Drugs in the United States

Last updated
Detroit police inspecting equipment found in a clandestine brewery during the Prohibition era Detroit police prohibition.jpg
Detroit police inspecting equipment found in a clandestine brewery during the Prohibition era
US yearly overdose deaths, and the drugs involved. Among the more than 70,200 deaths estimated in 2017, the sharpest increase occurred among deaths related to fentanyl and synthetic opioids (28,466 deaths). US timeline. Drugs involved in overdose deaths.jpg
US yearly overdose deaths, and the drugs involved. Among the more than 70,200 deaths estimated in 2017, the sharpest increase occurred among deaths related to fentanyl and synthetic opioids (28,466 deaths).

In the United States, the Federal Food, Drug, and Cosmetic Act defined the word "drug" as an "article intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals" and those "(other than food) intended to affect the structure or any function of the body of man or other animals." [2] Consistent with that definition, the U.S. separately defines narcotic drugs and controlled substances, which may include non-drugs, and explicitly excludes tobacco, caffeine and alcoholic beverages. [3]

Contents

Federal drug policy

War on drugs

As part of the "War on drugs", the U.S. gives hundreds of millions of dollars per year of military aid to Colombia, used to combat guerrilla groups such as FARC, involved in narcotics trafficking. Colin Powell is seen here visiting Colombia in 2006 in support of Plan Colombia. Colpolwpowell.png
As part of the "War on drugs", the U.S. gives hundreds of millions of dollars per year of military aid to Colombia, used to combat guerrilla groups such as FARC, involved in narcotics trafficking. Colin Powell is seen here visiting Colombia in 2006 in support of Plan Colombia.

The War on drugs is a campaign of prohibition and foreign military aid and military intervention undertaken by the United States government, with the assistance of participating countries, and the stated aim to define and reduce the illegal drug trade. [4] [5] This initiative includes a set of drug policies of the United States that are intended to discourage the production, distribution, and consumption of illegal psychoactive drugs. The term "War on Drugs" was first used by President Richard Nixon in 1971.

Drug courts

The first Drug court in the United States took shape in Miami-Dade County, Florida in 1989 as a response to the growing crack-cocaine usage in the city. Chief Judge Gerald Wetherington, Judge Herbert Klein, then State Attorney Janet Reno and Public Defender Bennett Brummer designed the court for nonviolent offenders to receive treatment. This model of court system quickly became a popular method for dealing with an ever-increasing number of drug offenders. Between 1984 and 1999, the number of defendants charged with a drug offense in the Federal courts increased 3% annually, from 11,854 to 29,306. By 1999 there were 472 Drug Courts in the nation and by 2005 that number had increased to 1262 with another 575 Drug Courts in the planning stages; currently, all 50 states have working Drug Courts. There are currently about 120,000 people treated annually in Drug Courts, though an estimated 1.5 million eligible people are currently before the courts. There are currently more than 2,400 Drug Courts operating throughout the United States.

Pharmacological drugs

Doping in sports

Doping is the taking of performance-enhancing drugs, generally for sporting activities. Doping has been detected in many sporting codes, especially baseball and football.

SubstanceAthlete populationPercentage of athletes using substance [6]
Any substance banned by WADAElite athletes across sports (positive drug tests)2% over past year
Anabolic steroidsProfessional football players (self-report)9% used at some point in career
OpiatesProfessional football players (self-report)52% used at some point in career (71% of those misused at some point in career)
Smokeless tobaccoProfessional basketball players (self-report)35%–40% over past year
Professional football players (self-report)20%–30% over past year

