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==Abstract==
==Abstract==
South African [[cannabis]]-based products that were submitted to a private [[laboratory]] for the determination of [[heavy metals]] residues were analyzed. The presence of each heavy metal residue was determined in order to establish which residues are most prevalent in [[Sample (material)|samples]]. Two specifications were considered for both oral as well as inhalation limits: [[United States Pharmacopoeia]] (USP) <232>/<233> International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Q3D. To date, no data of this kind exist in South Africa specifically relating to cannabis-based [[Cannabis (drug)|medicinal]], recreational, or complementary products. A total of 310 samples were analyzed in duplicate and are reported in an anonymized format. The submitted samples were divided into different category classifications and grouped according to relevance for oral or inhalation specification. The results showed an alarming 15% sample failure rate, compared to the oral specification limit, and a 44% failure rate, compared to the inhalation specification limit. It is of the utmost importance for manufacturers to have the appropriate [[quality control]] regimes in place, especially for heavy metal residues, in South Africa. Furthermore, it is imperative to ensure regulation is enforced and the South African public is educated about the risks associated with using these products.
South African [[cannabis]]-based products that were submitted to a private [[laboratory]] for the determination of [[heavy metals]] residues were analyzed. The presence of each heavy metal residue was determined in order to establish which residues are most prevalent in [[Sample (material)|samples]]. Two specifications were considered for both oral as well as inhalation limits: ''[[United States Pharmacopeia]]'' (''USP'') <232>/<233> and the [[International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use]] (ICH) Q3D. To date, no data of this kind exist in South Africa specifically relating to cannabis-based [[Cannabis (drug)|medicinal]], recreational, or complementary products. A total of 310 samples were analyzed in duplicate and are reported in an anonymized format. The submitted samples were divided into different category classifications and grouped according to relevance for oral or inhalation specification. The results showed an alarming 15% sample failure rate, compared to the oral specification limit, and a 44% failure rate, compared to the inhalation specification limit. It is of the utmost importance for manufacturers to have the appropriate [[quality control]] regimes in place, especially for heavy metal residues, in South Africa. Furthermore, it is imperative to ensure regulation is enforced and the South African public is educated about the risks associated with using these products.


'''Keywords''': cannabis, heavy metals, regulation, residues, South Africa
'''Keywords''': cannabis, heavy metals, regulation, residues, South Africa


==Introduction==
==Introduction==
In the [[cannabis]] industry, be it [[Cannabis (drug)|medicinal]] or recreational, there is an abundance of control measures in place to ensure product safety and efficacy. [3] [[Contamination]] of ''Cannabis'' plants with toxic [[heavy metals]] such as [[arsenic]], [[cadmium]], [[lead]] etc. can result from numerous origins. Sources of contamination include environmental pollution such as emissions from factories and automobiles, contaminated water, some [[pesticide]]s, and naturally occurring metals in soil and fertilizers [4]. The contamination of the herbal material ultimately leads to contamination of the products during various stages of the manufacturing process. [5], [6]  
In the [[cannabis]] industry, be it [[Cannabis (drug)|medicinal]] or recreational, there is an abundance of control measures in place to ensure product safety and efficacy.<ref name=":0">{{Cite book |date=2007 |editor-last=World Health Organization |title=WHO guidelines for assessing quality of herbal medicines with reference to contaminants and residues |url=https://www.worldcat.org/title/mediawiki/oclc/232540335 |publisher=World Health Organization |place=Geneva |isbn=978-92-4-159444-8 |oclc=232540335}}</ref> [[Contamination]] of ''Cannabis'' plants with toxic [[heavy metals]] such as [[arsenic]], [[cadmium]], [[lead]] etc. can result from numerous origins. Sources of contamination include environmental pollution such as emissions from factories and automobiles, contaminated water, some [[pesticide]]s, and naturally occurring metals in soil and fertilizers.<ref name=":1">{{Cite journal |last=Edelstein |first=Menahem |last2=Ben-Hur |first2=Meni |date=2018-04 |title=Heavy metals and metalloids: Sources, risks and strategies to reduce their accumulation in horticultural crops |url=https://linkinghub.elsevier.com/retrieve/pii/S0304423817307628 |journal=Scientia Horticulturae |language=en |volume=234 |pages=431–444 |doi=10.1016/j.scienta.2017.12.039}}</ref> The contamination of the herbal material ultimately leads to contamination of the products during various stages of the manufacturing process.<ref>{{Cite journal |last=Khan |first=Zafar Javed |last2=Khan |first2=Naeem Ahmad |last3=Naseem |first3=Imrana |last4=Nami |first4=Shahab A A |date=2017-11-21 |title=DETERMINATION OF HEAVY METALS, AFLATOXINS, MICROBIAL LOADS AND PESTICIDES RESIDUE IN SEHJANA (MORINGA OLEIFERA LAM) FRUITS/PODS |url=https://doi.org/10.7897/2230-8407.0810208 |journal=International Research Journal of Pharmacy |volume=8 |issue=10 |pages=203–207 |doi=10.7897/2230-8407.0810208 |issn=2230-8407}}</ref><ref>{{Citation |last=Tchounwou |first=Paul B. |last2=Yedjou |first2=Clement G. |last3=Patlolla |first3=Anita K. |last4=Sutton |first4=Dwayne J. |date=2012 |title=Heavy Metal Toxicity and the Environment |url=https://doi.org/10.1007/978-3-7643-8340-4_6 |work=Experientia Supplementum |language=en |publisher=Springer Basel |place=Basel |pages=133–164 |doi=10.1007/978-3-7643-8340-4_6 |pmc=PMC4144270 |pmid=22945569 |access-date=2021-09-28}}</ref>
 
