Drive By Truckers 2.0

Total drug violations reported into the clearinghouse in 2022, including positive tests and refusals to take a drug test, increased 18% to 69,668 compared with last year’s 59,011, according to the most recent statistics released this week by the Federal Motor Carrier Safety Administration. That rate almost doubled the 9.2% annual increase in drug violations reported in 2021. Much of the increase can be attributed to violations related to marijuana, the substance identified most in positive tests. Marijuana violations increased 31.6% in 2022 compared with 2021, to 40,916. That compares to a 5.3% increase between 2020 and 2021.

Truckers’ positive drug tests up 18% in 2022 — https://www.freightwaves.com/news/truckers-positive-drug-tests-up-18-in-2022

At least binge drinking prevalence is just 19%

Truck drivers have been reported as a highly vulnerable working population due to different risk factors [16,17,18] including hypertension, fatigue [19], obstructive sleep apnea (OSA) and sleep deprivation [20,21], and insufficient physical activity [22]. Other risk factors are exposure to diesel exhaust and risk of developing lung cancer [23], poor diet, obesity, dyslipidemia, and other metabolic disorders [24]. Furthermore, they are prone to risky behaviors and lifestyles such as smoking, drinking, using psychoactive substances, and having casual sexual contacts [25].

Patterns of Harmful Alcohol Consumption among Truck Drivers: Implications for Occupational Health and Work Safety from a Systematic Review and Meta-Analysis — Int J Environ Res Public Health. 2018 Jun; 15(6): 1121.
Published online 2018 May 30. doi: 10.3390/ijerph15061121

I ask them why the industry has a 90 percent attrition rate within the first year. All instantly respond: “No money.” They describe a predatory apprenticeship system that conspires against new drivers seeking to enter the profession. The industry is made up of thousands of mostly small-fleet owners—95 percent of them with 20 trucks or fewer—but dominated by about two dozen giant companies that serve as its gatekeepers. These megacarriers often house schools where some 400,000 new truckers receive commercial driver’s licenses annually. The companies entice people with promises of financial plenty, even as they ensnare them in “training contracts”—binding agreements that require them to drive for the company at below-market wages for a year in exchange for training or else be hit with an exorbitant fee for that training, to be paid off at high interest. Many drivers stick around for the full year to avoid those fees, enduring what amounts to debt peonage. 

“I have panic attacks,” he says. “That’s why I drink.”


Life as a 21st-Century Trucker — https://www.wired.com/story/life-as-a-21st-century-trucker/

For the first post in this series see Drive By Truckers.

Sharp Rise in Drug Overdose Deaths in Seniors

The researchers used data from the US Centers for Disease Control and Prevention (CDC) to calculate annual overdose deaths from 2002 to 2021 among people aged 65 and older.

Overall, they found that fatal overdoses quadrupled from 1060 in 2002 (three per 100,000) to 6702 (12 per 100,000) in 2021, with the highest rates in Blacks (30.9 per 100,000).

In 2021, about 13% of overdoses were intentional, 83% were unintentional, 4% were undetermined, and less than 1% were homicide. Older women accounted for 57% of intentional overdoses and 29% of accidental overdoses.

Sharp Rise in Drug Overdose Deaths in Seniors – Medscape – Mar 30, 2023 — https://www.medscape.com/viewarticle/990297?src=rss

FDA Approves First Over-the-Counter Naloxone Nasal Spray (Scary News or What?)

Drug overdose persists as a major public health issue in the United States, with more than 101,750 reported fatal overdoses occurring in the 12-month period ending in October 2022, primarily driven by synthetic opioids like illicit fentanyl.

FDA Approves First Over-the-Counter Naloxone Nasal Spray — https://www.fda.gov/news-events/press-announcements/fda-approves-first-over-counter-naloxone-nasal-spray

Can’t Get Adderall? (plus a bonus Scary Chart)

This shortage is complicated, and has several causes. Teva Pharmaceuticals, for instance, which is the largest producer, had problems with its factory. And yet, Teva today has Adderall to sell, as do many other producers, but the shortage persists. What is going on? I suspect that we aren’t hearing about one part of the problem. Monopolization. Indeed, monopolies often leads to shortages, which we’ve seen with baby formula, hospital medicine, ammunition, and military equipment. And they are a part of the problem here.

The Monopolies Behind the Adderall Shortage — https://mattstoller.substack.com/p/the-monopolies-behind-the-adderall?publication_id=11524&post_id=110279315&isFreemail=true

The opioid graphic will make a lot more sense when the read the entire article.

Food Addiction

Addiction to Highly Processed Food Among Older Adults — https://www.healthyagingpoll.org/reports-more/report/addiction-highly-processed-food-among-older-adults

Read the press release here – https://ihpi.umich.edu/news/1-8-americans-over-50-show-signs-food-addiction-u-m-poll-finds

Read more about the Yale Food Addiction Scale here – https://sites.lsa.umich.edu/fastlab/yale-food-addiction-scale/

Step 1: I admit I am powerless over pizza.