Major League Baseball

The Mitchell Report

In December 2007 US Senator George Mitchell released Report to the Commissioner of Baseball of an Independent Investigation into the Illegal Use of Steroids and Other Performance Enhancing Substances by Players in Major League Baseball. Major League Baseball asked Mitchell to conduct an independent investigation to see how bad steroid use was in baseball. In the report, Mitchell covers many topics and he interviewed over 700 witnesses. He covers the effects of steroids on the human body. He also touches on human growth hormone effects. He reports on baseball's drug testing policies before 2002 and the newer policies after 2002. Mitchell also named 86 players in the report that had some kind of connection to steroids. Among those named were: Andy Pettitte, Roger Clemens, Barry Bonds, and Eric Gagne. To finish his report, Mitchell made suggestions to the Commissioner of Baseball about drug testing and violations of the drug testing policies. Mitchell also reported that he would provide evidence to support the allegations made against such players and would give them the opportunity to meet with him and give them a fair chance to defend themselves against the allegations. The report also includes a paper trail of evidence that states, "Former Mets club house attendant, Kirk Randomski sent performing enhancement drugs to the players mentioned in the report." Quinn, T.J. and Thompson, Teri Daily News Sports Writers [New York, N.Y.] CT. (2007):66 [7] [8]

Recreational drugs by type

Alcohol

Cigarette smokers as a percentage of the population for the United States as compared with the Netherlands, Norway, Japan, and Finland Smokers-as-a-percentage-of-adult-pop.jpg
Cigarette smokers as a percentage of the population for the United States as compared with the Netherlands, Norway, Japan, and Finland

Alcohol access

A survey of over 6000 teenagers revealed:

How easy is it for youth to buy alcohol?

Of note:

Cannabis

U.S. cannabis arrests by year US Cannabis Arrests.svg
U.S. cannabis arrests by year

The use, sale, and possession of cannabis containing over 0.3% THC by dry weight in the United States, despite laws in many states permitting it under various circumstances, is illegal under federal law. [14] As a Schedule I drug under the federal Controlled Substances Act (CSA) of 1970, cannabis containing over 0.3% THC by dry weight (legal term marijuana) is considered to have "no accepted medical use" and a high potential for abuse and physical or psychological dependence. [15]

Cocaine

A piece of compressed cocaine powder CocaineHCl.jpg
A piece of compressed cocaine powder

Cocaine is the second most popular illegal recreational drug in the United States behind cannabis, [16] and the U.S. is the world's largest consumer of cocaine. [17]

In 2020, the state of Oregon became the first U.S. state to decriminalize cocaine. [18] [19] This new law prevents people with small amounts of cocaine from facing jail time. In 2020, the U.S. state of Oregon would also become the first state to decriminalize the use of heroin. [20] This measure will allow people with small amounts to avoid arrest. [21]

Psilocybe semilanceata,a psilocybin mushroom species sold in the U.S. Psilocybe semilanceata 6514.jpg
Psilocybe semilanceata ,a psilocybin mushroom species sold in the U.S.

Methamphetamine

Psilocybin

In January 2019, the Oregon Psilocybin Society and research firm DHM Research found that 47 percent of Oregon voters supported the legalization of medical psilocybin, while 46 percent opposed it. The percentage of voters in favor increased to 64 percent after key elements of the ballot were clarified to the poll's participants. [23]

An October 2019 online poll conducted by research firm Green Horizons found that 38 percent of U.S. adults supported legalizing psilocybin "under at least some circumstances." [24]

In November 2020, a ballot measure to legalize medical psilocybin passed with 55.8% of voters in favor. [25]

Tobacco

Tobacco plants growing; in the United States Patch of Tobacco (Nicotiana tabacum ) in a field in Intercourse, Pennsylvania..jpg
Tobacco plants growing; in the United States

Statistics in 2018 estimated that about 14.9% of adults (18 and over) had ever used e-cigarettes, and around 3.2% of all adults in the United States were current e-cigarette users. These same stats also noted that 34 million U.S. adults were current smokers, with E-cigarette usage being highest among current smokers and former smokers who are attempting or have recently quit cigarettes. [26]

Overall, it is estimated that 5.66 million adults in the US population reported current vaping 2.3%. From those users in the population, more than 2.21 million were current cigarette smokers (39.1%), more than 2.14 million were former smokers (37.9%), and more than 1.30 million were never smokers (23.1%). [27]

