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Julian J Mamo, Cannabis in Malta—big business or laxing restrictions? A view of what has happened on the local scene in Malta regarding Marijuana or Cannabis use over recent years is rather confusing and rather unsettling. To state that the laws and restrictions regulating Cannabis use for recreational purposes have not worked is to state the obvious. The biggest problem created by this traditionally restrictive view was the arresting, indictment and even imprisonment of users over the years and their subsequent loss of a clean police record. We have not seen much evidence of major harm or long-term ill effects from its recreational use and clearly many have flouted the law and used it with impunity for many years. Effectively, the vast amounts of illegally smuggled Marijuana on the islands, mostly by ship or smaller boats—estimated by the significant volumes caught locally, suggest that there are strong economic powers involved in its exploitation and exportation. The evidence for the overall harm caused by recreational Cannabis use thus far is not as compelling as it is for tobacco use or alcohol consumption. Indeed, it stands on similar ground to the consumption of red meat in terms of estimated harm and people consume that on a daily basis. The problem with assessing the evidence is that there is often an inherent selection bias in place among those that would experiment with psychoactive substances i. The other problem often raised is the possible shift in use from cannabis to hard drugs the so-called stepping stone hypothesis. Malta had partly liberalized its traditional harsh stand on recreational Cannabis use with a new policy for its decriminalization specifically for the case of persons caught using it recreationally since In , the Maltese Government went for the legalization of medical Cannabis for very few selected medical conditions, 5 in line with what several other countries across Europe were doing at the time. In effect, soon after passing both bills, a large Canadian Company and an Australian Pharma company announced their plans to build Cannabis manufacture and processing facilities in Malta in a move which suggested that these well laid plans existed some time earlier. Clearly, for the Government of Malta, introducing medical Cannabis into the islands of Malta was very much an affair of economics—with the idea of once again transforming the islands into a hub—this time for the growth and exportation of legal Cannabis. The medical marijuana bill—which passed easily and with little debate, in principle allows family doctors to prescribe medical cannabis to patients specifically for three conditions: chronic pain, spasticity in multiple sclerosis and side effects of chemotherapy. However, medical marijuana use is far from common today, given the difficult situation faced by patients with the above-mentioned conditions: training Physicians for prescribing and for patient education on Cannabis use, while strongly recommended as essential prior to the introduction of medicinal cannabis, never materialized. Instead, patients continued to find it extremely difficult to obtain prescriptions because of the extensive red tape involved and because of the prohibitive costs of the medicinal products. The state—which provides free-of-charge medicines for a wide range of chronic conditions to local citizens, does not yet supply free medical Cannabis to date. To date in Malta, even with a prescription, medical cannabis is far more expensive and far more inaccessible to obtain than illegal recreational cannabis from the street. There is no evidence of any substantial improvement in pain control emerging from the recent introduction of medical Cannabis. Additionally, anyone requesting prescribed medical cannabis immediately automatically loses the right to their driving license. All this only lends to further health inequalities which appears to be state sponsored. There remains a real lack of evidence to back such existing policies. Meanwhile, the real and immediate risks of the use of recreational Cannabis at the moment are those of getting caught and ending up in court. A clean police record still may tip the balance in an employment interview. Full recreational liberalization of the use of Cannabis—if considered, would have to be tampered by caution with similar restrictions as for alcohol such as when it comes to driving under the influence of Cannabis. The evidence emanating so far from countries where liberalization has gone ahead such as Canada do not show any cause for concern nor has there been any real reconsideration of the decision taken. With the passage of time and the accumulation of evidence on cannabis liberalization, the following quote—specifically for Cannabis, may sum up the situation uncomfortably well:. Micallef M. Sicily route is a major source for drugs—smuggling into Malta. TVM News, 17 December Vella M. Malta Today, 18 September Cohen P , Arjan S. Cannabis use, a stepping stone to other drugs? The case of Amsterdam. Google Scholar. Google Preview. Scerri Herrera A. Marijuana regulation. The Times of Malta, 11 August Marijuana News Medical cannabis has officially been legalized in Malta. Marijuana News, 27 March Murphy S. The growth of medical cannabis in Europe. Health Europa Quarterly Issue 7 , Page Cilia J. Malta passes second cannabis bill to become hub of medical marijuana production. Lovinmalta, April The Times of Malta. Ten companies now have letter of intent to produce medical. Louis Haynes, Pharma Boardroom. Gray JP. Philadelphia : Temple University Press. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Advertisement intended for healthcare professionals. Sign in through your institution. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents References. Journal Article. Cannabis in Malta—big business or laxing restrictions? Correspondence: Julian J. Oxford Academic. Select Format Select format. Permissions Icon Permissions. All rights reserved. Issue Section:. Download all slides. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment. Comment title. You have entered an invalid code. Submit Cancel. Thank you for submitting a comment on this article. 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Medical Cannabis