The picture above is a normal size slice at Benny’s. The tall beer can was strictly in the picture to provide perspective. For more about Benny’s see https://garyskitchen.net/worship-the-whale/.

Reefer Madness

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Violence associated with psychosis has also been well-documented. Marijuana use may be associated with increased impulsivity on the same day and the following day relative to days when marijuana was not used. It is also associated with increased hostile behaviors and perceptions of hostility in others on the same day compared to days when marijuana was not used. Cannabis use disorder appears to increase the risk of aggression towards others, particularly among youths. There is also evidence of a moderate association between cannabis use and physical violence.

Psychosis can be caused by various conditions, including licit and illicit substances, particularly cannabis. Cannabis has a higher conversion rate to psychosis than other substances. 32 percent of patients with substance-induced psychosis convert to either bipolar or schizophrenia-spectrum disorders, with the highest conversion rate found with cannabis-induced psychosis (47 percent). There is debate about the causal relationship between cannabis and psychosis. However, this can be demonstrated using Bradford-Hill criteria. Despite this, psychosis is often multifactorial in many instances. Cannabis exposure increases the risk of psychosis, from transient psychotic states to chronic recurrent psychosis. In individuals with established psychosis, cannabis has a negative impact on the course and expression of the illness.

The dark side of cannabis: increased risk of psychosis — https://www.kevinmd.com/2023/01/the-dark-side-of-cannabis-increased-risk-of-psychosis.html

But really, Does Marijuana Have Any Bad Side Effects?

You must be joking about Cannabis and Psychosis, right?

Marijuana and hallucinogen use among young adults reached all-time high in 2021

Marijuana Tied to Ongoing, Subclinical Psychosis in Teens

ATTENTION PARENTS – (What that does to the brain, we don’t know…)

Concerns about the mental health impacts of social media activity are longstanding, and have only intensified in recent years. In 2021, for example, internal research at Instagram made public by Frances Haugen showed the drastic mental health impacts of the photo app on teen users – including increased rates of eating disorders among teen girls – and sparked widespread calls for stronger regulation.But TikTok hosts similar harmful content, and experts warn a host of innovative features of the platform raise unique concerns.

What TikTok does to your mental health: ‘It’s embarrassing we know so little’ — https://www.theguardian.com/technology/2022/oct/30/tiktok-mental-health-social-media

All social media is not bad.

But some platforms are worse than others.

Some earlier posts:

Social media use can lead to low quality sleep and harm mental health — Health Secrets of a SuperAger

More Social Media Use Linked to More Depression and Anxiety in Teens

Quit Social Media – Dr. Cal Newport

I Thought I Told You To Put That Phone Down!

Twitter and Facebook ‘harming children’s development’ – Telegraph

Nicotine Addiction (hook ’em while they’re young)

Today, the U.S. Food and Drug Administration, in coordination with the Centers for Disease Control and Prevention (CDC), released federal data from the 2022 National Youth Tobacco Survey (NYTS) on e-cigarette use among U.S. youth. The findings, published in Morbidity & Mortality Weekly Report, show that youth use of e-cigarettes remains high, with 2.5 million (9.4%) of the nation’s middle and high school students reporting current e-cigarette use. 

New Data Show More Than 2.5 Million U.S. Youth Currently Use E-Cigarettes — https://www.fda.gov/news-events/press-announcements/new-data-show-more-25-million-us-youth-currently-use-e-cigarettes

News Addiction

The results revealed that 16.5% of people surveyed showed signs of ‘severely problematic’ news consumption. Such individuals frequently became so immersed and personally invested in news stories that the stories dominated the individual’s waking thoughts, disrupted time with family and friends, made it difficult to focus on school or work, and contributed to restlessness and an inability to sleep.

73.6% of those recognized to have severe levels of problematic news consumption reported experiencing mental ill-being “quite a bit” or “very much” — whilst frequent symptoms were only reported by 8% of all other study participants.

61% of those with severe levels of problematic news reported experiencing physical ill-being “quite a bit” or “very much” compared to only 6.1% for all other study participants.

Taylor & Francis Group. “News addiction linked to not only poor mental wellbeing but physical health too, new study shows.” ScienceDaily. http://www.sciencedaily.com/releases/2022/08/220824102936.htm (accessed October 5, 2022).

Social media use can lead to low quality sleep and harm mental health — Health Secrets of a SuperAger

Many people in today’s world live with their smartphones as virtual companions. These devices use electronic social media networks that alert users to updates on friends, favorite celebrities, and global events. Social media has become firmly integrated into a lot of people’s daily lives. According to the Pew Research Center, 72% of people in the […]

Social media use can lead to low quality sleep and harm mental health — Health Secrets of a SuperAger

Thank you Tony.