SAN FRANCISCO - For years, a divisive debate has raged in the United States over the health consequences of nicotine e-cigarettes. During the same time, vaping of a more contentious substance has been swiftly growing, with scant notice from public health officials.

Millions of people now inhale marijuana not from joints or pipes filled with burning leaves but through sleek devices and cartridges filled with flavored cannabis oils. People in the legalized marijuana industry say vaping products now account for 30 percent or more of their business. Teenagers, millennials and baby boomers alike have been drawn to the technology - no ash, a faint smell, easy to hide - and the potentially dangerous consequences are only now becoming evident.

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The medical marijuana program in Illinois is seeing record growth since changes in the law greatly expanded the program and made it easier for patients to participate.

More than 87,000 patients have qualified for the program since stores opened in November 2015 - including a spike of almost 37,000 in the fiscal year ending June 30, a 93% increase, according to state records. The surge of new patients exceeds the number signed up in any previous fiscal year, based on the latest annual report on medical cannabis by the Illinois Department of Public Health.

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At 74, the venture capitalist George Sarlo might not have seemed an obvious candidate for an ayahuasca experience. Mr. Sarlo, a Hungarian Jewish immigrant who arrived in the United States in 1956, has had great professional success as the co-founder of Walden Venture Capital. He lives in an upscale San Francisco neighborhood, in a large house with an unobstructed view of the Golden Gate Bridge.

And yet something was always lacking. Mr. Sarlo's father had disappeared from their Budapest home in 1942. He had been drafted in a forced labor battalion, an experience he did not survive. At age 4, George had told himself that it was because he was "a bad boy" that his father had left that day, early in the morning, without saying goodbye. He believes that he never recovered from that early loss.

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I'm sorry to say that Dr. Scott Gottlieb has it completely backward ("Pot Legalization Makes Vaping Deadly," op-ed, Oct. 11). The correct way to fix the problem of poisonous THC vaping is to legalize and regulate it.

His article goes on and on citing the consequences of not doing so. I'm sure he doesn't realize it, but he is simply underscoring the reasons why some states have stepped forward to protect their citizens by bringing marijuana into the legal and regulated arena.

Harv Stewart

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When Juul Labs and Pax Labs split from one company into two in 2017, they seemed destined to reach new heights.

Juul would conquer the e-cigarette industry. Pax would dominate the marijuana vaping business.

Their fortunes, however, quickly diverged. Juul found itself under fire for its alleged role in getting kids hooked on nicotine after pitching itself as a safe alternative to cigarettes; Pax largely escaped scrutiny as the burgeoning cannabis market made the company irresistible to investors.

But that honeymoon period might be ending for Pax.

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A shot glass emblazoned with a marijuana leaf is up for sale. Jackpot prizes include pure hemp rolling paper. Nearby, groups of people enjoy drinks and dinner while chatting about why weed should be decriminalized and legalized in Georgia.

Thaddeus Willis, a Gwinnett County resident and Air Force veteran, has heard about the push to lessen the penalty for possessing small amounts of weed in Georgia.

"That's the first step," said Willis, enjoying chicken Parmesan and a soda at the monthly meeting for Peachtree NORML, a pro-marijuana advocacy group. Eventually, he said, "It needs to be made legal here."

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There may be some hurdles, but there is legal standing for the murder prosecution of a DeKalb County man who allegedly sold drugs to a 22-year-old who later fatally overdosed, local experts said.

The case against Antoin Thornton, 28, is believed to be the first of its kind for DeKalb. Thornton allegedly sold heroin to Alexander Whitehead, who was found dead at a Dunwoody apartment complex in March. Police said the drugs, laced with the potent opioid fentanyl, caused the overdose.

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Doctors have linked a tragic wave of lung injuries and deaths to the vaping of tainted marijuana concentrates. The episode reveals the dangers created by the federal government's decadelong refusal to challenge state laws legalizing pot and promoting risky uses of its derivatives.

The Obama administration announced in 2013 that it wouldn't enforce federal drug laws in states that had legalized pot use. The following year, Congress started attaching legislative riders to budget bills to prevent the Justice Department and other agencies from enforcing federal laws banning marijuana use in the 33 states that have made weed legal. The Trump administration has tried to reverse some of these policies. In 2018, then-Attorney General Jeff Sessions rescinded Obama administration guidance giving U.S. attorneys discretion not to enforce federal drug law in states that have legalized marijuana. But the White House has been reluctant to challenge popular state policies directly. As a result a large pot industry has bloomed in recent years, and a dangerous market in cannabis concentrates, such as the ones responsible for the vaping deaths, has proliferated.

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SACRAMENTO - Three years after California legalized the sale of recreational marijuana, most voters want municipalities to permit pot shops in their communities even though the vast majority of cities have outlawed them, according to a UC Berkeley Institute of Governmental Studies poll conducted for the Los Angeles Times.

According to the poll, 68% of Californians say legalization has been a good thing for the state, an increase in support since 2016, when 57% of voters approved Proposition 64, which legalized growing, selling and possessing cannabis for recreational use. The poll results come as city and state leaders are battling in court and the Legislature over control of California's pot market, including a dispute over efforts by California lawmakers to force cities to open their doors to cannabis shops.

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Pauline Nordin is a trainer, model and licensed nutritionist. Earlier this year, she replaced the frozen peas in her freezer with 2,000 cookies.

The shortbread treats are laden with cannabis-the equivalent of about 1,500 joints. Ms. Nordin, 37 years old, says she can't recover from her punishing workouts without them. She eats two each night before turning in.

"My lifestyle is a Ferrari and my body is a well-tuned machine," she says. "I would never do something destructive."