Costs

443,000 Americans die of smoking or exposure to secondhand smoke each year. For every smoking-related death, another 20 people suffer with a smoking-related disease. (2011) [28]

California's adult smoking rate has dropped nearly 50% since the state began the nation's longest-running tobacco control program in 1988. California saved $86 billion in health care costs by spending $1.8 billion on tobacco control, a 50:1 return on investment over its first 15 years of funding its tobacco control program. [28]

Critics

An estimated half a million children worked in the fields of America picking food as of 2012, although the precise number working in tobacco fields is unknown. In eastern North Carolina, children have been interviewed as young as fourteen who worked harvesting tobacco, and recent news reports describe children as young as nine and ten doing such work. Federal law provides no minimum age for work on small farms with parental permission, and children ages twelve and up may work for hire on any size farm for unlimited periods outside school hours. According to Human Rights Watch, farm-work is the most hazardous occupation open to children. [29] [30]

Drug use and deaths per state

State Population (2010) Drug Users (2010) Drug Deaths (Total 2010) Drug Deaths (per 100,000) Federal Grants (2010)Grant/Drug User
Flag of Alabama.svg  Alabama 4,779,73606.73% [31] 55412$80,040,503$248.82
Flag of Alaska.svg  Alaska 710,23111.79% [32] 7511$30,760,934$367.36
Flag of Arizona.svg  Arizona 6,392,01708.95% [33] 98115.5$138,524,069$242.36
Flag of Arkansas.svg  Arkansas 2,915,91807.96% [34] 32611.5$47,138,163$203.09
Flag of California.svg  California 37,253,95609.07% [35] 417811.4$832,107,905$246.26
Flag of Colorado.svg  Colorado 5,029,19611.72% [36] 74715.4$111,188,470$188.64
Flag of Connecticut.svg  Connecticut 3,574,09708.23% [37] 44412.7$103,493,029$351.84
Flag of Delaware.svg  Delaware 897,93409.14% [38] 10211.8$24,161,839$294.40
Flag of Florida.svg  Florida 18,801,31007.80% [39] 293616.1$338,129,029$230.57
Flag of Georgia (U.S. state).svg  Georgia (U.S. state) 9,687,65307.32% [40] 104310.6$321,114,660$452.83
Flag of Hawaii.svg  Hawaii 1,360,30109.92% [41] 14211.1$37,176,146$275.50
Flag of Idaho.svg  Idaho 1,567,58208.00% [42] 1338.9$21,076,027$168.06
Flag of Illinois.svg  Illinois 12,830,63207.17% [43] 12399.6$234,968,808$255.41
Flag of Indiana.svg  Indiana 6,483,80208.79% [44] 82713.0$91,020,232$159.71
Flag of Iowa.svg  Iowa 3,046,35504.08% [45] 2117.1$58,962,185$474.39
Flag of Kansas.svg  Kansas 2,853,11806.77% [46] 29410.6$40,234,098$208.30
Flag of Kentucky.svg  Kentucky 4,339,36708.41% [47] 72217$100,547,625$275.52
