according to the report on drug use in the americas annual cannabis prevalence among secondary school students in central america was reported to be highest in belize at per cent and lowest in honduras with a little more than per cent prevalence rates of less than per cent were reported in antigua and barbuda barbados dominica the dominican republic el salvador guyana haiti honduras panama saint kitts and nevis and saint vincent and the grenadines according to the report on drug use in the americas the annual prevalence of cocaine abuse among highschool students in the caribbean ranges from per cent to slightly more than per cent