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Just Because You Have THC in Your Blood or Breath Does Not Mean You Are Impaired Says New Medical Study

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According to a recent study, it was published that THC levels in breath or blood do not directly translate to an impairment or last time of cannabis use. The latest research released late last month gave further evidence that THC levels detected in the breath or blood of cannabis users are not an accurate measure of impairment. The researchers also discovered that THC levels in breath and blood do not give accurate proof of when last a test subject consumed cannabis.

Before kicking off the research, the researchers pointed out that establishing a factual metric of present cannabis use that relates to impairment has become a tricky goal. In some states, legislation has been set to establish legal limits regarding the level of THC in drivers’ blood. This is quite similar to the threshold limit of 0.08% for blood alcohol concentration which is effective nationwide.

With such limits set for breath and blood THC levels in several states, several critics have condemned the idea. They contended that such a threshold has little correlation with the level of intoxication and impairment which varies from one person to the next. As regards cannabis, similar concentration has different effects on persons.

According to the researchers, the study offers additional evidence that specific ratios of unique delta-9 THC levels in the blood do not directly translate to impairment. Hence, the use of a legal threshold for delta-9 THC at this present time is not justifiable scientifically. The whole research was published in the Journal Scientific Reports.

To carry out the research, the researchers enlisted several test subjects, many of which were frequent marijuana users. The researchers then evaluated THC concentration in their breath and blood before and after smoking cannabis.

Before smoking cannabis, the researchers took the reading of the initial THC levels of the test subjects. The average THC levels were recorded at 5mg/ml which exceeded the legal THC levels threshold of most cannabis legalized states. The researchers pointed out that at that THC level, none of the test subjects were impaired. After the subjects smoked cannabis, the researchers took note of an inverse relationship between impairment and THC blood levels.

The researchers noted that their experiment was consistent with previous studies that have proven that delta-9 THC can be perceived in breath after several days of use. Given that the best breath-based testing technologies for cannabis only deface delta-9 THC, there’s the likelihood of false-positive test results. This is because delta-9 THC persists in the breath outside the impairment window.

New Study Supported by Previous Research

Comparing the result of the latest research with a study published in the Neuroscience & Biobehavioral Review journal late last year, the results seem to be consistent. In the 2021 research, researchers from the University of Sydney evaluated all the accessible studies on THC levels in saliva and blood and driving performance.

The author of the research, Dr. Danielle McCartney noted that high THC levels in the blood can be linked with heightened impairment among rare cannabis users. On the other hand, no considerable relationship was established among frequent cannabis users. This implies that oral fluid and blood THC concentrations are poor determinants of delta-9 THC-induced impairment.

To carry out the research, the researchers evaluated data from 28 different publications that evaluated the consumption of ingested or inhaled cannabis. The researchers then went on to evaluate the link between driving performance and THC concentration using distinct driving skills metrics like divided attention and reaction time.

The researchers recorded a weak correlation between impairment among rare cannabis users and THC levels. However, no correlation was recorded between impairment among frequent cannabis users and THC levels in the saliva or blood. Please note that frequent cannabis users here are individuals that use cannabis weekly or daily.

Certainly, this is not to suggest that there are no correlations whatsoever between driving impairment and THC concentration. This is just an indication that THC levels in the saliva or blood are poor metrics for THC intoxication. The author of the research also noted that the result of the study now questions the credibility of the popular random THC testing in several countries. This also includes law enforcement’s reliance on this test in the United States.

McCartney affirmed that the result of the study shows that unimpaired persons could be mistakenly identified as impaired when THC thresholds are set. Similarly, drivers who are impaired following cannabis use might not reflect on the mobile testing which is quite dangerous.

Lambert Initiative’s academic director, Professor Iain McGregor, who has been in charge of the initiative studying the medical prospect of marijuana gave some interesting comments. He affirmed that THC levels within the body have a very complicated relationship with impairment. The direct and strong relationship between impaired driving and blood-alcohol concentration has painted a false image regarding drugs. People now think such a relationship is constant with drugs but that’s not the case with marijuana.

McGregor added that an inexperienced person with cannabis can consume a minute quantity of oral THC and be unfit to drive. Yet, blood tests will show very low oral and blood fluid THC levels. Meanwhile, an experienced cannabis user may take a large THC dose and show no signs of impairment even when the test reads high blood and oral fluid THC levels.

Conclusion

It is evident that there’s a need for an effect and reliance method to identify cannabis impairment in place of work and on the road. Numerous studies have proven that the present mobile THC testing and limits set by cannabis legalized states are not foolproof.

The result of the study shows that unimpaired persons could be mistakenly identified as impaired when THC thresholds are set. Similarly, drivers who are impaired following cannabis use might not reflect on the mobile testing which is quite dangerous.