During growth, metals accumulate in the biomass of specific plants.<ref>{{Cite journal |last=Meers |first=E. |last2=Ruttens |first2=A. |last3=Hopgood |first3=M. |last4=Lesage |first4=E. |last5=Tack |first5=F.M.G. |date=2005-10 |title=Potential of Brassic rapa, Cannabis sativa, Helianthus annuus and Zea mays for phytoextraction of heavy metals from calcareous dredged sediment derived soils |url=https://linkinghub.elsevier.com/retrieve/pii/S0045653505002808 |journal=Chemosphere |language=en |volume=61 |issue=4 |pages=561–572 |doi=10.1016/j.chemosphere.2005.02.026}}</ref> Studies conducted on industrial [[hemp]] show that the ''Cannabis'' plant bioaccumulates heavy metals from the soil, and thus is readily employed for phytoremediation of contaminated soils.<ref>{{Cite journal |last=Marques |first=Ana P. G. C. |last2=Rangel |first2=António O. S. S. |last3=Castro |first3=Paula M. L. |date=2009-08-10 |title=Remediation of Heavy Metal Contaminated Soils: Phytoremediation as a Potentially Promising Clean-Up Technology |url=https://doi.org/10.1080/10643380701798272 |journal=Critical Reviews in Environmental Science and Technology |volume=39 |issue=8 |pages=622–654 |doi=10.1080/10643380701798272 |issn=1064-3389}}</ref> There have also been reported cases of post-processing adulteration of cannabis buds, adding heavy metals to increase the weight of the product to purposely increase the street value.<ref name=":1" />
 
Pesticides that contain arsenic and mercury as part of their structures were commonly utilized until a few years ago, and they are still employed in some capacity to date. These toxic substances are likely to be present in many foods due to their abundance in nature, and it is important to note that associated ingestion or inhalation of these cannabis products would add to the accumulation of heavy metals consumed by people, even if best practice guidelines are followed.<ref name=":0" />
 