Flag of Louisiana.svg  Louisiana 4,533,37207.16% [48] 86220.1$80,230,847$247.18
Flag of Maine.svg  Maine 1,328,36109.09% [49] 16112.2$36,320,286$300.79
Flag of Maryland.svg  Maryland 5,773,55207.29% [50] 80712.7$192,136,722$456.50
Flag of Massachusetts.svg  Massachusetts 6,547,62908.87% [51] 100315.6$245,061,344$421.96
Flag of Michigan.svg  Michigan 9,883,64008.95% [52] 152415.3$243,556,706$275.33
Flag of Minnesota.svg  Minnesota 5,303,92508.24% [53] 3596.9$95,867,509$219.35
Flag of Mississippi.svg  Mississippi 2,967,29706.39% [54] 33411.4$50,554,343$266.62
Flag of Missouri.svg  Missouri 5,988,92707.38% [55] 73012.4$123,020,244$278.34
Flag of Montana.svg  Montana 989,41510.02% [56] 13213.8$28,332,837$285.79
Flag of Nebraska.svg  Nebraska 1,826,34106.43% [57] 925.2$34,675,170$295.27
Flag of Nevada.svg  Nevada 2,700,55109.35% [58] 51520.1$46,367,799$183.63
Flag of New Hampshire.svg  New Hampshire 1,316,47012.15% [59] 17213.0$55,388,743$346.29
Flag of New Jersey.svg  New Jersey 8,791,89406.42% [60] 7979.2$113,795,702$201.61
Flag of New Mexico.svg  New Mexico 2,059,17910.07% [61] 44712.8$150,896,974$727.71
Flag of New York.svg  New York 19,378,10209.82% [62] 17979.2$1,875,136,099$985.39
Flag of North Carolina.svg  North Carolina 9,535,48308.88% [63] 122313.0$403,912,656$477.01
Flag of North Dakota.svg  North Dakota 672,59105.3% [64] 284.3$36,344,108$1,019.55
Flag of Ohio.svg  Ohio 11,536,50407.61% [65] 169114.7$207,925,242$236.84
Flag of Oklahoma.svg  Oklahoma 3,751,35108.09% [66] 68719$67,359,062$221.95
Flag of Oregon.svg  Oregon 3,831,07412.80% [67] 56415.1$104,298,167$212.69
Flag of Pennsylvania.svg  Pennsylvania 12,702,37906.57% [68] 181214.6$283,229,043$339.38
Flag of Rhode Island.svg  Rhode Island 1,052,56713.34% [69] 14213.4$43,604,718$310.55
Flag of South Carolina.svg  South Carolina 4,625,36406.70% [70] 58413.2$77,790,340$251.02
Flag of South Dakota.svg  South Dakota 814,18006.28% [71] 344.3$31,840,106$622.72
Flag of Tennessee.svg  Tennessee 6,346,10508.22% [72] 103516.8$107,211,391$205.52
Flag of Texas.svg  Texas 25,145,56106.26% [73] 23439.8$384,444,836$244.23
Flag of Utah.svg  Utah 2,763,88506.24% [74] 54620.6$47,059,651$272.86
Flag of Vermont.svg  Vermont 625,74113.73% [75] 579.2$58,913,913$685.73
Flag of Virginia.svg  Virginia 8,001,02407.33% [76] 7139.2$173,221,243$295.36
Flag of Washington.svg  Washington 6,724,54009.59% [77] 100315.5$130,527,165$202.40
Flag of West Virginia.svg  West Virginia 1,852,99406.79% [78] 40522.4$45,059,469$358.13
Flag of Wisconsin.svg  Wisconsin 5,686,98608.67% [79] 63911.4$107,259,369$217.54
Flag of Wyoming.svg  Wyoming 563,62606.82% [80] 6813$12,483,581$324.76
Flag of the United States.svg United States308,143,81508.11%3826012.4$8,304,469,106$332.19