Hopefully, a more ideal policy and testing procedure will be established that adequately address THC levels and impairment.

Source: https://cannabis.net/blog/medical/just-because-you-have-thc-in-your-blood-or-breath-does-not-mean-you-are-impaired-says-new-medic

Economic Fraud

Fugitive Medicare Fraud Suspect Returned to US After Arrest in Türkiye

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U.S. federal authorities have secured the return of a fugitive suspect accused of involvement in a massive Medicare fraud operation, following his arrest in Türkiye. The extradition marks a significant development in a major healthcare fraud investigation that allegedly cost the American healthcare system billions of dollars.

The suspect, Ibrahim Khaldoon Hilmi, is now in federal custody after spending more than a year outside the United States. Prosecutors are expected to move forward with criminal proceedings as investigators continue to examine what authorities describe as a sophisticated fraud network targeting public healthcare funds.

International Manhunt Ends with Arrest in Türkiye

According to federal investigators, Hilmi left the United States in May 2025 while authorities were building their case. Law enforcement agencies later tracked his location to Türkiye, where cooperation between U.S. and Turkish officials led to his detention.

Following the completion of legal and diplomatic procedures, the suspect was transferred to American custody. Officials described the operation as a successful example of international law enforcement collaboration in pursuing suspects accused of large-scale financial crimes.

A specialized FBI team reportedly traveled to Türkiye to coordinate the transfer and ensure the extradition process was completed smoothly.

Alleged Scheme Targeted Medicare Reimbursement System

Investigators allege that Hilmi played a central role in a fraudulent operation that exploited the Medicare reimbursement system through false claims and improper billing practices.

Authorities estimate that the alleged scheme involved financial losses equivalent to approximately ₹31,700 crore, making it one of the most significant healthcare fraud investigations in recent years.

While the allegations have yet to be tested in court, investigators believe the operation relied on complex financial transactions and coordinated activities designed to extract funds from a government healthcare program serving millions of beneficiaries.

Federal Agencies Expand Investigation

The case extends beyond a single suspect. Federal authorities are examining the potential involvement of additional individuals, businesses, and organizations believed to be connected to the alleged fraud network.

Investigators are reviewing banking records, financial transactions, corporate structures, and digital evidence to determine the full scope of the operation and identify any additional participants.

Officials indicated that tracing the movement of funds and uncovering potential links between entities remains a key focus of the ongoing investigation.

Healthcare Fraud Remains a Major Concern

Government agencies continue to treat Medicare fraud as a serious threat because it impacts taxpayer-funded healthcare resources intended for legitimate medical services.

Authorities argue that fraudulent claims can divert critical funding, increase administrative costs, and place additional pressure on public healthcare programs. As healthcare systems become increasingly digitized, fraud schemes have also become more sophisticated and difficult to detect.

Financial crime specialists note that modern healthcare fraud investigations often involve shell companies, layered transactions, and cross-border financial networks that require extensive forensic analysis.

Growing Importance of Global Law Enforcement Cooperation

The successful return of Hilmi highlights the increasing role of international cooperation in combating financial crime. Law enforcement agencies worldwide are relying more heavily on cross-border partnerships to locate and apprehend suspects who attempt to evade prosecution by relocating overseas.

Officials say such collaborations are essential as financial crimes become increasingly global in nature, involving multiple jurisdictions and complex international money flows.

Legal Proceedings Ahead

The U.S. Department of Justice is expected to present evidence against the suspect as court proceedings move forward. Prosecutors will seek to establish the extent of the alleged fraud and determine accountability among those involved.

The outcome of the case could influence future enforcement efforts aimed at protecting public healthcare programs and strengthening safeguards against large-scale financial misconduct.

For federal authorities, the extradition of Ibrahim Khaldoon Hilmi represents a major step in an ongoing campaign to crack down on healthcare fraud and recover public funds allegedly lost through criminal schemes.

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Cyber Crime

Telangana Doctors Lose Nearly ₹30 Crore to Cyber Fraud Since September 2024

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Cybercriminals have defrauded doctors across Telangana of nearly ₹30 crore since September 2024, prompting authorities to strengthen awareness campaigns and cybersecurity education within the healthcare sector.

The alarming figures were revealed during a cyber awareness programme organized by the Telangana Cyber Security Bureau (TGCSB) in Hyderabad. Senior officials warned that healthcare professionals are increasingly becoming targets of sophisticated online scams despite their educational and professional backgrounds.

Healthcare Professionals Under Growing Cyber Threat

Addressing representatives from various medical associations, TGCSB Director Shikha Goel highlighted the rising number of cybercrime incidents involving doctors and healthcare workers. She emphasized that cybercriminals are exploiting digital platforms to target individuals across all professions, including highly qualified medical practitioners.

