logo
Medicinal cannabis producers veer away from local market for export

Medicinal cannabis producers veer away from local market for export

RNZ News22-04-2025
Harvesting cannabis flowers at Puro's Kēkerengū farm on the Kaikōura Coast.
Photo:
SUPPLIED/PURO NZ
New Zealand's medicinal cannabis sector is warning that "onerous" regulations around production are restricting the local sector, while international players flood the market.
The Medicinal Cannabis Council of New Zealand
estimated the sector to be worth around $200 million
, and welcomed the easing of rules around exports under the Misuse of Drugs (Medicinal Cannabis) Regulations in July (2024).
Large organic outdoor and indoor grower Puro of Marlborough said the changes had an "overnight" positive impact for the business, as
it signed multi-million dollar export deals
in the months following.
However while the numbers of licensed growers and the supply of product were rising, some New Zealand producers were struggling to gain traction domestically.
Instead, many opted for export markets that had easier pathways to market, like Australia or European countries like Germany.
Cultivation at Puro's Kēkerengū farm on the Kaikōura Coast.
Photo:
SUPPLIED/PURO NZ
The number of medicinal cannabis license holders reporting to the Ministry of Health was growing steadily from 29 in 2020 to 52 last year - and 13 were already lodged in 2025, as growers had to renew their licenses annually.
The use of medicinal cannabis was on the rise in New Zealand too, following
the establishment of the medicinal cannabis scheme
under the Ministry of Health in 2020.
The Health Ministry's data showed the number of packs of medicinal cannabis prescribed and supplied in New Zealand had increased 12-fold in the five years since, to more than 305,000 packs of flower or oil products in 2024.
A spokesperson for Medsafe, the medicines regulator, said 60 medicinal cannabis products were verified as meeting the "minimum quality standard."
"This ensures that a product is of acceptable quality and free from contaminants such as pesticides and heavy metals...and bacteria or moulds," they said.
"Unlike approved medicines, verified products have not been assessed for their safety or effectiveness."
The Medsafe spokesperson said ensuring cannabis and medicinal cannabis products for prescription were of high quality was achieved through the licensing regime for cultivation, supply, as well as a verification scheme for the products.
They said there were two medicinal cannabis products approved as medicines under the Medicines Act 1981.
No medicinal cannabis products were yet funded by Pharmac.
However, there were two outstanding applications for cannabidiol products, with one dating back as far as a decade.
In recent years, Pharmac had said evidence around medicinal cannabis was generally of poor quality and didn't capture long-term risks.
Funding applications required a "clearly defined patient population", good quality supporting evidence and long-term outcome and safety data.
Medicinal cannabis growers faced a number of licenses, audits, fees and checks by regulators - for example, one grower could face $20,000 in charges and fees in just one year.
Good Manufacturing Practices (GMP) licenses were required for specific technical processes throughout production, including packing up picked, freeze-dried cannabis flowers.
Marlborough's Puro company was unable to secure a GMP license specifically for packing at its site, so it sent freeze-dried flowers in bulk to Australia for packing which it then sold there, instead of re-importing for the New Zealand market.
Puro product packaging in Australia.
Photo:
SUPPLIED/PURO NZ
Executive chairman Tim Aldridge said despite meeting quality product standards, regulatory settings around GMP codes for manufacturing effectively blocked the company from accessing the domestic market.
He said the regulatory framework advantaged importers, and unnecessary high costs were restricting treatment options for patients who ultimately inherited the costs.
"A lot of patients out there, they can't afford these medicines," Aldridge said.
"It's not so much the subsidy and sort of co-funding, it actually is allowing the regulations to be more pragmatic and ensuring products can go to market because that drives the cost down.
"And the products that we're producing are a lot safer than what are available in some of the illicit channels."
He said Pharmac was part of that conversation "to a degree", but he wanted officials and policymakers to consider possible improvements to regulations.
