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This article, based on ethnographic research, discusses the dynamic relationship between ganja marijuana and cocaine in five areas within Montego Bay, an urban-tourist center in Jamaica, West Indies. The focus is on the contrasting and conflicting social perceptions related to the current role of each substance in the society, as well as the interrelationship between these two substances. Of particular interest in the analysis of use and distribution patterns of each substance is the seemingly conflicting moral versus economic dilemma surrounding the drug trade; perceptions related to the effects of these two substances on the body and mind; and perceptions related to the role these substances play in local crime and physical violence. Community-level social perceptions will be compared to official discourse and actions regarding demand reduction, prevention, and enforcement of 'drug' laws. Abstract This article, based on ethnographic research, discusses the dynamic relationship between ganja marijuana and cocaine in five areas within Montego Bay, an urban-tourist center in Jamaica, West Indies. Publication types Case Reports. Substances Cocaine.