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The Lowell Cafe is a new restaurant and bar in West Hollywood that will allow diners to smoke marijuana inside and out thanks to a new license issued by the city. It's slated to open Oct. 1 and when it does, it will be the first of its kind.

If you're imagining a giant smoky room filled with bowls of weed, couches and lots of pizza, think again. Imagine instead a functional restaurant with servers, plus a special air-filtration system that sucks up and filters the smoke from people smoking weed, everywhere.

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CHICAGO - The historic hub of black culture on the south side of Chicago called Bronzeville bears the marks of disinvestment common to many of the city's black-majority neighborhoods.

Along the expansive South Dr. Martin Luther King Jr. Drive, lines of greystones alternate in and out of disrepair, and many of the district's blocks that were once home to vibrant institutions - earning it the name "Black Metropolis" - are now mottled with overgrown, vacant lots. A census tract within the area is one of the poorest in the city.

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More than three-quarters of people who have developed severe lung illness after vaping reported using THC-containing products, a new report found, as officials continue to piece together a picture of the mysterious disease.

The new report by the Centers for Disease Control and Prevention said 76.9% of the 514 patients studied used products containing THC, the psychoactive ingredient in marijuana, in the month preceding the onset of symptoms. More than half of the patients reported using nicotine-containing products, while 36% said they only used of products with THC and 16% reported exclusive use of nicotine-containing products.

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Several marijuana products have been identified as possible culprits in the mysterious epidemic of serious lung illnesses that has sickened more than 800 people who use vaping devices and e-cigarettes to inhale THC or nicotine, or both.

Health officials said on Friday that the products include THC-filled vaping cartridges labeled "Dank Vapes," as well as some other illicit brands that people bought from friends or family or on the street.

But officials said Dank Vapes appeared to be a label that THC sellers can slap on any product and is not a specific formulation or a single product. THC is the psychoactive ingredient in marijuana.

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Having lost a son to heroin use, I want to ask the following of the candidates: Our "war on drugs," declared by President Nixon in 1971, is a dismal failure. The historian Alfred McCoy wrote recently in The Nation that "instead of reducing the traffic, the drug war has actually helped stimulate that ninefold increase in global opium production and a parallel surge in U.S. heroin users, from just 68,000 in 1970 to 886,000 in 2017." Drug deaths reached 192 a day in 2017, with many of them between the ages of 12 and 25. That is a silent Parkland =85 every day. What is your solution to this catastrophe?

Bill Williams

New York

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The city of Chamblee is the 11th local government in Georgia to decriminalize the possession of marijuana.

The City Council unanimously passed an ordinance Tuesday night eliminating the possibility of jail time and severely reducing the fine for possessing one ounce or less of weed. An adult caught with marijuana by a Chamblee police officer will be cited and fined $75 for their first offense, according to the ordinance. That charge can be paid online and a court date isn't required.

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In highlighting Seattle's new approach to drug possession, Nicholas Kristof makes a compelling case that it is past time to adopt a public health approach to addiction, but he is too narrow in his conclusions. When we view the war on drugs strictly though the lens of drug possession, we fail to include people who need help the most: those who have committed crimes driven by their addiction and/or mental health disorder and who face incarceration as a result (crimes including D.U.I., theft, property crimes). These individuals desperately need treatment but are not eligible for diversion via programs like LEAD, which typically only address drug possession.

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Tobacco products, which kill almost 500,000 people per year, are legal, and still advertised to a limited extent. Alcoholic beverages, which kill about 88,000 people annually, are not only legal but also widely advertised. Many of the opioid deaths are a result of accidental overdoses because users are unaware of just how much drug is in a particular dosage they consume.

Why not legalize opioids but: sell them only from government operated "package stores" (as alcohol still is in certain jurisdictions) so that doses are known; have no advertising; have a massive public health program? Accidental overdose deaths would be virtually eliminated; the criminal drug trade would be eliminated; and, if the tobacco-use cessation program model were followed, use would go down.

Steven Jonas Port Jefferson, N.Y.

The writer, professor emeritus of preventive medicine at Stony Brook Medicine, is the author of "Ending the 'Drug War'; Solving the Drug Problem: The Public Health Approach."

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Wow! Are you kidding me? This is the most fantasized assessment of Seattle's drug epidemic I've ever seen. In actuality, we are spiraling toward complete social meltdown here, and Nicholas Kristof thinks we've figured out how to end the war on drugs?

As a three-decade resident of Seattle, I can tell you that from the sprawling homeless camps ringing the city, to the bedraggled hordes of dead-eyed addicts on Second Avenue, to the piles of human feces in Pioneer Square, there is no progress being made to end the heroin epidemic in this city. Whatever actions local governments are taking only make things worse.

Seattle is becoming a wasteland of crime, refuse, excrement and addiction. It's disgusting to watch and it gets worse every year.

Bryan Gruner Bellevue, Wash.

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Re "Ending the War on Drugs," by Nicholas Kristof (Sunday Review, Aug. 25):

This article gives me hope that Seattle is finally doing something about the devastation of drug use on its streets.

My son is a struggling heroin addict, and thank God is now a part of the Law Enforcement Assisted Diversion, or LEAD, program. He completed treatment in jail through drug court, finished work release, is now in drug court housing and meets with his counselor at LEAD.

I know firsthand how difficult it is for families. I've walked the streets of downtown Seattle looking for my son where drug users and dealers hang out. I've seen them passed out with a needle hanging out of an arm or leg. I'd ask myself, What is Seattle doing to fix this problem?

Addicts need support. The LEAD program is good, but what about those addicts who haven't been arrested and directed to LEAD?

Kathy Kier

Seattle

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