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The outbreak is making ripples in Europe as Jamaica reports its first case.
Suspected and confirmed cases now total 355,617, an increase of 48,780.
With 44 new infections in recent days, the deadly outbreak has reached 888 cases.
The outbreak total climbs to 306,837 cases, a 42,393-case increase.
Iran has a fourth MERS case, in a health worker, and Saudi Arabia reports another death.
Cases rose sharply last week, led by the Dominican Republic and Haiti.
Cases include the first in Mexico and Grenada and two locally acquired infections in Venezuela.
With 18,519 new cases, the number of suspected or confirmed cases reaches 189,055.
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