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In , Malta enacted the Production of Cannabis for Medicinal and Research Purposes Act which provides the legislative measures to permit the production of cannabis for medicinal and research purposes. This law followed the amendment of the Drug Dependence Act with respect to prescribing of medicinal preparations of cannabis. The Malta Medicines Authority provides guidance and consultation on scientific matters to support research and development as well as accessibility of quality medicinal cannabis. The Malta Medicines Authority is responsible to review applications for the importation and wholesale distribution of cannabis based products for medicinal use. Activities related to the production of cannabis for medicinal and research purposes are regulated through comprehensive evaluation of scientific and technical documentation, security considerations, and good practices. A licensed wholesale distributor may source to Malta cannabis based products or synthetic cannabinoid products licensed under the Medicines Act Chapter of the Laws of Malta or manufactured under EU Good Manufacturing Practice GMP , subject to the necessary approvals and permits, granted by the Superintendence of Public Health. The application for wholesale distributors to place cannabis-based products or synthetic cannabinoid products on the market in accordance with the Medicines Act and the Drug Dependence Treatment not Imprisonment Act can be downloaded by clicking here. Requests for tamper-evident labels bearing unique serial numbers to be affixed on sourced medicinal cannabis-based products that are intended to be marketed locally can be made by downloading and submitting this form. Operations related to medicinal cannabis production, analysis and research require a Letter of Intent LOI from Malta Enterprise, followed by assessment through the regulatory authority. Inspections of facilities are carried out in accordance with the principles and guidance of EU good practices GxP. The application for a variation to a licence issued in accordance with the Production of Cannabis for Medicinal and Research Purposes Act Cap. Requests for unique serial numbers to be displayed on produced medicinal cannabis-based products that are intended to be marketed can be made by downloading and submitting this form. The Malta Medicines Authority shall respond to requests made on scientific matters regarding cannabis for medicinal and research purposes in accordance with Chapter of the Laws of Malta, and any other applicable legislation, as required. Scientific consultation requests shall be considered for prospective applicants intending to submit an application for the grant of a licence for the Production of Cannabis for Medicinal and Research Purposes, as well as other stakeholders who are seeking general guidance in this area. Relevant parties are invited to express interest for scientific consultation through the completion and submission of this form. The Cannabis for Medicinal and Research Purposes Unit welcomes proposals from established organisations for scientific collaboration. Projects related to advanced research in cultivation, product formulations, analytical developments and clinical trials related to cannabis for medicinal use are invited. The Medicines Authority collaborates closely with the University of Malta, the Malta Laboratories Network and Malta Enterprise on various specialised studies, including educational initiatives. The Malta Medicines Authority International Fellowship Programme is available to increase capacity and level of research, innovation and development in the field. Application forms including supporting documentation and any queries shall be forwarded to cannabis. About Us. Mission and Objectives. Directorates and Units. Committees and Working Groups. Annual Reports. 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Cannabis for Medicinal and Research Purposes. Useful Links. Pharmaceutical Activities and Inspections. Scientific Advice. Recalls and Rapid Alerts. Registration of Medicinal Products. Borderline Products. Changes to prescription status. Safety Recalls. Advanced Scientific Initiatives. Linguistic Checks. Clinical Trials. Enforcement and Market Surveillance. Legal Framework In , Malta enacted the Production of Cannabis for Medicinal and Research Purposes Act which provides the legislative measures to permit the production of cannabis for medicinal and research purposes. Consultation on Scientific Matters The Malta Medicines Authority shall respond to requests made on scientific matters regarding cannabis for medicinal and research purposes in accordance with Chapter of the Laws of Malta, and any other applicable legislation, as required. Research The Cannabis for Medicinal and Research Purposes Unit welcomes proposals from established organisations for scientific collaboration.
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