As a result of the new requirements imposed by the ''[[United States Pharmacopeia]]'' (''USP'') <232>/<233><ref name=":2">{{Cite web |date=08 February 2016 |title=Elemental Impurities Updates |work=United States Pharmacopeia |url=https://www.usp.org/chemical-medicines/elemental-impurities-updates |publisher=The United States Pharmacopeial Convention}}</ref>, in collaboration with the [[International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use]] (ICH) Q3D<ref name=":3">{{Cite web |date=29 January 2021 |title=ICH Q3D Elemental impurities |url=https://www.ema.europa.eu/en/ich-q3d-elemental-impurities |publisher=European Medicines Agency}}</ref>, the detection limits for certain heavy metals have been lowered. [[Inductively coupled plasma mass spectrometry]] (ICP-MS) is a recommended technique for detecting heavy metal contamination. Given that technique, low residue limits can be imposed by ''USP'' <232>/<233>.<ref name=":2" /><ref name=":4">{{Cite journal |last=Fischer |first=Lisa |last2=Zipfel |first2=Barbara |last3=Koellensperger |first3=Gunda |last4=Kovac |first4=Jessica |last5=Bilz |first5=Susanne |last6=Kunkel |first6=Andrea |last7=Venzago |first7=Cornel |last8=Hann |first8=Stephan |date=2014-07 |title=Flow injection combined with ICP-MS for accurate high throughput analysis of elemental impurities in pharmaceutical products according to USP / |url=https://linkinghub.elsevier.com/retrieve/pii/S0731708514001071 |journal=Journal of Pharmaceutical and Biomedical Analysis |language=en |volume=95 |pages=121–129 |doi=10.1016/j.jpba.2014.02.016}}</ref>
 
Heavy metal residues in pharmaceutical end products, active pharmaceutical ingredients, and excipients need to be controlled and should be at a certain limit for safe human consumption.<ref name=":4" /><ref>{{Cite journal |last=Elder, D.; Teasdale, A. |year=2014 |title=ICH Q3D (residual metals): Challenges and opportunities |journal=Regulatory Rapporteur |volume=11}}</ref> Furthermore, it can be noted in the somewhat unique case of cannabis-based products, that an alternative route of administration of these products does occur, namely inhalation. The pharmacopeial guidelines stipulate three routes of administration, namely parenteral, oral, and inhalation.<ref name=":2" /><ref name=":3" /> Cannabis-based products are predominantly administered through oral and inhalation pathways.
 
Heavy metals are classified into different classes according to their toxic potential, with Class 1 (Table 1) being the most dangerous, Class 2 being less toxic, and Class 3 having the highest limits and being the least toxic. This study will focus on Class 1 and 2 metal residues given they present the greatest health risk to consumers.
 
{|
| style="vertical-align:top;" |
{| class="wikitable" border="1" cellpadding="5" cellspacing="0" width="100%"
|-
  | colspan="4" style="background-color:white; padding-left:10px; padding-right:10px;" |'''Table 1.''' Heavy metal residue limits imposed by ''USP'' <232>/<233> and ICH Q3D R1<ref name=":2" /><ref name=":3" />
|-
  ! rowspan="2" style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Class
  ! rowspan="2" style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Heavy metal
  ! colspan="2" style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Limit (µg/g)
|-
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Oral
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Inhalation
|-
  | rowspan="4" style="background-color:white; padding-left:10px; padding-right:10px;" |'''Class 1'''
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
|- 
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
|- 
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
|- 
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
  | style="background-color:white; padding-left:10px; padding-right:10px;" |
|-
|}
|}


During growth, metals accumulate in the biomass of specific plants. [7] Studies conducted on industrial [[hemp]] show that the ''Cannabis'' plant bioaccumulates heavy metals from the soil, and thus is readily employed for phytoremediation of contaminated soils. [8] There have also been reported cases of post-processing adulteration of cannabis buds, adding heavy metals to increase the weight of the product to purposely increase the street value. [4]


Pesticides that contain arsenic and mercury as part of their structures were commonly utilized until a few years ago, and they are still employed in some capacity to date. These toxic substances are likely to be present in many foods due to their abundance in nature, and it is important to note that associated ingestion or inhalation of these cannabis products would add to the accumulation of heavy metals consumed by people, even if best practice guidelines are followed. [3]





