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儿童作为医用大麻法律改革的声音和形象。

Children as voices and images for medicinal cannabis law reform.

机构信息

Castan Chambers, Melbourne, Australia.

University of Melbourne, Melbourne, Australia.

出版信息

Monash Bioeth Rev. 2021 Dec;39(Suppl 1):4-25. doi: 10.1007/s40592-021-00139-z. Epub 2021 Oct 31.

DOI:10.1007/s40592-021-00139-z
PMID:34719005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8557259/
Abstract

This article situates the movement for the legalisation of medicinal cannabis within the bigger picture of the impetus toward recreational cannabis legalisation. It describes the role played by children with epileptic syndromes in the medicinal cannabis law reform campaigns in the United Kingdom, and Queensland, New South Wales and Victoria in Australia. Noting the 'rule of rescue' and the prominence in media campaigns of children in Australian and English cases of parental disputation with clinicians about treatment for their children, it reviews whether paediatric epilepsy is a suitable test case for the legalisation of medicinal cannabis. Taking into account the vested commercial interests of Big Cannabis, the current medico-scientific knowledge of the efficacy of medicinal cannabis in controlling paediatric epileptic seizures, and issues of dignity, health privacy, and the enduring digital footprints of media coverage, the article commences discussion about the ethics of the media, parents, politicians and entrepreneurial doctors utilising parents' testimonials about the effects of medicinal cannabis as part of the cannabis law reform movement.

摘要

本文将医用大麻合法化运动置于娱乐大麻合法化的大背景下。文中描述了患有癫痫综合征的儿童在英国和澳大利亚昆士兰州、新南威尔士州和维多利亚州的医用大麻法律改革运动中所扮演的角色。文中提到了“救助规则”,以及在澳大利亚和英国的一些案例中,父母与医生就孩子的治疗问题发生争执时,儿童在媒体宣传中的突出地位。文中还探讨了儿科癫痫是否适合作为医用大麻合法化的试点案例。考虑到大型大麻产业的既得商业利益、医用大麻在控制儿童癫痫发作方面的现有医学科学知识,以及尊严、健康隐私以及媒体报道的持久数字足迹等问题,本文开始讨论媒体、家长、政治家和创业医生的伦理问题,即利用家长对医用大麻效果的证明作为大麻法律改革运动的一部分。

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1
Children as voices and images for medicinal cannabis law reform.儿童作为医用大麻法律改革的声音和形象。
Monash Bioeth Rev. 2021 Dec;39(Suppl 1):4-25. doi: 10.1007/s40592-021-00139-z. Epub 2021 Oct 31.
2
MEDICINAL CANNABIS LAW REFORM IN AUSTRALIA.澳大利亚的药用大麻法律改革。
J Law Med. 2016 Mar;23(3):497-515.
3
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Epilepsy Behav. 2017 May;70(Pt B):334-340. doi: 10.1016/j.yebeh.2017.02.005. Epub 2017 Feb 24.
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The Role of Medicinal Cannabis in Clinical Therapy: Pharmacists' Perspectives.药用大麻在临床治疗中的作用:药剂师的观点。
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Petition against "cruel" and "ridiculous" guidance on access to medicinal cannabis attracts 400 000 signatures.反对获取医用大麻的“残忍”且“荒谬”指导方针的请愿书获得了40万个签名。
BMJ. 2018 Nov 15;363:k4833. doi: 10.1136/bmj.k4833.

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Acta Paediatr. 2025 Sep;114(9):2148-2159. doi: 10.1111/apa.70140. Epub 2025 May 28.

本文引用的文献

1
New Zealand's failed cannabis legalization referendum - implications for cannabis policy reform.新西兰大麻合法化公投失败——对大麻政策改革的影响
Lancet Reg Health West Pac. 2021 Jan 29;7:100080. doi: 10.1016/j.lanwpc.2020.100080. eCollection 2021 Feb.
2
Why did New Zealand's referendum to legalise recreational cannabis fail?为什么新西兰将休闲用大麻合法化的公投失败了?
Drug Alcohol Rev. 2021 Sep;40(6):877-881. doi: 10.1111/dar.13254. Epub 2021 Mar 7.
3
Cannabidiol in the Treatment of Epilepsy.大麻二酚治疗癫痫。
Clin Drug Investig. 2021 Mar;41(3):211-220. doi: 10.1007/s40261-021-01003-y. Epub 2021 Feb 9.
4
The Discourse of Dignity in the Charlie Gard, Alfie Evans and Isaiah Haastrup Cases.查理·加德、阿尔菲·埃文斯和以赛亚·哈斯特鲁普案中的尊严话语。
Med Law Rev. 2021 Aug 9;29(1):24-47. doi: 10.1093/medlaw/fwaa038.
5
Prescribing medicinal cannabis.开具药用大麻处方。
Aust Prescr. 2020 Oct;43(5):152-159. doi: 10.18773/austprescr.2020.052. Epub 2020 Sep 29.
6
Reflections on Charlie Gard and the Best Interests Standard From Both Sides of the Atlantic Ocean.大西洋两岸对查理·加德案和最佳利益标准的反思。
Pediatrics. 2020 Aug;146(Suppl 1):S60-S65. doi: 10.1542/peds.2020-0818L.
7
Rates, characteristics and manner of cannabis-related deaths in Australia 2000-2018.2000-2018 年澳大利亚与大麻相关的死亡人数、特征和方式。
Drug Alcohol Depend. 2020 Jul 1;212:108028. doi: 10.1016/j.drugalcdep.2020.108028. Epub 2020 Apr 25.
8
Dose-Ranging Effect of Adjunctive Oral Cannabidiol vs Placebo on Convulsive Seizure Frequency in Dravet Syndrome: A Randomized Clinical Trial.辅助口服大麻二酚与安慰剂对 Dravet 综合征癫痫发作频率的剂量效应:一项随机临床试验。
JAMA Neurol. 2020 May 1;77(5):613-621. doi: 10.1001/jamaneurol.2020.0073.
9
Medical Cannabis in Children.儿童医用大麻
Rambam Maimonides Med J. 2020 Jan 30;11(1):e0003. doi: 10.5041/RMMJ.10386.
10
Benefits and harms of medical cannabis: a scoping review of systematic reviews.医用大麻的益处和危害:系统评价的范围综述。
Syst Rev. 2019 Dec 10;8(1):320. doi: 10.1186/s13643-019-1243-x.