Allison Sharer, OCPS II Wingspan Training, LLC for Its only
weed, right? 1
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Who is... ? 2
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What is the Marijuana Quiz? Field needed distillation key
research points Citations Do the work for me Not meant as the be
all and end all 3
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Ways to use the quiz Customizable presentation Change numbers
if you cut questions! Toolbox to pull from for other presentations
To bone up Offense: identify 3 4 core messages & support
Defense: responding to questions 4
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What have you heard? 5
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What barriers do you face when educating others on marijuana?
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Lets see the quiz! (go to slide 12) 7
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Persuasion Proactive: 2 sided persuasion statements Opposing
view Validate reasonableness of that view Gently challenge with new
information Summarize new view 8
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Persuasion Reactive: Responding to questions, comments,
resistance Dont get fished in! GOAL Whats your GOAL? WHO WHO is
your target? Credibility Make your case Respect May have to agree
to disagree to move on 9
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Set 3 personal goals for what you will do to increase your
confidence & ability to educate others on marijuana. 11
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The rest of the slides constitute a quiz-style presentation you
can customize for your own use.
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YOUR ORGANIZATION HERE
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Research vs. Politics 15 Should marijuana be legalized? IS
there objective, scientific evidence that marijuana causes health
&/or impairment problems?
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Science has learned more about marijuana in the past twenty
years than in the preceding two hundred. Ironically, however, there
has been a major incongruence between the scientific knowledge
gained and the publics understanding of the drug. Sabet, Kevin A.,
Ph. D. Director, Drug Policy Institute Co-Founder, Project SAM
(Smart Approaches to Marijuana) 16
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POP QUIZ! 1.Marijuana doesnt hurt anyone. True False What would
most people say? 18
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POP QUIZ! 1.Marijuana doesnt hurt anyone. True False 19 What
would most people say?
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What do people mean when say doesnt hurt anyone? No one dies?
From overdose? TRUE! TRUE! From toxicity from edibles? FALSE!
FALSE! From safety or health consequences? FALSE! FALSE! What about
addiction? What about quality of life? 20
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Impacts on: The Developing Brain Many studies consistently show
use linked to: Changes in adolescent brain resulting in learning
and memory problems, IQ loss, less life satisfaction Recent studies
Northwestern University Feinberg School of Medicine: 1.Changes in
brain structure similar to schizophrenia Impacting learning,
memory, communications between brain regions 2.Casual use linked to
brain abnormalities Significant changes in shape, volume and
density of brain regions Directly related to the number of joints
smoked/week 21
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Impacts on youth: Schooling & Employment Many studies
consistently show use linked to: Reduced grades Youth with D
average grade or below were 4x as likely to use marijuana than
those with A average Enrollment gaps & leaving school Lower
incomes as adults 22
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Impacts on Adults: Employment Majority of positive drug tests
are for marijuana Employees who abuse drugs are: 10 x more likely
to miss work 3.6 x more likely to be involved in on-the-job
incidents 5 x more likely to file a workers compensation claim. Job
applicants who tested positive: 59.3% higher absenteeism rate 47%
higher rate of involuntary turnover 23
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POP QUIZ! 2.Marijuana is not addictive. True False 24 What
would most people say?
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POP QUIZ! 2.Marijuana is not addictive. True False 25 What
would most people say?
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IS Marijuana IS addictive Intensity of withdrawal varies How
progressed is the addiction? Half life confuses the issue Lab
studies (mice & humans) 1 out of 11 users become addicted
Similar to alcohol When use starts in adolescence, rate is 1 out of
6 Similar to cocaine 26
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Marijuana Treatment Admissions 1 out of 4 of all people in
treatment were treated for marijuana In 2013: #1:Alcohol #2:Pain
relievers #3:Marijuana #4:Cocaine 27
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We cant say no one dies: Individuals treated for addiction to
marijuana had a higher mortality rate than those with diagnoses
related to cocaine or alcohol. 28
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Danger of new policies States with marijuana as a medicine
marijuana abuse/dependence rates almost 2x higher than states
without medical access 29
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POP QUIZ! 3.The potency of todays marijuana is: A.About the
same as the marijuana from the 1970s. B.A little stronger than the
marijuana from the 1970s. C.About 12x stronger than the marijuana
from the 1970s. D.At least 100x stronger than the marijuana from
the 1970s. 30 What would most people say?
