Cocaine use remains concentrated in established markets, but emerging markets are gaining relevance.

• North America and Western and Central Europe have the largest number of users, while prevalence is highest in Oceania, followed by the Americas and Western and Central Europe.
• Alongside these established markets, emerging markets in Asia and Africa are gaining relevance. These two regions are estimated to account for a similar number of users as Europe.
• The quantity of cocaine consumed per capita varies by region: wastewater data show that it is highest in North America, followed by South America and Western and Central Europe.