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Study links 4/20 to an increase in deadly car crashes
U.S. drivers faced a 12% greater risk of dying in a car crash on April 20 over the past 25 years. The likely explanation? High drivers.

Every year on April 20—aka 4/20—millions of people around the world celebrate marijuana’s chief holiday by, of course, getting really high. The celebrations are usually peaceful, even if they’ve been a pain for university officials in states like Colorado and California, where massive crowds used to openly light up on campus property when 4:20pm struck on the holiday.
But new research suggests there’s a darker side to the story.
A study published in JAMA Internal Medicine shows that drivers in the U.S. faced a 12 percent greater risk of dying in a car crash on April 20 over the past 25 years. The likely explanation? Impaired drivers crashing cars.

The researchers used a quarter-century’s worth of data from the U.S. Department of Transportation’s Fatality Analysis Reporting System to compile the total number of fatal car crashes that occurred between 4:20pm and midnight each year on April 20. They then compared those rates to the number of fatal car crashes that occurred on two other days: one week before and one week after the holiday. These days served as a control.
The results showed that marijuana-related crashes were potentially responsible for 142 increased deaths over the 25 years, a timeframe researchers chose because it was one year after High Times published a short story on the origins of 4/20. What’s more, drivers under the age of 21 were disproportionately affected on the holiday, experiencing a 38 percent increased risk of dying in a car crash. That’s comparable to the fatality rates associated with Super Bowl Sunday, known as a day of heavy drinking.
“The simplest interpretation of our findings is that some drivers are impaired by cannabis use and that these drivers contribute to fatal crashes,” said study author John Staples, a clinical professor at the University of British Columbia, to VICE.
Interestingly, states that had legalized marijuana showed a decreased relative risk in fatal car accidents on April 20, as the map created by the researchers shows below.
“Our study thus examines fluctuations in marijuana consumption on April 20th rather than base-rates of marijuana consumption,” Staples told VICE. “It is possible that some states with high base-rates of cannabis consumption exhibit little increase in consumption on 4/20.”
It’s hard to know just how much smoking pot affects driving ability. One reason is that we don’t have perfect data on drug-related crashes, considering that, unlike alcohol, not all municipalities are required to screen people for drugs after car crashes.
Another reason is that the exact effects of marijuana on driving ability can vary greatly by individual. Smoking pot has been shown to impair motor coordination and reaction time, but the magnitude of these effects depend on one’s method of ingestion, quality of the pot, and, especially, their experience with the drug.
It’s this “experience” problem that makes it difficult for law enforcement to test drivers for the drug. For instance, the concentration of THC in a smoker’s system doesn’t necessarily reflect their level of impairment. These level will be higher in regular smokers, who, as a result of tolerance, won’t be as high.
If you're going to smoke and drive, hire a limo driver. (Photo: Shutterstock)
Either way, it’s safe to say that driving stoned is generally less dangerous than driving drunk, but alcohol and pot used together can substantially increase the effects of both substances, mainly because alcohol increases the absorption rate of THC while marijuana delays the effects of booze. It’s a deadly recipe for drivers. Even though Department of Transportation data shows that drunk driving killed about 10,000 people in 2016, we really don’t know for sure how many of those drivers were drunk and stoned.
Staples told TIME that other factors, like alcohol, have probably contributed to the spike in fatalities on April 20 since 1992. But that doesn’t change the moral hiding in the numbers.
“My message to the public is: Don't drive high,” Staples told VICE. “I think it's important that the regulatory and enforcement strategies around cannabis use and impaired driving prioritize public health. This means there should be a focus on injury prevention, but it also means we should consider how our policy choices affect the health of marginalized groups such as minorities and people with mental health and addiction issues.”

Archaeologists identify contents of ancient Mayan drug containers
Scientists use new methods to discover what's inside drug containers used by ancient Mayan people.
A Muna-type paneled flask with distinctive serrated-edge decoration from AD 750-900.
