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About two thirds of the 38,000 new cases reported last week were in the Dominican Republic.
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.
Cases in the Caribbean top 135,000, as the US announces 3 new imported cases.
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CIDRAP - Center for Infectious Disease Research and PolicyAcademic Health Center, University of Minnesota, Minneapolis, MN
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