The Pan American Health Organization (PAHO) is reporting 7, 743 more cases of chikungunya in the Caribbean and Americas pushing the outbreak total close to 900,000.
As at November 14, there were 878,745 suspected and 15,793 confirmed locally acquired chikungunya cases.
Imported cases of the mosquito-borne virus totaled 2011.
The PAHO report said the death toll increased by one to 154.
Colombia reported the biggest increase in cases since the previous report on November 7 with 2,601 cases bringing its total to 22,398. Puerto Rico was next with 1,081 new cases with a total of 20,104.
St. Lucia had 562 new cases while St. Kitts and Nevis reported 400.