Jamaica, like many small Caribbean countries, has struggled to recover from the global financial crisis and tame a towering debt load. According to the International Monetary Fund, it is one of five Caribbean countries that rank among the world's 13 most indebted nations. Whoever wins the election on Thursday will face significant hurdles to resuscitate a tourism-dependent economy that has failed to grow over the last four years and been hard hit by economic troubles in the United States and Europe. "We have some medicine to take in the New Year," Prime Minister Andrew Holness said recently, alluding to the challenges. It will be a close election battle between Jamaica's two dominant parties the ruling Jamaica Labour Party (JLP) led by Holness and the opposition People's National Party (PNP). A recent poll by Market Research Services showed the PNP with 39 percent support compared to 35 percent for the the JLP. The survey had a margin of error of 3 percent. The PNP is headed by Portia Simpson Miller, who briefly served as Jamaica's first female prime minister from March 2006 to September 2007. The new prime minister will serve a five-year term. Holness, 39, was appointed in October by JLP lawmakers to succeed former Prime Minister Bruce Golding who stepped down after four years amid criticism of his handling of a politically charged US request for the extradition of a notorious Jamaican gang leader. Golding's government stalled for months after it received a request in 2009 for the extradition of Christopher "Dudus" Coke, who was wanted on drug-trafficking charges in New York. When the government finally bowed to US pressure in May 2010 to move against Coke, 76 people were killed in gun battles pitting the police and military against Coke loyalists. The case dogged Golding and threatened to derail the ruling party's chances of holding on to power in a general election originally expected next year. Holness' youthful image gave the JLP a temporary lift and, with an eye on the unstable global economy, he moved earlier this month to bring the election forward. Jamaica's debt load stands at more than 120 percent of gross domestic product, with debt payments gobbling up nearly half of the country's budget and leaving dwindling resources to pay state workers and fund schools and hospitals. The economic challenges are very similar to what we're seeing in some of the European countries right now," said Carl Ross, managing director at Investments Oppenheimer, which actively trades Jamaican debt.