<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342017000500592</article-id>
<article-id pub-id-type="doi">10.21149/8503</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Elementos regulatorios sobre la marihuana, a consideración para la efectiva protección a la salud de la población]]></article-title>
<article-title xml:lang="en"><![CDATA[Regulatory elements on marijuana, for the effective population health protection]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Burgoa]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,George Washington University Milken Institute School of Public Health Department of Global Health]]></institution>
<addr-line><![CDATA[ Washington DC]]></addr-line>
<country>Estados Unidos</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>5</numero>
<fpage>592</fpage>
<lpage>600</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342017000500592&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342017000500592&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342017000500592&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Al hablar del abordaje de salud pública al uso de la marihuana se soslaya la complejidad de la protección a la población a través de intervenciones regulatorias rigurosas. Considerando la experiencia de gobiernos donde ya existen estas prácticas, se introduce la regulación como una función esencial de la salud pública, haciendo explícitos siete propósitos para el control de la marihuana. Se detallan luego los elementos técnicos, de capacidad institucional (incluyendo la capacidad técnica y financiera) y de gobernanza que deben cumplirse para cualquier regulación rigurosa de su uso. Se señala la dificultad de regular sustancias psicoactivas considerando que la capacidad de control de otras actualmente legales se ha traducido en su creciente consumo. Se expone también que no debe minimizarse la necesidad del fortalecimiento institucional y gobernanza de la autoridad regulatoria para la regulación efectiva de la marihuana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: When discussing the public health approach to the use of marijuana, the complexity of rigorous regulatory interventions for population protection is omitted. Using the experience of governments where these practices already exist, regulation is introduced as an essential public health function, spelling out seven purposes for controlling marijuana. The technical elements of institutional capacity -including the technical and financial capacity- and of governance that must be covered by any rigorous regulation of its use are detailed below. The difficulty of regulating psychoactive substances is addressed when considering the capacity to control other legal substances manifested with their increased consumption. It is concluded that for an effective regulation of marijuana, the need for strengthening the institutional and governance aspects of the regulatory authority should not be minimized.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cannabis]]></kwd>
<kwd lng="es"><![CDATA[desarrollo institucional]]></kwd>
<kwd lng="es"><![CDATA[regulación]]></kwd>
<kwd lng="es"><![CDATA[regulación de drogas]]></kwd>
<kwd lng="es"><![CDATA[poblaciones vulnerables]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Cannabis]]></kwd>
<kwd lng="en"><![CDATA[institutional development]]></kwd>
<kwd lng="en"><![CDATA[regulation]]></kwd>
<kwd lng="en"><![CDATA[drugs regulation]]></kwd>
<kwd lng="en"><![CDATA[vulnerable populations]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The public health framework of legalized marijuana in Colorado]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ghosh]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Van Dyke]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Maffey]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Whitley]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gillim-Ross]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wolk]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Public Health]]></source>
<year>2016</year>
<volume>106</volume>
<page-range>21-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<collab>WHO</collab>
<source><![CDATA[Public health dimension of the world drug problem including in the context of the Special Session of the United Nations General Assembly on the World Drug Problem, to be held in 2016. EB138/11]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Geneva, Switzerland ]]></publisher-loc>
<publisher-name><![CDATA[United Nations]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<collab>Presidencia de la República</collab>
<source><![CDATA[Postura de México con respecto al problema de las drogas en la Sesión Especial de la Asamblea General de las Naciones Unidas (UNGASS)]]></source>
<year>2016</year>
<publisher-loc><![CDATA[México DF ]]></publisher-loc>
<publisher-name><![CDATA[Presidencia de la República]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<collab>Congreso de la Unión</collab>
<source><![CDATA[Ley General de Salud]]></source>
<year>2017</year>
<publisher-loc><![CDATA[México D.F ]]></publisher-loc>
<publisher-name><![CDATA[Cámara de Diputados]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Public health and international drug policy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Csete]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kamarulzaman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kazatchkine]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Altice]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Balicki]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Buxton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>2016</year>
<volume>387</volume>
<numero>10026</numero>
<issue>10026</issue>
<page-range>1427-80</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<collab>OPS</collab>
<source><![CDATA[Factores de riesgo de las enfermedades no transmisibles en la Región de las Américas: Consideraciones para fortalecer la capacidad regulatoria]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Washington DC ]]></publisher-loc>
<publisher-name><![CDATA[Organización Panamericana de la Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Developing public health regulations for marijuana: lessons from alcohol and tobacco]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacula]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Kilmer]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Wagenaar]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Chaloupka]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Caulkins]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Public Health]]></source>
<year>2014</year>