- Archaeologists used new methods to identify contents of Mayan drug containers.
- They were able to discover a non-tobacco plant that was mixed in by the smoking Mayans.
- The approach promises to open up new frontiers in the knowledge of substances ancient people consumed.
PARME staff archaeologists excavating a burial site at the Tamanache site, Mérida, Yucatan.
Credit: WSU
Why cities are critical to achieving a carbon-neutral world
In May 2018, the city of Paris set an ambition to be carbon-neutral by 2050.
- Countries, governments and companies are aligning on a need for net-zero - and this is an opportunity to rethink decarbonizing our cities.
- There is no "one-size-fits-all" solution – each city's needs must be at the heart of developing integrated energy solutions.
- A city can only decarbonize through collaboration between government, the private sector, and local communities.
Japanese government appoints new "Minister of Loneliness"
While not the first such minister, the loneliness epidemic in Japan will make this one the hardest working.
Minister Tetsushi Sakamoto
- The Japanese government has appointed a Minister of Loneliness to implement policies designed to fight isolation and lower suicide rates.
- They are the second country, after the U.K., to dedicate a cabinet member to the task.
- While Japan is famous for how its loneliness epidemic manifests, it isn't alone in having one.
The Ministry of Loneliness
<iframe width="730" height="430" src="https://www.youtube.com/embed/I5FIohjZT8o" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe><p><a href="https://www.jimin.jp/english/profile/members/114749.html" target="_blank" rel="noopener noreferrer">Tetsushi Sakamoto</a>, already in the government as the minister in charge of raising Japan's low birthrate and revitalizing regional economies, was appointed this <a href="https://www.japantimes.co.jp/news/2021/02/21/national/japan-tackles-loneliness/" target="_blank" rel="noopener noreferrer">month</a> to the additional role. He has already announced plans for an emergency national forum to discuss the issue and share the testimony of lonely <a href="https://www.japantimes.co.jp/news/2021/02/12/national/loneliness-isolation-minister/" target="_blank" rel="noopener noreferrer">individuals</a>.</p><p>Given the complexity of the problem, the minister will primarily oversee the coordination of efforts between different <a href="https://www.insider.com/japan-minister-of-loneliness-suicides-rise-pandemic-2021-2" target="_blank" rel="noopener noreferrer">ministries</a> that hope to address the issue alongside a task <a href="https://www.japantimes.co.jp/news/2021/02/21/national/japan-tackles-loneliness/" target="_blank" rel="noopener noreferrer">force</a>. He steps into his role not a moment too soon. The loneliness epidemic in Japan is uniquely well known around the world.</p><p><a href="https://en.wikipedia.org/wiki/Hikikomori" target="_blank" rel="noopener noreferrer"><em>Hikikomori</em></a><em>,</em> often translated as "acute social withdrawal," is the phenomenon of people completely withdrawing from society for months or years at a time and living as modern-day hermits. While cases exist in many <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00247/full" target="_blank" rel="noopener noreferrer">countries</a>, the problem is better known and more prevalent in Japan. Estimates vary, but some suggest that one million Japanese live like this and that 1.5 million more are at <a href="https://www.nationalgeographic.com/photography/article/japan-hikikomori-isolation-society" target="_blank" rel="noopener noreferrer">risk</a> of developing the condition. Individuals practicing this hermitage often express contentment with their isolation at first before encountering severe symptoms of loneliness and <a href="https://www.sciencedaily.com/releases/2020/01/200110155241.htm" target="_blank" rel="noopener noreferrer">distress</a>.</p><p><a href="https://en.wikipedia.org/wiki/Kodokushi" target="_blank" rel="noopener noreferrer"><em>Kodokushi</em></a>, the phenomenon of the elderly dying alone and remaining undiscovered for some time due to their isolation, is also a widespread issue in Japan that has attracted national attention for decades.