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About two thirds of the 38,000 new cases reported last week were in the Dominican Republic.
Cases in the Americas now total almost 475,000, with the Dominican Republic accounting for most of last week's rise.
Suspected and confirmed cases now total 355,617, an increase of 48,780.
The outbreak total climbs to 306,837 cases, a 42,393-case increase.
Cases rose sharply last week, led by the Dominican Republic and Haiti.
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