Marijuana in the Workplace: What is Unsafe? The Conversation with U of T’s Andrea Furlan and Nancy Carnide

Article by U of T News

Marijuana in the workplace: What is unsafe? The Conversation with U of T's Andrea Furlan and Nancy Carnide. Will offices, construction sites and medical clinics be full of stoned workers after Canada’s promised marijuana legalization date of July 2018? (photo by Shutterstock)

When marijuana is legal later this year in Canada, many Canadians may consider smoking weed on their way to work, or stepping out to purchase it during their coffee break.

How will this impact workplace productivity, and health and safety – especially in occupations involving driving or operating heavy machinery?

The federal government’s commitment to legalize recreational marijuana by July 1 raises occupational health and safety concerns for many employers.

At the Institute for Work & Health (IWH), we have been reviewing the effects of various drugs that act on the central nervous system – including marijuana – on workplace injuries, deaths and near-misses.

What is striking is how little high-quality evidence there is on the impacts of marijuana in the workplace and how inconsistent the existing data is.

We urgently need high-quality observational research studies to be able to better understand the effects of marijuana on work. We also need to develop an accurate measure of impairment for use in Canadian workplaces.

No published studies on legalization

As far as we’re aware, no published studies to date have examined the impact of recreational marijuana legalization on the workplace.

The only data we’ve seen is from a report released in 2017 by a large private drug-testing company in the United States. It found that the rates of positive cannabis tests in Washington and Colorado in 2016 outpaced the national average for the first time since the two states legalized cannabis in 2012.

But these rates were based on the number of tests conducted, so it’s not clear whether this reflects an increase in the number of employees testing positive.

Workplace injuries and accidents

Several studies have examined the impact of marijuana use on workplace outcomes, but with mixed results.

Some have found associations between marijuana use in the workforce and work absenteeism, reduced productivity, job turnover, disciplinary measures, workplace accidents and injuries, unemployment and interpersonal conflict.

However, other studies have found no association with some of these outcomes. Overall, the evidence to date is quite inconsistent.

In 2017, the U.S. National Academy of Sciences published a major report on the health effects of marijuana use, including impacts on injuries and accidents in a workplace setting.

Based on six studies, the review did not find enough evidence to either support or refute a statistical link between marijuana use and occupational injuries or accidents.

No indicator for acute impairment

Some of the inconsistency in the research that does exist may be due to differences in study design and methodologies and difficulties in conducting this type of research.

Also, much of the evidence in this area comes from post-accident investigations, where the workers involved are tested for marijuana or other drugs following a workplace incident.

These kinds of cases tend to be more publicized, but rigorous research with control groups (i.e., those who did not have an accident) is needed to understand whether there are more accidents among those using marijuana compared to those who are not.

And even though workers may test positive for tetrahydrocannabinol (THC) in their urine, that doesn’t necessarily mean they were impaired at the time of the accident. Marijuana remains in the system for quite some time. So someone can use marijuana on Friday night and come into work on Monday no longer impaired, yet test positive for marijuana use.

There is no consensus as of yet on the levels of THC detected in fluids that indicate acute impairment.

Read full article here.

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