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the khat plant has over the years found its way to Southern Africa as well as tropical areas, where it grows on rocky outcrops and in woodlands.The shrub is today scattered in the Kwa Zulu-Natal, Eastern Cape, Western Cape and Mpumalanga provinces of South Africa, in addition to Swaziland and Mozambique.Khat goes by various traditional names, such as kat, qat, qaad, ghat, chat, Abyssinian Tea, Somali Tea, Miraa, Arabian Tea, and Kafta in its endemic regions of the Horn of Africa and the Arabian Peninsula.

However, it can reach heights of up to 10 m (33 ft) in equatorial areas.

The plant usually grows in arid environments, at a temperature range of 5–35 °C (41–95 °F).

In recent years, however, improved roads, off-road motor vehicles, and air transportation have increased the global distribution of this perishable commodity, and as a result, the plant has been reported in England, Wales, Rome, Amsterdam, Canada, Israel, Australia, New Zealand, Water consumption is so high, groundwater levels in the Sanaa basin are diminishing, so government officials have proposed relocating large portions of the population of Sana'a to the coast of the Red Sea.

One reason for khat being cultivated in Yemen so widely is the high income it provides for farmers.

A good khat plant can be harvested four times a year, providing a year-long source of income for the farmer.

Addiction experts in psychiatry, chemistry, pharmacology, forensic science, epidemiology, and the police and legal services engaged in delphic analysis regarding 20 popular recreational drugs.

Long-term use can precipitate permanent tooth darkening (of a greenish tinge), susceptibility to ulcers, and diminished sex drive.

It is unclear if the consumption of khat directly affects the mental health of the user or not.

The effects of oral administration of cathinone occur more rapidly than the effects of amphetamine pills; roughly 15 minutes as compared to 30 minutes in amphetamine.

Khat can induce manic behaviours and hyperactivity, similar in effects to those produced by amphetamine. Dilated pupils (mydriasis) are prominent during khat consumption, reflecting the sympathomimetic effects of the drug, which are also reflected in increased heart rate and blood pressure.

Khat was ranked 17th in dependence, 20th in physical harm, and 20th in social harm.