"The most important message for us is to actually ensure we can compete with the products that have been imported into New Zealand, given that you know what we are producing is world class. So that requires a bit of regulatory tweaking."
Aldridge said other New Zealand companies were also struggling with GMP licenses and other technical issues involved in production.
NZX-listed company Rua Bioscience decided to sell its Good Manufacturing Practice-certified, purpose-built manufacturing facility in Tairāwhiti in 2023, shortly after building it, to instead focus on outsourcing cultivation and manufacturing.
Chief executive Paul Naske said GMP verification was expensive and made it hard to innovate new products, as licenses were specific to certain products or processes.
"Everyone in the industry is trying to muddle their way through the regulations," he said.
"New Zealand regulations make it particularly onerous.
"New Zealand is not going to be competitive for GMP manufacturing for medicinal cannabis products."
Naske said there was a struggle between the medicinal and agricultural elements of the sector.
"It was initially about satisfying patient demand. But it never intended to create a local industry," he said.
"So products are imported, but patients are still getting access to them."
Early season growth at Puro's Kēkerengū farm on the Kaikōura Coast.
Photo:
SUPPLIED/PURO NZ
Tim Aldridge raised the "red tape" concern by email to the Ministry for Regulation.
Conversely, the Ministry for Regulation was
reviewing the regulations around cousin sector industrial hemp
, announced in February, which may see legislation introduced to remove licensing requirements.
Tetrahydrocannabinol (THC) content was
around 0.3 percent for industrial hemp
versus 20-30 percent or more for medicinal cannabis, and both were managed by lead agency the Ministry of Health.
The Ministry for Regulation referred Aldridge's submission to the Ministry of Health in February, as the lead agency.
MedSafe confirmed the Ministry of Health received feedback from industry, including from the New Zealand Medicinal Cannabis Council, of which Aldridge was a board member.
"[We] will consider this in the context of any further changes to medicinal cannabis regulation," a spokesperson said.
The Medsafe spokesperson said it used "internationally agreed" GMP code of practice among countries like Germany and Australia.
They said the system provided assurances that products were consistently produced, manufactured, packed and controlled, according to set quality standards for medicines and medicinal cannabis products.
"An important factor in producing high quality products is ensuring that the facilities they are manufactured in meet quality standards and that there is an effective quality assurance system."
Puro's executive chairman Tim Aldridge.
Photo:
SUPPLIED/PURO NZ
Medicinal Cannabis Council chief executive Sally King said there were expensives involved throughout the production process for local producers, with many facing a six-figure investment to establish growing operations.
She said while imports were also bound by quality standards, New Zealanders would prefer locally-grown product
"It has to meet the qualifying standard, but it takes a great deal of time and effort and capital to go up that curve to be able to manufacture to the very high New Zealand standards," she said.
"We really are hoping to see a great many more domestically grown medicinal cannabis options for patients here, but it's taking time.
"It certainly is happening, but it is taking time and the majority of the market at the moment is dominated by imported product."
King said the council remained a patient advocate and that better funding to improve access to the products would ultimately help patients.
"This is not a funded medicine. It's expensive for patients, but patients do prefer many of the benefits that come from having a a domestically-grown product."
She said unfortunately research opportunities into medicinal cannabis were being hindered by regulations too - which hurts the case for Pharmac to fund these products.
Sign up for Ngā Pitopito Kōrero
,
a daily newsletter curated by our editors and delivered straight to your inbox every weekday.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Doctors detail cases of Gazans shot while seeking food, saying victims hit in head, chest, back
Doctors detail cases of Gazans shot while seeking food, saying victims hit in head, chest, back

