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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.
With 18,519 new cases, the number of suspected or confirmed cases reaches 189,055.
Cases of the mosquito-borne disease in the region grew by more than 35,000 in 1 week.
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