Revision as of 17:09, 28 September 2021

Full article title An assessment of heavy metal contaminants related to cannabis-based products in the South African market
Journal Forensic Science Internationa: Reports
Author(s) Viviers, Hendrik J.; Petzer, Anél; Gordon, Richard
Author affiliation(s) National Analytical Forensic Services, North West University, South African Medical Research Council
Primary contact Email: henrick at nafs dot co dot za
Year published 2021
Volume and issue 4
Article # 100224
DOI 10.1016/j.fsir.2021.100224
ISSN 2665-9107
Distribution license Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Website https://www.sciencedirect.com/science/article/pii/S2665910721000554
Download https://www.sciencedirect.com/science/article/pii/S2665910721000554/pdfft (PDF)

Abstract

South African cannabis-based products that were submitted to a private laboratory for the determination of heavy metals residues were analyzed. The presence of each heavy metal residue was determined in order to establish which residues are most prevalent in samples. Two specifications were considered for both oral as well as inhalation limits: United States Pharmacopeia (USP) <232>/<233> and the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Q3D. To date, no data of this kind exist in South Africa specifically relating to cannabis-based medicinal, recreational, or complementary products. A total of 310 samples were analyzed in duplicate and are reported in an anonymized format. The submitted samples were divided into different category classifications and grouped according to relevance for oral or inhalation specification. The results showed an alarming 15% sample failure rate, compared to the oral specification limit, and a 44% failure rate, compared to the inhalation specification limit. It is of the utmost importance for manufacturers to have the appropriate quality control regimes in place, especially for heavy metal residues, in South Africa. Furthermore, it is imperative to ensure regulation is enforced and the South African public is educated about the risks associated with using these products.

Keywords: cannabis, heavy metals, regulation, residues, South Africa

Introduction

In the cannabis industry, be it medicinal or recreational, there is an abundance of control measures in place to ensure product safety and efficacy.[1] Contamination of Cannabis plants with toxic heavy metals such as arsenic, cadmium, lead etc. can result from numerous origins. Sources of contamination include environmental pollution such as emissions from factories and automobiles, contaminated water, some pesticides, and naturally occurring metals in soil and fertilizers.[2] The contamination of the herbal material ultimately leads to contamination of the products during various stages of the manufacturing process.[3][4]

During growth, metals accumulate in the biomass of specific plants.[5] Studies conducted on industrial hemp show that the Cannabis plant bioaccumulates heavy metals from the soil, and thus is readily employed for phytoremediation of contaminated soils.[6] There have also been reported cases of post-processing adulteration of cannabis buds, adding heavy metals to increase the weight of the product to purposely increase the street value.[2]

Pesticides that contain arsenic and mercury as part of their structures were commonly utilized until a few years ago, and they are still employed in some capacity to date. These toxic substances are likely to be present in many foods due to their abundance in nature, and it is important to note that associated ingestion or inhalation of these cannabis products would add to the accumulation of heavy metals consumed by people, even if best practice guidelines are followed.[1]

As a result of the new requirements imposed by the United States Pharmacopeia (USP) <232>/<233>[7], in collaboration with the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Q3D[8], the detection limits for certain heavy metals have been lowered. Inductively coupled plasma mass spectrometry (ICP-MS) is a recommended technique for detecting heavy metal contamination. Given that technique, low residue limits can be imposed by USP <232>/<233>.[7][9]

Heavy metal residues in pharmaceutical end products, active pharmaceutical ingredients, and excipients need to be controlled and should be at a certain limit for safe human consumption.[9][10] Furthermore, it can be noted in the somewhat unique case of cannabis-based products, that an alternative route of administration of these products does occur, namely inhalation. The pharmacopeial guidelines stipulate three routes of administration, namely parenteral, oral, and inhalation.[7][8] Cannabis-based products are predominantly administered through oral and inhalation pathways.

Heavy metals are classified into different classes according to their toxic potential, with Class 1 (Table 1) being the most dangerous, Class 2 being less toxic, and Class 3 having the highest limits and being the least toxic. This study will focus on Class 1 and 2 metal residues given they present the greatest health risk to consumers.