NZ Herald

time3 minutes ago

  • NZ Herald

Doctors detail cases of Gazans shot while seeking food, saying victims hit in head, chest, back

The following description of the conditions inside Gaza's hospital wards is based on interviews with seven American and European medical workers who visited Gaza as part of voluntary medical missions between May and the first week of this month. Each medical worker said that the Israel military's bombing of medical facilities in Gaza during the ongoing war with Hamas, combined with a near-total blockade of the enclave since the winter, has often made it impossible for doctors to deliver adequate treatment. A shortage of oxygen tanks has forced staff to choose whom to save, medical workers said, and a dearth of wheelchairs and crutches at times forces families to carry away disabled relatives in their arms. Many of the victims have been shot in areas near food distribution sites run by the United States-backed Gaza Humanitarian Foundation (GHF), according to aid groups and doctors treating the casualties. Palestinians have also been killed while trying to pull flour from United Nations convoys or while waiting for aid drops from the sky. The Israeli military has issued statements saying it fired 'warning shots' towards 'suspects'. In response to a request for comment, the Israel Defence Forces said that reports of civilian harm had resulted in new instructions being issued to troops 'following lessons learned'. In a statement at the weekend, the GHF said it was 'constantly adapting our operations to maximise safety for civilians and aid workers'. At Nasser Hospital, the largest medical centre still functioning in southern Gaza, doctors and nurses said they were repeatedly jolted awake by what is known as the mass casualty alarm: a siren that warns of the coming deluge. 'You're hearing: 'Any doctor who is available, please come down to the ER,'' said Aziz Rahman, an American intensive care specialist from Milwaukee who visited Gaza on a medical mission with Rahma Worldwide, a humanitarian group based in Michigan. 'Pretty much every day the aid sites were opened, we saw shootings.' Three doctors who worked in the emergency room at Nasser Hospital said gunshot wounds suffered by their patients were mostly in the head, heart, or lungs. On June 24, Rahman recalled, one of his patients was a 9-year-old boy shot in the spine. In the Red Crescent clinic in southern Gaza, Rieke Hayes, an Irish volunteer physiotherapist, said her patients had been shot in their legs, and arms, and sometimes in the back. She said some of the victims were teenage boys who had been shot as they were walking away from distribution sites after finding that all of the food was gone. Gaza has been under near-total siege by the Israeli military for six months, and the world's leading hunger monitor, the Integrated Food Security Phase Classification, now says that the worst-case scenario of famine is playing out. At least 217 people have died of malnutrition or starvation, according to the Gaza Health Ministry. The GHF's four aid distribution sites are inside areas controlled by the Israeli military, and large crowds gather near them on most days in the hope of securing the first-come, first-served aid supplies when the sites open. Inside the Red Cross' 60-bed field hospital in Mawasi, located on the coastal road to the city of Rafah, medical workers said they often heard the crowds pass as they headed towards GHF locations. 'If the food distribution centre opens at 6am, the mass-casualty event starts at 4.30,' said Hayes, who worked there during GHF's first five weeks of operations. 'If it opens at 12 o'clock, the injuries start coming around 10am.' She said mass shootings took place almost every day of her medical mission after the GHF sites opened in late May. On some days, the Red Cross clinic has received more than 100 victims, according to the clinic's log. Doctors at Nasser Hospital likewise reported that casualties have exceeded 100 on some days. The worst day of Rahman's two-week medical mission was June 17. 'The traumas went on for four to five hours. They just kept rolling in,' he recounted. Doctors said they tried not to slip on the blood between patients they triaged on the floor. Nasser's hospital staff tried to sweep it down tiny drains, but with each new patient, the floor just reddened again, Rahman recalled. The trek to GHF distribution points is frequently long and arduous, so Palestinian families often send their most able - usually teenage boys and young men. But with tens of thousands of Palestinians having been killed and maimed during Israel's military operations in Gaza, not every family has that choice. The Red Cross says its doctors have treated women and toddlers for gunshot wounds, too. In quieter times, Hayes said, she had known all of her patients' names. As a physiotherapist, she worked on teaching the wounded to walk again. One of the patients she remembered best was an 18-year-old, Ahmed, who had been wounded so badly in an explosion weeks earlier that he had lost the use of all but one limb. He was there every day with his brother Mohammed, 20, who became his caregiver. 'It was a challenge to get him out of bed, but he did it,' she said. 'He would put his one good arm around his brother and just hop.' Amid the chaos one day, she said she heard an elderly couple calling her name. It was the boys' parents, begging her to help Mohammed. 'And there he was, lying with a bullet hole to his neck and his shoulder, and his mother is crying in my arms and asking me to do something,' Hayes recalled. The young man's parents told her he had gone out to find aid and been shot. At Nasser Hospital, Mark Brauner, an American surgeon from Oregon, recalled one day stepping out of the ER for water and being taken aback by what he saw. 'I walked out and there were just lines of bodies and people that had severe injuries that would have met the criteria for the trauma resuscitation room,' he said. When the casualties finally stop coming, Brauner said, 'you wash away the blood, sit there for a few moments stunned, and then it might happen all over again'. Gaza's doctors were exhausted long before the shootings began outside the aid distribution centres. But more recently, even when the stream of casualties slows at night, medical workers said more toil begins: tending to other patients, and in some cases preparing other hospital rooms and even tents to handle the overflow from the emergency room. For Nour Sharaf, an emergency room doctor from Dallas, the worst day was July 20. She said al-Shifa Hospital in Gaza City, where she was working, received 1024 patients that day. 'You just don't have enough time to see that many patients,' she said. Many were malnourished, and Sharaf said she could feel the bones of every patient she treated. Most had come that day from near the Zikim border crossing, where witnesses said Israeli troops opened fire on large crowds trying to loot trucks of UN-supplied aid. The UN World Food Programme said its convoy had 'encountered massive crowds of hungry civilians which came under gunfire'. The Israel Defence Forces said in a statement that it had identified 'a gathering of thousands of Gazans' and fired 'warning shots' to 'remove an immediate threat' to troops. The next day, Sharaf's team received a young boy who had been shot in the head near Zikim and would soon die, she recounted. No one knew who he was until his family arrived, frantic, two days later. They said he had been missing. When they had noticed their water jugs were also missing, they realised he must have gone to fetch scarce water. Sharaf said he was carrying the jugs when he was shot.

