Severity: Warning Alert

Health: Caribbean countries and territories continue to report cases of coronavirus disease through September 2020. Maintain basic health precautions.

Alert Begins 18 Sep 2020 07:55 AM UTC
Alert Expires 17 Nov 2020 11:59 PM UTC

  • Incident: Coronavirus disease (COVID-19); local transmission
  • Location(s): Caribbean (map)
  • Date: March-September 2020
  • Transmission: Respiratory (coughing, sneezing, speaking)

Several countries and territories in the Caribbean continue to report coronavirus disease (COVID-19) transmission through September 2020. The US Center for Disease Control and Prevention (CDC) maintains a "Warning Level-3" travel health notice, the highest of three levels, which indicates that authorities recommend avoiding nonessential travel due to the global COVID-19 pandemic. According to data through Sept. 17 from the World Health Organization (WHO), the following countries and territories in the Caribbean have identified confirmed COVID-19 cases:

No cases:


  • Grenada: 24 cases (Last reported case: July 30)


  • Saint Kitts and Nevis: 17 cases (Last reported case: July 10)


  • Montserrat: 13 cases (Last reported case: July 29)


  • Anguilla: 3 cases (Last reported case: April 4)


Sporadic cases:


  • Cayman Islands: 208 cases


  • Bermuda: 178 cases


  • Saint Vincent and the Grenadines: 64 cases


  • Saint Lucia: 27 cases


  • Bonaire, Sint Eustatius, and Saba: 25 cases


  • Saint-Barthelemy: 21 cases


Clusters of cases:


  • Cuba: 4,876 cases


  • Bahamas: 3,807 cases


  • Turks and Caicos Islands: 659 cases


  • Barbados: 185 cases


  • Antigua and Barbuda: 95 cases


  • British Virgin Islands: 66 cases


  • Dominica: 24 cases


Community transmission:


  • Dominican Republic: 105,521 cases


  • Puerto Rico: 38,284 cases


  • Haiti: 8,541 cases


  • Jamaica: 4,164 cases*


  • Guadeloupe: 3,426 cases*


  • Aruba: 3,328 cases*


  • Martinique: 1,122 cases*


  • Trinidad and Tobago: 3,327 cases*


  • US Virgin Islands: 1,232 cases


  • Sint Maarten: 557 cases


  • Saint Martin: 330 cases


  • Curacao: 192 cases*


*As of Sept. 17, the number of active cases are increasing.

Background and Analysis
The US CDC maintains a "Warning-Level 3" travel health notice for the global COVID-19 pandemic. This is the highest of three levels and indicates US authorities recommend avoiding all nonessential travel. Furthermore, older individuals and people of any age with chronic medical conditions or otherwise compromised immunity should consider postponing nonessential travel, including domestic travel, and take special precautions to avoid becoming ill, especially where sustained community transmission of COVID-19 has been identified. All individuals should monitor their health and limit interactions with others for 14 days after returning from travel.

Older individuals and those with chronic illness are more susceptible to infection and are at increased risk for severe complications. Human-to-human transmission does occur, primarily through respiratory droplets from infected individuals or contact with contaminated surfaces or objects.

Coronavirus disease 2019 (COVID-19) is a viral respiratory disease caused by infection with the SARS-CoV-2 virus (previously known as 2019-nCoV). Symptoms occur 1-14 days following exposure (average of 3-7 days). These symptoms include fever, fatigue, cough, difficulty breathing, sometimes worsening to pneumonia and kidney failure - especially in those with underlying medical conditions

Emphasize basic health precautions, especially frequent handwashing with soap and water, or an alcohol-based hand sanitizer if soap and water are unavailable. Practice good coughing/sneezing etiquette (i.e., covering coughs and sneezes with a disposable tissue, maintaining distance from others, and washing hands). There is no evidence that the influenza vaccine, antibiotics, or antiviral medications will prevent this disease, highlighting the importance of diligent basic health precautions.

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