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POP QUIZ! 3.The potency of todays marijuana is: A.About the
same as the marijuana from the 1970s. B.A little stronger than the
marijuana from the 1970s. C.About 12x stronger than the marijuana
from the 1970s. D.At least 100x stronger than the marijuana from
the 1970s. 31 What would most people say?
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Potency: This isnt your dads marijuana The University of
Mississippi Potency Monitoring Project Average: 1970s:less than 1%
1990s:3 4 % Huge increase mid-1990s to todays 13% 32
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Potency: Increased THC Content in Seized Marijuana 33
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When you think of marijuana... THEN: NOW:
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Increased potency = increased problems This increase in potency
has coincided with: Increased drug treatment admissions for
marijuana addiction 35
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Increased potency = increased problems AND this increase in
potency has coincided with: Increased emergency room admissions
with marijuana 37
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Rates of Emergency Department (ED) Visits Involving Illicit
Drugs per 100,000 Population, by Age and Drug: 2010 38
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POP QUIZ! 4.It is safe to drive after using marijuana. True
False 43 What would most people say?
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POP QUIZ! 4.It is safe to drive after using marijuana. True
False False 44 What would most people say?
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Marijuana & driving The most prevalent illegal drug
detected in: impaired drivers fatally injured drivers motor vehicle
crash victims Definitively impairs driving performance in studies
using: Open & closed driving courses Driving simulators 45
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Marijuana & Driving Decreased car handling performance
Increased reaction times, Impaired time and distance estimation
Inability to maintain speed Inability to maintain lane Lateral
travel 46 Subjective sleepiness Lack of motor coordination Impaired
sustained vigilance have all been reported. Increased decision
times to evaluate situations and determine appropriate
responses
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Marijuana & driving Impairments linger: Roadside sobriety
test 90 minutes after smoking:94% failed 2.5 hours after
smoking:60% failed 47
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Typical high = impairment at.08 BAC.08 BAC does not mean safe
to drive! Over 300 studies show.08 BAC causes problems with:
Divided attention Complex reaction time Steering Lane changing
Judgment Drivers between.05 -.08 are 7 21x more likely to be killed
in crash 48
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Marijuana & driving The Bottom Line: At minimum, marijuana
use doubles the risk of a car crash 49
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Rocky Mountain HIDTA report, 2013 50 Overall traffic
fatalitiesDOWN14%UP100% Traffic fatalities + for marijuana Between
2007 2012 as a Medical Marijuana state only:
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POP QUIZ! 5.Using marijuana is safer than drinking alcohol.
True False 51 What would most people say?
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POP QUIZ! 5.Using marijuana is safer than drinking alcohol.
True False 52 What would most people say?
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Marijuana & impairment Mental vs. physical impairment
Marijuana impairment (immediate & lingering) Memory Attention
Vision Depth Perception Perception of time Judgment Perception of
performance At minimum, doubles risk of car crash 53
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Marijuana & health Heart Immune System Depression, Anxiety,
Other Mental Health Concerns Cancers Respiratory System 54
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POP QUIZ! 6.Smoking marijuana is safer than smoking cigarettes.
True False 55 What would most people say?
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POP QUIZ! 6.Smoking marijuana is safer than smoking cigarettes.
True False 56 What would most people say?