NZ's failing heart care 'on the verge of collapse'
NZ's failing heart care 'on the verge of collapse'

Otago Daily Times

time3 hours ago

  • Otago Daily Times

NZ's failing heart care 'on the verge of collapse'

New Zealand has only a third of the cardiologists it should have. Half of all heart attack patients are not being treated within accepted timeframes in New Zealand, which has just a third of the cardiologists it needs, according to a new University of Otago report commissioned by cardiac advocacy charity Kia Manawanui Trust. For the first time, the total cost of heart disease to the New Zealand economy has been calculated at an estimated $13.8 billion a year. Trust chief executive Letitia Harding said the findings exposed a system that was failing at every level. "Heart care in New Zealand isn't just stretched - it's on the verge of collapse," she said. "We are failing in all aspects and it's costing New Zealanders their lives." Key findings from the Heart disease in Aotearoa: morbidity, mortality and service delivery report include: Life-threatening delays: Half of all heart-attack patients are not seen within internationally accepted timeframes Workforce shortage: New Zealand has only a third of the cardiologists it should have Māori and Pacific people hospitalised or die from heart disease more than a decade earlier, on average, than other New Zealanders Heart disease costs the country's health system and economy $13.8 billion per year Postcode lottery for care: Regions with the highest death rates - Tairāwhitii, Lakes, Whanganui, and Taranaki - have the fewest cardiac specialists Lucy Telfar-Barnard. Photo: University of Otago Wellington-based cardiologist and trust medical director Dr Sarah Fairley said the findings by Otago researcher Dr Lucy Telfar-Barnard matched the experience of front-line clinicians. "From inside the system, I can tell you that this report reflects what we see every day - a workforce stretched beyond safe limits, patients slipping through the cracks and no end in sight." Harding said the report should be "a wake-up call for the government". The trust is calling for immediate investment in public hospital cardiac care infrastructure - beds and equipment - and a national strategy to recruit and retain cardiology staff. The total cost of heart disease deaths in 2020 was $13.09b, from 74,708 life years lost. In 2024, New Zealand had 173.2 full-time cardiologists or 32.8 FTE per million people. That is three times lower than the average (95 specialists per million) of all countries measured by the European Society of Cardiology. Ministry data showed no cardiac staff at all in Wairarapa or Whanganui, no cardiologists or sonographers/cardiac physiologists in Lakes, West Coast or Souther Canterbury, and no cardiologists in Tairāwhiti. With 96.3 full-time cardiologists per million, Auckland was the only city with comparable number of specialists to European countries. Waikato (47.5 FTE per million) was half the European average, while others were much less, ranging from 21.4 to 27. The number of cardiology sonographers had dropped from 70.4 in 2013 to just 43.5 in 2024, despite the 17% population increase. The ratio of sonographers had nearly halved from 16 per million to 8.2. Heart disease was responsible for one in five deaths and five percent of hospital admissions. The cost of heart disease: Hospitalisations cost an estimated $538,790,541 a year Work days lost $17,996,766 GP visits $65,166,640 Prescriptions $61,906,660 Mortality $13,094,819,487 Total: $13,778,680,094 These were minimum costs, as they did not include the cost of emergency department visits, nor indirect costs of workdays lost to emergency department and outpatient visits, nor years lost to disability. In a statement, Health Minister Simeon Brown said the government expected Health New Zealand to have a continued focus on strengthening cardiac services nationwide. He said the report highlighted several key areas Health New Zealand must act on, including addressing regional variations in service quality and patient outcomes. "I have been advised that Health New Zealand has established a National Clinical Cardiac Network which is developing national standards and models of care, while also establishing dedicated work streams to ensure consistent, quality care. "This includes funding for new training positions for cardiac sonographers - a key workforce needed to bring down the echocardiogram waitlist."