<volume>104</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1021-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Murkin]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[How to regulate cannabis. A practical guide]]></source>
<year>2016</year>
<edition>2</edition>
<publisher-loc><![CDATA[Bristol, UK ]]></publisher-loc>
<publisher-name><![CDATA[Transform Drug Policy Foundation]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cano-Valle]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[del Campo-Sanchez]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Nannis-Alvarado]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
</person-group>
<source><![CDATA[Uso médico del cannabis ¿Tiene sustituto científico? CONADIC, Secretaría de Salud]]></source>
<year>2014</year>
<publisher-loc><![CDATA[México D.F ]]></publisher-loc>
<publisher-name><![CDATA[CONADIC]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sewell]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<source><![CDATA[Is It Safe to Drive While Stoned? Cannabis and Driving: An Erowid Science Review]]></source>
<year>2010</year>
<publisher-loc><![CDATA[North Carolina ]]></publisher-loc>
<publisher-name><![CDATA[USA Erowid.org]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="book">
<collab>Colorado Department of Revenue</collab>
<source><![CDATA[Executive order directing State agencies to address threats to public health safety posed by marihuana. Industry-Wide Bulletin: 15-10. November 12, 2015]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Denver, CO ]]></publisher-loc>
<publisher-name><![CDATA[EUA Colorado Department of Revenue]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Adverse Health Effects of Marijuana Use]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Volkow]]></surname>
<given-names><![CDATA[ND]]></given-names>
</name>
<name>
<surname><![CDATA[Baler]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Compton]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Weiss]]></surname>
<given-names><![CDATA[SRB]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med]]></source>
<year>2014</year>
<volume>370</volume>
<page-range>2219-27</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<collab>State of Colorado</collab>
<source><![CDATA[Marijuana Basics]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Denver ]]></publisher-loc>
<publisher-name><![CDATA[CO. The Colorado Department of Health and Environment]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="book">
<collab>US Department of Health and Human Services (HHS)</collab>
<source><![CDATA[Facing addiction in America: The Surgeon General&#8217;s Report on Alcohol, Drugs, and Health]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[Deparment of Health and Human Services]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<collab>Asamblea General de Naciones Unidas (UNGASS)</collab>
<source><![CDATA[Nuestro compromiso conjunto de abordar y contrarrestar eficazmente el problema mundial de las drogas. Resolución aprobada por la Asamblea General. A/RES/S-30/1]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Nueva York, NY, EUA ]]></publisher-loc>
<publisher-name><![CDATA[Naciones Unidas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="book">
<collab>NICE</collab>
<collab>Assessing cost effectiveness</collab>
<source><![CDATA[NICE Guidance Manual]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Londres, UK ]]></publisher-loc>
<publisher-name><![CDATA[National Institute of Clinical Excelence]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<collab>NICE</collab>
<source><![CDATA[Process for dissemination of NICE guidance (and other national guidance) and assurance mechanism]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Londres, UK ]]></publisher-loc>
<publisher-name><![CDATA[National Institute of Clinical Excelence]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dudley]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Warren]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Economic forms of regulation on the rise. An analysis of the U.S. budget for fiscal years 2014 and 2015]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Washington DC, EUA ]]></publisher-loc>
<publisher-name><![CDATA[Regulatory Studies Center, George Washington University]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<collab>FDA</collab>
<source><![CDATA[User Fees. US Food and Drug Administration]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington DC ]]></publisher-loc>
<publisher-name><![CDATA[EUA FDA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<collab>Presidencia de la República</collab>
<source><![CDATA[Ley Federal de Metrología y Normalización]]></source>
<year>2015</year>
<publisher-loc><![CDATA[México DF ]]></publisher-loc>
<publisher-name><![CDATA[Cámara de Diputados]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="book">
<collab>Secretaría de Salud</collab>
<source><![CDATA[Reglamento de la Comisión Federal de Protección Contra Riesgos Sanitarios]]></source>
<year>2004</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Presidencia de la República]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="book">
<collab>FDA</collab>
<source><![CDATA[The FDA Office of the Ombudsman. HHS]]></source>
<year></year>
<publisher-loc><![CDATA[Washington DC, EUA ]]></publisher-loc>
<publisher-name><![CDATA[FDA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="book">
<collab>European Ombudsman</collab>
<source><![CDATA[Problems with the EU? Who can help you?]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Strasbourg Cedex, Francia ]]></publisher-loc>
<publisher-name><![CDATA[Union Europea]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="book">
<collab>INSP</collab>
<source><![CDATA[Consumo de tabaco en México 2000-2012: los beneficios de su reducción Encuesta Nacional de Salud y Nutrición 2012]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Cuernavaca, Mor, México ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="book">
<collab>INSP</collab>
<source><![CDATA[Consumo de alcohol en México, 2000-2012: estrategias mundiales para reducir su uso nocivo. Encuesta Nacional de Salud y Nutrición 2012]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Cuernavaca, Mor, México ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="book">
<collab>Pan American Health Organization</collab>
<source><![CDATA[Regional Status Report on Alcohol and Health in the Americas. PAHO 2015]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Washington, DC, EUA ]]></publisher-loc>
<publisher-name><![CDATA[Organización Panamericana de la Salud]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
