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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 PolicyOffice of the Vice President for Research, University of Minnesota, Minneapolis, MN
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