Heart care in NZ 'failing in all aspects'
Heart care in NZ 'failing in all aspects'

Otago Daily Times

time3 hours ago

  • Otago Daily Times

Heart care in NZ 'failing in all aspects'

New Zealand has only a third of the cardiologists it should have. Half of all heart attack patients are not being treated within accepted timeframes in New Zealand, which has just a third of the cardiologists it needs, according to a new University of Otago report commissioned by cardiac advocacy charity Kia Manawanui Trust. For the first time, the total cost of heart disease to the New Zealand economy has been calculated at an estimated $13.8 billion a year. Trust chief executive Letitia Harding said the findings exposed a system that was failing at every level. "Heart care in New Zealand isn't just stretched - it's on the verge of collapse," she said. "We are failing in all aspects and it's costing New Zealanders their lives." Key findings from the Heart disease in Aotearoa: morbidity, mortality and service delivery report include: Life-threatening delays: Half of all heart-attack patients are not seen within internationally accepted timeframes Workforce shortage: New Zealand has only a third of the cardiologists it should have Māori and Pacific people hospitalised or die from heart disease more than a decade earlier, on average, than other New Zealanders Heart disease costs the country's health system and economy $13.8 billion per year Postcode lottery for care: Regions with the highest death rates - Tairāwhitii, Lakes, Whanganui, and Taranaki - have the fewest cardiac specialists Lucy Telfar-Barnard. Photo: University of Otago Wellington-based cardiologist and trust medical director Dr Sarah Fairley said the findings by Otago researcher Dr Lucy Telfar-Barnard matched the experience of front-line clinicians. "From inside the system, I can tell you that this report reflects what we see every day - a workforce stretched beyond safe limits, patients slipping through the cracks and no end in sight." Harding said the report should be "a wake-up call for the government". The trust is calling for immediate investment in public hospital cardiac care infrastructure - beds and equipment - and a national strategy to recruit and retain cardiology staff. The total cost of heart disease deaths in 2020 was $13.09b, from 74,708 life years lost. In 2024, New Zealand had 173.2 full-time cardiologists or 32.8 FTE per million people. That is three times lower than the average (95 specialists per million) of all countries measured by the European Society of Cardiology. Ministry data showed no cardiac staff at all in Wairarapa or Whanganui, no cardiologists or sonographers/cardiac physiologists in Lakes, West Coast or Souther Canterbury, and no cardiologists in Tairāwhiti. With 96.3 full-time cardiologists per million, Auckland was the only city with comparable number of specialists to European countries. Waikato (47.5 FTE per million) was half the European average, while others were much less, ranging from 21.4 to 27. The number of cardiology sonographers had dropped from 70.4 in 2013 to just 43.5 in 2024, despite the 17% population increase. The ratio of sonographers had nearly halved from 16 per million to 8.2. Heart disease was responsible for one in five deaths and five percent of hospital admissions. The cost of heart disease: Hospitalisations cost an estimated $538,790,541 a year Work days lost $17,996,766 GP visits $65,166,640 Prescriptions $61,906,660 Mortality $13,094,819,487 Total: $13,778,680,094 These were minimum costs, as they did not include the cost of emergency department visits, nor indirect costs of workdays lost to emergency department and outpatient visits, nor years lost to disability. In a statement, Health Minister Simeon Brown said the government expected Health New Zealand to have a continued focus on strengthening cardiac services nationwide. He said the report highlighted several key areas Health New Zealand must act on, including addressing regional variations in service quality and patient outcomes. "I have been advised that Health New Zealand has established a National Clinical Cardiac Network which is developing national standards and models of care, while also establishing dedicated work streams to ensure consistent, quality care. "This includes funding for new training positions for cardiac sonographers - a key workforce needed to bring down the echocardiogram waitlist."

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store