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E/CN.7/2020/CRP.4 31 January 2020 English only Commission on Narcotic Drugs Sixty-third session Vienna, 2–6 March 2020 Item 5 (a) of the provisional agenda* Implementation of the international drug control treaties: changes in the scope of control of substances Compilation of all questions and answers on the WHO recommendations on cannabis and cannabis-related substances raised during the fourth and fifth intersessional meeting of the Commission at its sixty-second session** 1. At its sixty-second regular session, on 19 March 2019, the Commission decided to postpone the voting on the recommendations of the World Health Organization (WHO) on the scope of control of cannabis and cannabis-related substances, in order to provide States with more time to consider the recommendations (Decision 62/14). 2. During the fourth and the fifth intersessional meeting of the Commission at its sixty-second session, which were held on 24 June 2019 and 23 September 2019, the Commission considered the WHO recommendations on cannabis and cannabis- related substances and had the opportunity to address questions to representatives of the WHO. The International Narcotics Control Board and UNODC were also present to provide answers within their respective mandates. 3. Questions and answers submitted in writing before and after the intersessional meetings were circulated among delegations via special messages and were made available online on the Commission’s website. This document contains a compilation of all questions and answers structured by recommendation. __________________ * E/CN.7/2020/1. ** This document has not been edited. V.20-00845 (E) *2000845* E/CN.7/2020/CRP.4 Questions and answers relating to WHO’s recommendations on cannabis and cannabis- related substances Status: 26 November 2019 Contents 5.0 General Questions ........................................................................................................................ 4 a) Written answers circulated on 2 July 2019 ........................................................................................ 4 b) Written answers circulated on 30 July 2019 ....................................................................................... 5 c) Written answers circulated on 4 October 2019 ................................................................................... 7 d) Written answers circulated on 21 October 2019 ...............................................................................10 e) Written answers circulated on 26 November 2019 ...........................................................................12 5.1 Cannabis and Cannabis Resin ....................................................................................................17 a) Written answers circulated on 2 July 2019 ......................................................................................17 b) Written answers circulated on 30 July 2019 .....................................................................................20 c) Written answers circulated on 4 October 2019 .................................................................................23 d) Written answers circulated on 21 October 2019 ...............................................................................26 e) Written answers circulated on 26 November 2019 ...........................................................................26 5.2 Delta-9-tetrahydrocannabinol (dronabinol)..................................................................................28 a) Written answers circulated on 2 July 2019 ......................................................................................28 b) Written answers circulated on 30 July 2019 .....................................................................................31 c) Written answers circulated on 4 October 2019 .................................................................................33 d) Written answers circulated on 21 October 2019 ...............................................................................38 e) Written answers circulated on 26 November 2019 ...........................................................................40 5.3 Tetrahydrocannabinol (isomers of THC) .....................................................................................43 a) Written answers circulated on 2 July 2019 ......................................................................................43 b) Written answers circulated on 4 October 2019 .................................................................................44 5.4 Extracts and tinctures of cannabis .............................................................................................45 a) Written answers circulated on 2 July 2019 ......................................................................................45 b) Written answers circulated on 4 October 2019 .................................................................................48 c) Written answers circulated on 21 October 2019 ...............................................................................50 d) Written answers circulated on 26 November 2019 ...........................................................................50 5.5 Cannabidiol Preparations ...........................................................................................................52 a) Written answers circulated on 2 July 2019 ......................................................................................52 b) Written answers circulated on 30 July 2019 .....................................................................................59 c) Written answers circulated on 4 October 2019 .................................................................................60 e) Written answers circulated on 26 November 2019 ...........................................................................69 2/90 V.20-00845 E/CN.7/2020/CRP.4 5.6 Pharmaceutical Preparations of Cannabis and delta-9-tetrahydrocannabinol (Dronabinol) .........74 a) Written answers circulated on 2 July 2019 ......................................................................................74 b) Written answers circulated on 30 July 2019 .....................................................................................77 c) Written answers circulated on 4 October 2019 .................................................................................78 d) Written answers circulated on 26 November 2019 ...........................................................................82 Annex 1 – TABLE OF CONTROL MEASURES – LICIT ACTIVITIES ...........................................................84 Annex 2 – TABLE OF CONTROL MEASURES – PENAL PROVISIONS ......................................................87 V.20-00845 3/90 E/CN.7/2020/CRP.4 5.0 General Questions a) Written answers circulated on 2 July 2019 China 1) The research on the use of cannabis and cannabis plant in the fields of medicine and food, and the research outcomes, according to WHO. Elaboration on the evidence that benefits of research and utilization of preparations of cannabis are greater than risks. 2) How to research and develop CBD while reasonably control the amount of delta-9-THC in the preparations, given that CBD and delta-9-THC exist concurrently in cannabis plant European 1) How do these recommendations link with the warning issued by the International Union Narcotics Control Board, at the occasion of the launch of its Annual Report 2018, of the dangers of non-medical cannabis developments? 2) How will the implementation of these recommendations affect cannabis-related products, for example CBD-products, on the market? 3) Would you think it might be helpful to have a Glossary which lists and explains more clearly and separate the cannabis related terms due to the medical use or non- medical use (illicit use)? 4) A lack of clarity was identified in relation to the following aspects related to the WHO recommendations on cannabis and cannabis-related substances: - the impact on food products: the current legislation, both at international and at national, does not allow the presence of THC in food products, including the sorts that are considered technical and for food production for example seeds, seed oil, leaves, etc. The legislation requires zero presence of THC, however in practice this is not feasible and small amount of THC is present in these products. For this reason, in some European Union countries national THC limits in food exist, whereas in some others do not consider the national limit as it would violate international conventions. - the impact on the use of CBD in food, having in mind that there is a high interest of producers in adding CBD to foods. It is to be noted that deliberate addition of CBD to food is considered a novel food. 5) Member States should be able to form their own opinion on the relevant information regarding the process and the content of the WHO recommendations. This information should be easily accessible and understandable also by those who are not scientists or legal experts. For example, this information concerns: voting procedures: for example, it should be clear that it does not just concern one vote but 6 votes on the 6 recommendations; scheduling and the related control measures; relevant background information on the recommendations: - It is not very clear where to find the right information on the WHO - ECDD website. The full report and peer reviews, or references to where to find them on the website could also