is legal in states where recreational marijuana use is legal
• 44% see no health risk to using marijuana
8
Sources: Yahoo News/Marist Poll: Weed & The American Family, April 17, 2017. Liberty Mutual Insurance and SADD Teen Driving Study, April/May 2017.
MARIJUANA USAGE & PUBLIC ATTITUDES
DATIA Annual Conference | April 2019 Page 9
1980sTHC content in marijuana ~4%
2018 THC ~17-20%, some products >90%• Bubba’s Deadhead Girl: 80%
• T-Rex: 92%
• Gorilla Glue: 96%
Most research still uses government grown marijuana (THC ~4-7%)
9
INCREASING MARIJUANA POTENCY
Bubba’s Deadhead Girl w ith a THC concentration of 80%
4/22/19
4
DATIA Annual Conference | April 2019 Page 10
IMPACT OF MARIJUANA LEGALIZATION
DATIA Annual Conference | April 2019 Page 11
11
Source: Quest Diagnostics, dtidrugmap.com.
RISING MARIJUANA POSITIVITY RATES
% Workforce Testing Positive for Marijuana
73%
25%
56%
20162013 20152012
State Legalization of Recreational Marijuana (2012)
% increase in marijuana positivity rates (2011-2017)
201720142011
2.2%
1.8%
2.4%
1.4%
1.6%
2.0%
2.6%
2.8%
Washington Colorado US
DATIA Annual Conference | April 2019 Page 12
Source: “Driving under the influence of cannabis among medical cannabis patients with chronic pain,” Drug and Alcohol Dependence, Volume 195, 1 February 2019, pp. 193-197.
IMPAIRED DRIVING
% Michigan Medical Marijuana Users Reporting:
4/22/19
5
DATIA Annual Conference | April 2019 Page 13
Nearly half of recreational marijuana users have gone to work high, and 39% said they have done so once a week.
Source: Instamotor Survey, Jan 25, 2017.
IMPAIRMENT AT WORK
DATIA Annual Conference | April 2019 Page 14
Source: What Will Legal Marijuana Cost Employers, Voluntary Protection Programs Participants’ Assoc. (VPPPA).
Marijuana users skip work nearly twice as often as their peers because “they just didn’t want to be there.”
HIGHER ABSENTEEISM
DATIA Annual Conference | April 2019 Page 15
*Compared with employees who tested negative for marijuana.Source: https://www.drugabuse.gov/publications/research-reports/marijuana/how-does-marijuana-use-affect-school-work-social-life.
INCREASED INJURIES & ACCIDENTS
Employees who tested positive for marijuana*on pre-employment drug tests had…
4/22/19
6
DATIA Annual Conference | April 2019 Page 16
MONITORING MARIJUANA IN THE WORKPLACE
DATIA Annual Conference | April 2019 Page 17
17
Measuring breath is the only way to measure recent marijuana use. Other testing methods detect marijuana use long after impairment subsides.
Marijuana Detection Windows
TESTING METHODS VS. IMPAIRMENT
DATIA Annual Conference | April 2019 Page 18
NEW TECHNOLOGICAL ADVANCEMENTS
4/22/19
7
DATIA Annual Conference | April 2019 Page 19
19
• Ultra-sensitive technology measures THC (the psychoactive ingredient in marijuana) throughout the peak impairment window
• Completed 2nd clinical trial with University of California, San Francisco (UCSF) which validates short duration and extremely low levels of THC in breath
• In addition, the Hound Lab team has conducted thousands of THC breath tests with human subjects
• Technology that balances fairness to employees with the public’s and employer’s safety interests
• In early manufacturing; bringing device to market in 2019
THE HOUND LABS STORY
DATIA Annual Conference | April 2019 Page 20
• The Hound breathalyzer is a point-of-care device that captures breath samples in a single-use disposable cartridge that can be processed on location to determine THC and alcohol levels in breath.
• Users breathe for 1-2 minutes as the device automatically captures two breath samples. The breathalyzer runs a rapid-result test for THC and alcohol on one sample.
20
MEASURING THC IN BREATHH O W T H E H O U N D ® B R E A T H A L Y Z E R W O R K S
• Results displayed on breathalyzer screen and saved for future retrieval.
• The 2nd sample automatically saved on the cartridge and can be sent to a 3rd party laboratory for confirmatory testing if required by company drug testing policies.
DATIA Annual Conference | April 2019 Page 21
• Short Window of DetectionTHC degrades quickly in breath and is detectable only for 2-3 hours post smoking
• Hound breathalyzer measures THC in parts per trillion (picograms), providing the ultra-sensitivity required to accurately measure THC in breath
• Up to 1 billion times more “sensitive” than an alcohol breathalyzer
21
MEASURING THC IN BREATHW H Y I S I T I M P O R T A N T ?
4/22/19
8
DATIA Annual Conference | April 2019 Page 22
• Provides objective data that indicates whether or not THC can be measured in an employee’s breath
• THC can only be measured in breath for 2-3 hours, so if an employee tests positive, he or she smoked marijuana recently
• Positive test result links to peak impairment- NHTSA and global researchers: peak window of impairment is 2-3 hour time period after smoking*
• The Hound breathalyzer does not indicate historic use – an employee will only test positive if marijuana used in the extremely recent past