The effects of chewing coca are benign. However, many Bolivian miners now smoke coca paste instead:
"They live in a psychotic world, devoid of human relationships, affection or expressions of love or tenderness... the person becomes apathetic with no sensitivity to the human problems around him....the sense of responsibility and the instinct to fight for life disappear completely. According to the police it is very common for users to be found smoking coca paste practically naked or with a minimum of clothing to protect them from the cold. The only thing the user can think of is the drug, how to get it, and where and when to smoke it."
Coca Paste Effects in Bolivia, Noya, 1978
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