title: A good chew or good riddance--how to move forward in the regulation of khat consumption.
abstract: OBJECTIVE
  To review the status of khat, the most recent plant based psychoactive substance to reach a global market, and consider policy making processes in general and the framework of drug control in particular.
  
  
  METHODS
  Desk review of literature on khat and wider drug policy processes.
  
  
  RESULTS
  The risk assessment and classification of psychoactive drugs is a contested arena where political, economic and moral agendas collide, leaving countries that have banned khat, with significant social costs. To best manage the risks arising from the increasing availability of khat it is therefore suggested to draft a regulatory framework with clear objectives and guiding principles.
  
  
  CONCLUSIONS
  Given that medical risks of khat use are modest, the objective of the regulatory framework should be the protection of consumers and community. This is best achieved by establishing processes for the quality control of khat imports, and by regulating access and availability. It should therefore not be considered as a drug to be controlled but as a licit substance that needs to be regulated.
authors.affiliation: Centre for Health Services Studies, University of Kent, Canterbury, Kent CT27PD, United Kingdom. A.Klein@kent.ac.uk
authors.forename: Axel
authors.initials: A
authors.lastname: Klein
authors.forename: Pien
authors.initials: P
authors.lastname: Metaal
mesh_terms: D029754:Catha / Q000009:adverse effects; D004335:Drug and Narcotic Control / Q000266:history; D033161:Government Regulation; D006291:Health Policy / Q000331:legislation & jurisprudence*; D049673:History, 20th Century; D006801:Humans; D013287:Illicit Drugs; D011619:Psychotropic Drugs / Q000009:adverse effects; D019966:Substance-Related Disorders
chemical_list: D013287:Illicit Drugs; D011619:Psychotropic Drugs