</p><p>These are just the most shocking elements of the loneliness crisis. As we've discussed before, loneliness can cause health issues akin to <a href="https://www.inc.com/amy-morin/americas-loneliness-epidemic-is-more-lethal-than-smoking-heres-what-you-can-do-to-combat-isolation.html" target="_blank" rel="noopener noreferrer">smoking</a>. A lack of interaction within a community can cause social <a href="https://bigthink.com/in-their-own-words/how-religious-neighbors-are-better-neighbors" target="_self">problems</a>. It is even associated with changes in the <a href="https://bigthink.com/mind-brain/loneliness-brain" target="_self">brain</a>. While there is nothing wrong with wanting a little time to yourself, the inability to get the socialization that many people need is a real problem with real <a href="https://bigthink.com/mind-brain/brain-loneliness-hunger" target="_self">consequences</a>.</p>The virus that broke the camel's back
<iframe width="730" height="430" src="https://www.youtube.com/embed/Hp-L844-5k8" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe><p> A global loneliness pandemic existed before COVID-19, and the two working in tandem has been catastrophic. </p><p>Japanese society has always placed a value on solitude, often associating it with self-reliance, which makes dealing with the problem of excessive solitude more difficult. Before the pandemic, 16.1 percent of Japanese seniors reported having nobody to turn to in a time of need, the highest rate of any nation <a href="https://www.japantimes.co.jp/news/2021/02/21/national/japan-tackles-loneliness/" target="_blank" rel="noopener noreferrer">considered</a>. Seventeen percent of Japanese men surveyed in 2005 said that they "rarely or never spend time with friends, colleagues, or others in social groups." This was three times the average rate of other <a href="http://www.oecd.org/sdd/37964677.pdf" target="_blank" rel="noopener noreferrer">countries</a>. </p><p>American individualism also creates a fertile environment for isolation to grow. About a month before the pandemic started, nearly<a href="https://www.npr.org/sections/health-shots/2020/01/23/798676465/most-americans-are-lonely-and-our-workplace-culture-may-not-be-helping" target="_blank" rel="noopener noreferrer"> 3 in 5</a> Americans reported being lonely in a <a href="https://www.cigna.com/about-us/newsroom/studies-and-reports/combatting-loneliness/" target="_blank" rel="noopener noreferrer">report</a> issued by Cigna. This is a slight increase over previous studies, which had been pointing in the same direction for years. </p><p>In the United Kingdom, the problem prompted the creation of the Jo Cox Commission on Loneliness. The commission's <a href="https://www.ageuk.org.uk/globalassets/age-uk/documents/reports-and-publications/reports-and-briefings/active-communities/rb_dec17_jocox_commission_finalreport.pdf" target="_blank" rel="noopener noreferrer">final report </a>paints a stark picture of the U.K.'s situation in 2017, with millions of people from all parts of British society reporting feeling regular loneliness at a tremendous cost to personal health, society, and the economy.</p><p>The report called for a lead minister to address the problem at the national level, incorporating government action with the insights provided by volunteer organizations, businesses, the NHS, and other organizations on the crisis's front lines. Her Majesty's Government acted on the report and appointed the first Minister for Loneliness in <a href="https://time.com/5248016/tracey-crouch-uk-loneliness-minister/" target="_blank" rel="noopener noreferrer">2018</a>, <a href="https://en.wikipedia.org/wiki/Tracey_Crouch" target="_blank" rel="noopener noreferrer">Tracey Crouch</a>, and dedicated millions of pounds to battling the problem. </p><p>The distancing procedures necessitated by the COVID-19 epidemic saved many lives but exacerbated an existing problem of loneliness in many parts of the world. While the issue had received attention before, Japan's steps to address the situation suggest that people are now willing to treat it with the seriousness it deserves.</p><p>--</p><p><em>If you or a loved one are having suicidal thoughts, help is available. The suicide prevention hotline can be reached at 1-800-273-8255.</em></p>How art and design can rebuild a community
MIT professor Azra Akšamija creates works of cultural resilience in the face of social conflict.