Officials stressed that vigilance, awareness, and prompt reporting remain the strongest defenses against cyber fraud. The event focused on strengthening cooperation between law enforcement agencies and the medical fraternity to improve preparedness against evolving cyber threats.

More than 70 office-bearers from medical organizations across Telangana attended the session, including presidents, secretaries, treasurers, and senior representatives.

Investment Scams Responsible for Major Financial Losses

According to TGCSB data, at least 735 doctors have reported cybercrime-related incidents since September 2024, with total losses reaching approximately ₹29.88 crore.

Business and investment fraud emerged as the most damaging category, accounting for losses of ₹22.39 crore involving 127 victims. Investigators noted that fraudsters often lure professionals with promises of high returns, fake investment opportunities, and deceptive business schemes.

Authorities also reported a wide range of other cyber offences affecting doctors, including digital arrest scams, identity theft, impersonation fraud, fake advertisements, job-related scams, insurance fraud, cryptocurrency fraud, UPI-related cheating, matrimonial scams, and sextortion cases.

Authorities Stress Importance of Rapid Reporting

The Telangana Cyber Security Bureau urged victims to report cybercrime incidents immediately, especially during the critical “golden hour” after a fraudulent transaction occurs.

Officials explained that timely complaints through the national cybercrime helpline 1930 and the official cybercrime reporting portal can significantly improve the chances of freezing suspicious transactions and recovering stolen funds.

The bureau further warned that cybercriminals are employing increasingly advanced techniques to deceive victims, making awareness and quick action more important than ever.

Medical Associations Join Awareness Drive

Representatives from associations of paediatricians, cardiologists, dentists, orthopaedic surgeons, gynaecologists, and hospital administrators participated in the discussions. The groups pledged to work closely with authorities to spread cybersecurity awareness through hospitals, clinics, medical conferences, and professional training programmes.

Officials believe that expanding cyber awareness among healthcare professionals will play a key role in reducing financial fraud and strengthening digital security across the state’s medical community.

As cyber threats continue to evolve, law enforcement agencies are encouraging doctors and other professionals to remain cautious when responding to investment offers, unknown communications, and requests for sensitive financial information online.

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Education News

AIIMS Gorakhpur Reservation Controversy: FIR Alleges Fake OBC Certificate Used Despite ₹80 Lakh Income

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A major controversy has emerged at AIIMS Gorakhpur after allegations surfaced that reservation benefits were misused to secure a postgraduate medical seat. A criminal case has been registered against former AIIMS Gorakhpur Executive Director Dr. G.K. Pal and his son, Dr. Oro Prakash Pal, over the alleged use of a forged Other Backward Class (OBC) Non-Creamy Layer certificate for admission to an MD course.

The case has triggered widespread debate within medical and administrative circles, raising serious questions about transparency and oversight in admissions to premier medical institutions.

FIR Filed on Court’s Direction

The First Information Report (FIR) was registered at the AIIMS police station following directions from Chief Judicial Magistrate Tvishi Srivastava. According to the complaint, the alleged offence took place on August 30, 2024, when forged documents were purportedly used to obtain an MD seat under the OBC reservation quota.

Sources indicate that the matter was subsequently brought to the attention of the Union Ministry of Health, prompting internal reviews and administrative action.

Alleged Income Far Above Eligibility Threshold

Central to the allegations is the claim that Dr. G.K. Pal and his wife Parvati Pal have a combined annual income exceeding ₹80 lakh. Under existing reservation rules, families with such income levels are not eligible for OBC Non-Creamy Layer benefits.

Following the emergence of the controversy, Dr. Pal was first removed from his position at AIIMS Gorakhpur and later relieved of responsibilities at AIIMS Patna. He is currently posted at JIPMER Puducherry. With the registration of the FIR, officials suggest that further legal and departmental action may follow, depending on the outcome of the investigation.

Complaint Highlights Systemic Concerns

The complaint was filed by Ashutosh Kumar Mishra, a resident of Divyanagar in the Cantonment area. He alleged that the events related to the case occurred between January and September 2024. The complainant argued that misuse of reservation provisions by individuals in senior positions undermines the integrity of public institutions and erodes trust in the medical education system.

The case has reignited concerns over whether verification mechanisms for reservation certificates are robust enough, particularly in high-stakes admissions.

Impact on Medical Community

The allegations have sent shockwaves through the medical fraternity. Experts believe that if the claims are substantiated, the case could prompt a broader review of admission procedures and lead to stricter scrutiny of category certificates across institutions like AIIMS.

Authorities have stated that all relevant documents will be carefully examined before taking further steps. The outcome of the investigation is expected to have far-reaching implications for accountability and compliance in medical admissions.

Questions Await Answers

As the probe continues, several key issues remain unresolved: whether reservation norms were deliberately violated, how verification processes failed, and whether similar cases may surface in the future. For now, the focus remains on the investigation and its potential consequences.

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