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Recreational and medical marijuana are illegal in Guinea-Bissau, though personal use is sometimes overlooked.

Marijuana is prohibited for recreational and medical purposes in El Salvador.

Marijuana is illegal for both medical and recreational use in Turks and Caicos, with no exceptions.

Marijuana is illegal in Curaçao for both recreational use and medicinal purposes.

Marijuana is illegal for recreational use in Sint Maarten. The island seems to allow medicinal cannabis by prescription.

St. Kitts and Nevis decriminalized cannabis, and the country allows marijuana for medical use.