Table 1. Heavy metal residue limits imposed by USP <232>/<233> and ICH Q3D R1[7][8]
Class Heavy metal Limit (µg/g)
Oral Inhalation
Class 1



References

  1. 1.0 1.1 World Health Organization, ed. (2007). WHO guidelines for assessing quality of herbal medicines with reference to contaminants and residues. Geneva: World Health Organization. ISBN 978-92-4-159444-8. OCLC 232540335. https://www.worldcat.org/title/mediawiki/oclc/232540335. 
  2. 2.0 2.1 Edelstein, Menahem; Ben-Hur, Meni (1 April 2018). "Heavy metals and metalloids: Sources, risks and strategies to reduce their accumulation in horticultural crops" (in en). Scientia Horticulturae 234: 431–444. doi:10.1016/j.scienta.2017.12.039. https://linkinghub.elsevier.com/retrieve/pii/S0304423817307628. 
  3. Khan, Zafar Javed; Khan, Naeem Ahmad; Naseem, Imrana; Nami, Shahab A A (21 November 2017). "DETERMINATION OF HEAVY METALS, AFLATOXINS, MICROBIAL LOADS AND PESTICIDES RESIDUE IN SEHJANA (MORINGA OLEIFERA LAM) FRUITS/PODS". International Research Journal of Pharmacy 8 (10): 203–207. doi:10.7897/2230-8407.0810208. ISSN 2230-8407. https://doi.org/10.7897/2230-8407.0810208. 
  4. Tchounwou, Paul B.; Yedjou, Clement G.; Patlolla, Anita K.; Sutton, Dwayne J. (2012), "Heavy Metal Toxicity and the Environment" (in en), Experientia Supplementum (Basel: Springer Basel): 133–164, doi:10.1007/978-3-7643-8340-4_6, PMC PMC4144270, PMID 22945569, https://doi.org/10.1007/978-3-7643-8340-4_6. Retrieved 2021-09-28 
  5. Meers, E.; Ruttens, A.; Hopgood, M.; Lesage, E.; Tack, F.M.G. (1 October 2005). "Potential of Brassic rapa, Cannabis sativa, Helianthus annuus and Zea mays for phytoextraction of heavy metals from calcareous dredged sediment derived soils" (in en). Chemosphere 61 (4): 561–572. doi:10.1016/j.chemosphere.2005.02.026. https://linkinghub.elsevier.com/retrieve/pii/S0045653505002808. 
  6. Marques, Ana P. G. C.; Rangel, António O. S. S.; Castro, Paula M. L. (10 August 2009). "Remediation of Heavy Metal Contaminated Soils: Phytoremediation as a Potentially Promising Clean-Up Technology". Critical Reviews in Environmental Science and Technology 39 (8): 622–654. doi:10.1080/10643380701798272. ISSN 1064-3389. https://doi.org/10.1080/10643380701798272. 
  7. 7.0 7.1 7.2 7.3 "Elemental Impurities Updates". United States Pharmacopeia. The United States Pharmacopeial Convention. 8 February 2016. https://www.usp.org/chemical-medicines/elemental-impurities-updates. 
  8. 8.0 8.1 8.2 "ICH Q3D Elemental impurities". European Medicines Agency. 29 January 2021. https://www.ema.europa.eu/en/ich-q3d-elemental-impurities. 
  9. 9.0 9.1 Fischer, Lisa; Zipfel, Barbara; Koellensperger, Gunda; Kovac, Jessica; Bilz, Susanne; Kunkel, Andrea; Venzago, Cornel; Hann, Stephan (1 July 2014). "Flow injection combined with ICP-MS for accurate high throughput analysis of elemental impurities in pharmaceutical products according to USP /" (in en). Journal of Pharmaceutical and Biomedical Analysis 95: 121–129. doi:10.1016/j.jpba.2014.02.016. https://linkinghub.elsevier.com/retrieve/pii/S0731708514001071. 
  10. Elder, D.; Teasdale, A. (2014). "ICH Q3D (residual metals): Challenges and opportunities". Regulatory Rapporteur 11. 

Notes

This presentation is faithful to the original, with only a few minor changes to presentation. References aren't listed in the order they appear in the original, but they do for this version, by unavoidable design. In some cases important information was missing from the references, and that information was added. A few words were added, updated, or shifted for improved grammar and readability, but this version is otherwise unchanged in compliance with the "NoDerivatives" portion of the original's license.