See also

Related Research Articles

<span class="mw-page-title-main">Recreational drug use</span> Use of drugs with the primary intention to alter the state of consciousness

Recreational drug use is the use of one or more psychoactive drugs to induce an altered state of consciousness, either for pleasure or for some other casual purpose or pastime. When a psychoactive drug enters the user's body, it induces an intoxicating effect. Generally, recreational drugs are divided into three categories: depressants, stimulants, and hallucinogens.

<span class="mw-page-title-main">Prohibition of drugs</span> History, effects and enforcement of the prohibition of drugs

The prohibition of drugs through sumptuary legislation or religious law is a common means of attempting to prevent the recreational use of certain intoxicating substances.

Commonly-cited arguments for and against the prohibition of drugs include the following:

Recreational drug tourism is travel for the purpose of obtaining or using drugs for recreational use that are unavailable, illegal or very expensive in one's home jurisdiction. A drug tourist may cross a national border to obtain a drug that is not sold in one's home country, or to obtain an illegal drug that is more available in the visited destination. A drug tourist may also cross a sub-national border to do the same, as in cannabis tourism, or purchase alcohol or tobacco more easily, or at a lower price due to tax laws or other regulations.

<span class="mw-page-title-main">Cannabis (drug)</span> Psychoactive drug from the cannabis plant

Cannabis, also known as marijuana or weed among other names, is a psychoactive drug from the cannabis plant. Native to Central or South Asia, the cannabis plant has been used as a drug for both recreational and entheogenic purposes and in various traditional medicines for centuries. Tetrahydrocannabinol (THC) is the main psychoactive component of cannabis, which is one of the 483 known compounds in the plant, including at least 65 other cannabinoids, such as cannabidiol (CBD). Cannabis can be used by smoking, vaporizing, within food, or as an extract.

<span class="mw-page-title-main">Legalization of non-medical cannabis in the United States</span> Legalization of marijuana in the United States

In the United States, the non-medical use of cannabis is legalized in 24 states and decriminalized in 7 states, as of November 2023. Decriminalization refers to a policy of reduced penalties for cannabis offenses, typically involving a civil penalty for possessing small amounts, instead of criminal prosecution or the threat of arrest. In jurisdictions without penalty the policy is referred to as legalization, although the term decriminalization is sometimes used for this purpose as well.

<span class="mw-page-title-main">Federal drug policy of the United States</span> Nationwide framework regarding the abuse of drugs in the United States

The drug policy in the United States is the activity of the federal government relating to the regulation of drugs. Starting in the early 1900s, the United States government began enforcing drug policies. These policies criminalized drugs such as opium, morphine, heroin, and cocaine outside of medical use. The drug policies put into place are enforced by the Food and Drug Administration and the Drug Enforcement Administration. Classification of Drugs are defined and enforced using the Controlled Substance Act, which lists different drugs into their respective substances based on its potential of abuse and potential for medical use. Four different categories of drugs are Alcohol, Cannabis, Opioids, and Stimulants.

<span class="mw-page-title-main">Smoking</span> Practice of inhaling a burnt substance for psychoactive effects

Smoking is a practice in which a substance is combusted and the resulting smoke is typically inhaled to be tasted and absorbed into the bloodstream of a person. Most commonly, the substance used is the dried leaves of the tobacco plant, which have been rolled with a small rectangle of paper into an elongated cylinder called a cigarette. Other forms of smoking include the use of a smoking pipe or a bong.

<span class="mw-page-title-main">Drug liberalization</span> Process of reducing drug prohibition laws

Drug liberalization is a drug policy process of decriminalizing or legalizing the use or sale of prohibited drugs. Variations of drug liberalization include: drug legalization, drug re-legalization and drug decriminalization. Proponents of drug liberalization may favor a regulatory regime for the production, marketing, and distribution of some or all currently illegal drugs in a manner analogous to that for alcohol, caffeine and tobacco.

<span class="mw-page-title-main">Drug policy of California</span> Overview of the drug policy of the U.S. state of California

Drug policy of California refers to the policy on various classes and kinds of drugs in the U.S. state of California. Cannabis possession has been legalized with the Adult Use of Marijuana Act, passed in November 2016, with recreational sales starting January of the next year. With respect to many controlled substances, terms such as illegal and prohibited do not include their authorized possession or sale as laid out by applicable laws.

<span class="mw-page-title-main">Tobacco and other drugs</span> Association between tobacco and other drug use

An association between tobacco and other drug use has been well established. The nature of this association remains unclear. The two main theories, which are not mutually exclusive, are the phenotypic causation (gateway) model and the correlated liabilities model. The causation model argues that smoking is a primary influence on future drug use, while the correlated liabilities model argues that smoking and other drug use are predicated on genetic or environmental factors.

The U.S. state of Oregon has various policies restricting the production, sale, and use of different substances. In 2006, Oregon's per capita drug use exceeded the national average. The most used substances were marijuana, methamphetamine and illicit painkillers and stimulants.