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A historical turn Today, 2x more youth smoke marijuana than
cigarettes. 57
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Marijuana vs. Tobacco Hotter smoke, often unfiltered Held in
the lungs longer 3 10x the tar (resin) 4x tar retention as a
comparable filtered cigarette 50% - 75% more of some carcinogens
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NOT Marijuana is NOT safer than tobacco 1 joint has similar
airflow obstruction as up to 5 cigarettes Increased incidence of
inflammation, sinusitis, bronchitis, emphysema Findings on lung
cancer are mixed 59
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POP QUIZ! 7.Marijuana is a safe because it is natural. True
False 60 What would most people say?
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POP QUIZ! 7.Marijuana is a safe because it is natural. True
False 61 What would most people say?
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Natural Safe. Some believe: From the earth & used in
natural form Tobacco has additives Other drugs man-made concoctions
in a lab or a basement YET: Many plants are toxic & unsafe for
human use Even in its most natural forms, marijuana has been proven
to carry both health & safety risks 62
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Plant as natural medicine? Many plants have medicinal
properties or chemical compounds within them But we dont: Smoke
opium for pain relief Chew willow bark for aspirin Eat rosy
periwinkle for battling leukemia 63
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Basic tenets of safe & effective medicine Goal of medicine:
Increase benefits and reduce harm/risk Good medicine: Research
support for conditions proven to help Controlled strength &
purity Appropriate dosage levels Age limits as needed Safe means of
administration 64
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Girl Scout Cookie Marijuana for Depression, PTSD, Bipolar
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88 strains for depression 25 for PTSD 40 for ADD/ADHD 23 for
Bi-Polar No dosage, duration No screening No instruction for FDA
approved meds or counseling Is this patient focused? Denver
Post/Leafly
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Medical Cotton Candy?
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Patient-focused Medicine?
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Free Joint Friday for Females (for medical purposes)
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Medical Site?
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Pharmacists or Budtenders?
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Medical vs. Medical Marijuana Legalized as Medicine FDA
Approved Marijuana-based Medicines Safe Effective Established dose
& regimen Randomized controlled trials Recall system Doctors
prescribe Pharmacies sell Pharmacists dispense No proven safety No
proven efficacy No established dose or regimen No randomized
controlled trials No recall system Doctors recommend or certify
Dispensaries sell Budtenders dispense
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Medicine is not up for vote Marijuana should be subject to the
same research, consideration & study as any other potential
medicine. 73
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POP QUIZ! 8.Everybody does it! True False 74 What would most
people say?
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POP QUIZ! 8.Everybody does it! True False False 75 What would
most people say?
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Marijuana is becoming more normalized Marijuana is all over the
news, joked about in television shows, and depicted as normal in
the movies. Add the internet presence of this drug, and it would be
easy to think that everybodys doing it. YET... 76
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Everybody is NOT doing it Use of ANY illegal drug: Entire
population:Less than 10% Use of marijuana: Entire population: 7.5%
Youth aged 12 17:7.1 % Young adults aged 18 25:19.1% 58% of
Americans have never even tried marijuana 77
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The BLUNT TRUTH is: The MAJORITY is Drug-free! 78
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But... As marijuana policies have changed 79
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And remember, Today, 2x more youth smoke marijuana than
cigarettes. 80
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Denver 2014 Student Survey Last 30 day use rate GradeMarijuana
U.S. Marijuana Denver Percent higher in Denver than U.S. 8 th
6.5%22.5% 350% 9 th 17%23.8%35% 10 th 16.6%25.3%56% 12th21.2%30%42%
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When policies change... Increased access = increased use
Decreased perception of risk = increased use 86
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POP QUIZ! 9.If we legalize and tax marijuana, governments will
gain much needed dollars. True False 87 What would most people
say?
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POP QUIZ! 9.If we legalize and tax marijuana, governments will
gain much needed dollars. True False 88 What would most people
say?
