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century. There is another aspect to this regarding kava, <br />and that is the cultural disdain for what is seen as an <br />organic as opposed to a synthetic product. Rates (2001) <br />argues that it was 'the Industrial Revolution [starting <br />200 years ago] and the development of organic chemis- <br />try [that] resulted in a preference for synthetic products' <br />(603). He argues the agenda behind this'prefenmce' is <br />'the economic power of the pharmaceutical compa- <br />nies ... [and] industrialised western societies, in which <br />drugs from natural resources were considered either <br />an option for poorly educated or low income people <br />or simply as religious superstition of no pharmaco- <br />logical value' (603). <br />The assumption in Rates' study is that unless a sub- <br />stance is produced in a lab, it is/was likely to be inferior <br />or even dangerous, regardless of a lengthy history of <br />safe traditional use. This opinion was echoed in the <br />following comment recently published in Current <br />.Neuropharmacology: <br />'[his review [which included kava) demonstrates that <br />even if psychoactive plants have been known and <br />used from ancient times, there is still limited informa- <br />tion regarding subjective and neuro -pharmacological <br />effects and consequent eventual toxicity when plants <br />are used alone or in combination with `classical" <br />drugs of abuse. For this reason, i gnificam safety u <br />cents should be raised on recreational use of these sub <br />stances. (Graziano a al., 2012 757) <br />This is reported despite the 2016 WHO's kava risk <br />assessment which notes a lengthy history of kava use <br />and an 'acceptably low level of health risk' (Abbott, <br />2016: 26). <br />Coomber and South (2004) add that regardless of <br />the value that a number of traditional medications <br />may have to medical advancement, contemporary <br />Western discourse continues to link these traditional <br />substances with 'backwardness or underdevelopment' <br />(18). Escobar (1988) sees that the oppositional <br />binaries of 'us and them', 'primitive/modern', 'back- <br />ward versus developed' becomes a'fictitious construct, <br />an omnipresent... discourse_. of power propagated <br />by the Furocentric view that positions anything <br />deemed to counter modernity and economic develop- <br />ment as 'primitive' (429) Therefore, cultural practices <br />and traditional medicines like kava in its natural form <br />become threats that must be regulated or eliminated <br />- <br />Kovaleva (2016) discusses the perceived 'threat' that <br />alternative safer substances such as kava pose to the <br />alcohol industry, an industry that has worked hard to <br />'normalise alcohol in contrast to alternative suh- <br />stances 'In spite of the statistics that exemplify the <br />financial and social ramifications of alcohol consump- <br />tion. alcohol remains readily accessible and available' <br />comments Hardwick (2019), who adds that drinking is <br />frequently considered ante of passage... and excessive <br />consumption often normalised' by sectors of socioty- <br />Mercovaq Petticrew of al. (2019) argue the alcohol <br />industry actively uses deception and deliberately 'mis- <br />represents scientific evidence' related to the health <br />implications of alcohol use in a similar manner to the <br />tobacco industry (300). <br />_- _ While unconscious <br />Eurocentrism and the power of the alcohol and tobacco <br />industry is argued as contributing to the negative fram- <br />ing of 'natural' drugs such as kava as a threat and <br />vicariously unsafe, it would be naive to assume that <br />kava is completely harmless. No drug is harm -free <br />and neither is this article suggesting kava provides the <br />ultimate, idyllic alternative to all substances. As dis- <br />cussed earlier, the recent Australian MCDA drug - <br />ranking exercise acknowledged that kava has some <br />level of harm, albeit extremely small, to both the user <br />and those associated with the user (Bonomo et al., <br />2019). Instead, what is being argued is that kava's nega- <br />tive reports be considered alongside the scientific <br />evidence, and that the risk levels be weighed and <br />reported accurately. Although side effects from kava <br />are rarely reported and considered to be minimal, <br />when compared against the health and socio -cultural <br />implications of even moderate alcohol consumption <br />for instance,. kava rates extremely well. <br />As an illustration of the potential harm caused by <br />alcohol misuse in the United Kingdom, leading neuro - <br />psychopharmacologist and former drug advisor to the <br />UK Government, Professor David Nutt, stated, -when <br />the harm to the user and the harts to other, are <br />weighed up, alcohol is more harmful than heroin, <br />crack, and methamphetamine' (Whelan, 2014; also see <br />Nutt et al., 2010). Addiction specialist Jeremy McMinn <br />continues 'alcohol is in essence a Class B drug [mean- <br />ing it has a very high nsk of harm], but it is so pervasive <br />and traditional that no one sees it like that' (Whelan, <br />2014). Castles (2015) reported that on New Year's Eve <br />(2014/15), alcohol accounted for a tripling of personal <br />injuries and poisoning incidents attended by St. John <br />Ambulance (New Zealand).6 <br />The observations of Nutt, McMinn and Castles <br />together with the earlier discussion on Australian alco- <br />hot and tobacco death rates, when set against the claim <br />that kava is the cause of liver damage in winch kava <br />hepatotoxicity rates are compared with Diazepam and <br />Paracetomol/Panadol, need to be heeded. Since kava <br />cannot he attributed directly to any deaths worldwide <br />in the past 10 years, and the WHO reports kava risk to <br />be at 'an acceptably low level', this suggests that kava <br />potentially fits more with the side-effects of coffee, <br />having an insignificant risk. Kava expert Dr Vincent <br />