This is a history of drug prohibition in the United States.

<span class="mw-page-title-main">Timeline of cannabis laws in the United States</span> Historical list in chronological order of U.S. cannabis law

The legal history of cannabis in the United States began with state-level prohibition in the early 20th century, with the first major federal limitations occurring in 1937. Starting with Oregon in 1973, individual states began to liberalize cannabis laws through decriminalization. In 1996, California became the first state to legalize medical cannabis, sparking a trend that spread to a majority of states by 2016. In 2012, Washington and Colorado became the first states to legalize cannabis for recreational use.

<span class="mw-page-title-main">Minors and the legality of cannabis</span> Issue around the legalisation of cannabis

Minors and the legality of cannabis is one of the issues around the legalisation of cannabis, with most jurisdictions placing strict age limits in a similar way as is done with the drinking age for alcohol.

<span class="mw-page-title-main">Cannabis in Slovakia</span> Use of cannabis in Slovakia

Cannabis in Slovakia is illegal for all purposes and possession of even small amounts of the drug can lead to lengthy prison terms. Possession or use of small amounts of cannabis is punishable by up to eight years in prison. In April 2012, The Wall Street Journal reported that Robert Fico, the incoming Slovak prime minister, might push for partial legalisation of cannabis possession, and has argued for the legalisation of possession of up to three doses of cannabis for personal use.

<span class="mw-page-title-main">Glossary of cannabis terms</span>

Terms related to cannabis include:

During the administration of American President Jimmy Carter (1977–1981), the United States gave further consideration to the decriminalization of cannabis (marijuana), with the support of the president. However, law enforcement, conservative politicians, and grassroots parents' groups opposed this measure. The net result of the Carter administration was the continuation of the War on Drugs and restrictions on cannabis, while at the same time cannabis consumption in the United States reached historically high levels.

<span class="mw-page-title-main">Vaping</span> Overview about the usage of electronic cigarettes

The usage of electronic cigarettes has risen rapidly since their introduction to the market in 2002. The global number of adult e-cigarettes users rose from about 7 million in 2011 to between 68 million and 82 million in 2021. Awareness and use of e-cigarettes greatly increased over the few years leading up to 2014, particularly among young people and women in some parts of the world. Since their introduction vaping has increased in the majority of high-income countries. E-cigarette use in the US and Europe is higher than in other countries, except for China which has the greatest number of e-cigarette users. Growth in the UK as of January 2018 had reportedly slowed since 2013. The growing frequency of e-cigarette use may be due to heavy promotion in youth-driven media channels, their low cost, and the belief that e-cigarettes are safer than traditional cigarettes, according to a 2016 review. E-cigarette use may also be increasing due to the consensus among several scientific organizations that e-cigarettes are safer compared to combustible tobacco products. E-cigarette use also appears to be increasing at the same time as a rapid decrease in cigarette use in many countries, suggesting that e-cigarettes may be displacing traditional cigarettes.

<span class="mw-page-title-main">Psilocybin decriminalization in the United States</span> Movement to decriminalize psilocybin in the United States

The movement to decriminalize psilocybin in the United States began in 2019 with Denver, Colorado, becoming the first city to decriminalize psilocybin in May of that year. The cities of Oakland and Santa Cruz, California, decriminalized psilocybin in June 2019 and January 2020, respectively. Washington, D.C., followed suit in November 2020, as did Somerville, Massachusetts, in January 2021, and then the neighboring Cambridge and Northampton in February 2021 and March 2021, respectively. Seattle, Washington, became the largest U.S. city on the growing list in October 2021. Detroit, Michigan, followed in November 2021.

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  71. South Dakota Drug Control Update
  72. Tennessee Drug Control Update
  73. Texas Drug Control Update
  74. Utah Drug Control Update
  75. Vermont Drug Control Update
  76. Virginia Drug Control Update
  77. Washington Drug Control Update
  78. West Virginia Drug Control Update
  79. Wisconsin Drug Control Update
  80. Wyoming Drug Control Update

Further reading