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Marijuana: Tax Revenue? Colorados Governors Office prior to
implementation - estimated $100 million in taxes First 6 months
actual: $21.5 million 2014 total = approximately $53 million
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Reality: Low Return on Tax Income 90 1.Black market cheaper 40%
still sold on black market in Colorado 2.Medical marijuana cheaper
Excess sold illegally Rise in patients 3.Can grow own 4.Lawmakers
too optimistic
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Tax Revenue: Cost/benefit? Alcohol 2007 federal tax revenue:$9
billion 2007 state tax revenue: $5.5 billion 2007 social costs of
alcohol:$185 billion Tobacco Annual social cost to Americans:$200
billion Annual tax revenue:$25 billion 91
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POP QUIZ! 10.Legalizing marijuana will eliminate the black
market and drug cartels. True False 92 What would most people
say?
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POP QUIZ! 10.Legalizing marijuana will eliminate the black
market and drug cartels. True False 93 What would most people
say?
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Will crime still pay? Marijuana only 15% - 20% of cartel
revenue Most legalization schemes include high taxes Black market
will undercut price to keep market share Legalization likely will
increase demand Law enforcement reports from other states 94
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POP QUIZ! 11.What percent of state prisoners are being held for
marijuana possession only? A.0.7 % B.5.2 % C.10.8 % D.17.1 % 95
What would most people say?
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POP QUIZ! 11.What percent of state prisoners are being held for
marijuana possession only? A.0.7 % B.5.2 % C.10.8 % D.17.1 % 96
What would most people say?
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Risk for arrest 1 arrest for every 12,000 joints on the street
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Federal prisons Federal prisoners are 13% of total prison
population in the U.S. 51% had a drug offense as most serious crime
(2009) 99.8% of those sentenced for drug offenses were incarcerated
for drug trafficking Dont be imprisoned by the myth! 98
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POP QUIZ! 12.One ounce of marijuana yields: A.Approximately 3
cigarette sized joints. B.Approximately 8 cigarette sized joints.
C.Approximately 15 cigarette sized joints. D.Approximately 60
cigarette sized joints. 99 What would most people say?
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POP QUIZ! 12.One ounce of marijuana yields: A.Approximately 3
cigarette sized joints. B.Approximately 8 cigarette sized joints.
C.Approximately 15 cigarette sized joints. D.Approximately 60
cigarette sized joints. 100 What would most people say?
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1 oz. 1 schmoz... so what? 1 oz. = approx. 60 joints aka NORML:
1 joint at minimum = 4 hrs. intoxication 60 joints x 4 hrs.
intoxication = 240 hrs. high per oz. 240 hrs. = 10 days of
continual high 101
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6 plants? So what? Aka NORML, 1 plant =.5 -.54 lbs. of
marijuana 1 lb. = 16 oz. 6 plants = 48 to 51.84 oz. 6 plants = 480
to 518 days of continual high 102
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6 flowering plants When you think of a plant... ?
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Sample Possession Limits & Resulting Number of Days of
Intoxication Number of Ounces Days of Intoxication Number of Plants
Days of Intoxication Colorado 1103240 - 259 Washington 1100NA
Alaska 1106480 - 518 Oregon & OHIO proposed 8804320 - 345
Washington DC 2206480 - 518 Range of Medical 1 2410 - 2401 - 1880 -
1554 104
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Sample Possession Limits & Resulting Number of Days of
Intoxication Number of Ounces Days of Intoxication Number of Plants
Days of Intoxication Colorado 1103240 - 259 Washington 1100NA
Alaska 1106480 - 518 Oregon 8804320 - 345 Washington DC 2206480 -
518 Range of Medical 1 2410 - 2401 - 1880 - 1554 105
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106 Where will the excess go?
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Denver, Colorado 72% of kids in rehab under 18 report they got
their marijuana from a medical marijuana cardholder. 107
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Compassionate care or increased access to marijuana? >80%
Most card holders in CA & CO are white men between the ages of
17 and 35 No history of chronic illness History of Alcohol and Drug
Use 108
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Colorado 110
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California 111
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Oregon 112
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500 of the 8,000 cardholders are under 21 years of age. Hawaii
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In summary 114
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Setting public health policy 115
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Proposed changes to marijuana policies impact: Public health
Public safety Our youth Businesses Law enforcement Healthcare
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