1. Policy Report Linda J. Graham, Health Policy Specialist Board of Health January 30, 2014

2. Health Policy Specialist Policy Analyst Coordinate internal process of policy development, analysis, prioritization and implementation Developing standardized process and tools Support BOH Analyze impacts of policies on SRHD Educate on Health in All Policies Legislative/Elected Official Liaison Federal, state and local

3. State Legislative Priorities Tobacco Settlement Funds for Tobacco Prevention and Cessation Efforts Healthiest Next Generation Public Health Nurse Dispensing of Medication Marijuana Education Funding SRHD will actively engage legislators in discussions concerning these policy bills/budget requests: SRHD will also monitor numerous other policy bills/budget requests and take action where appropriate.

4. Marijuana Use

5. Youth Marijuana Use 26%27% 19% 18% Spokane Statewide

6. Youth Marijuana Use Youth Admissions to Treatment by Drug 60%+ 20%+

7. Youth Marijuana Use 38% 34% 62% 57% Spokane Statewide

8. Youth Marijuana Use Impacts: Long term health impacts Higher risk of teen suicide Other risky behaviors School performance

9. Youth Marijuana Use

10. Accidental Exposures Potentially More Likely: According to the Washington Poison Center, at least 15 toddlers in our state were treated last year at local hospitals after adverse exposure to marijuana. Doctors concerned it is only going to get worse with legalization of recreational use.

11. Adult Marijuana Use

12. 4.3% 5.9% 2.7% 12% 5.0% 2.8% 0.1% 3.4% 5.0% Washington Male FemaleRural Urban 18-24 25-43 44-64 65+

13. Adult Marijuana Use Washington Male FemaleRural Urban 18-24 25-43 44-64 65+ Washington Male FemaleRural Urban 18-24 25-43 44-64 65+ 4.3% 4.6%

14. Adult Marijuana Use Washington Male Female Rural Urban 18-24 25-43 44-64 65+ 57.4% 62.7% 52.3% 55.2% 64.8% 57.9% 42.3% 54.6% 59.7%

15. Adult Marijuana Use

16. Questions?