Medal Totals Since 1990
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Jamaica | 726 | 506 | 327 | 1,559 |
| 2 | Trinidad and Tobago | 157 | 197 | 206 | 560 |
| 3 | Bahamas | 129 | 208 | 238 | 575 |
| 4 | Barbados | 121 | 155 | 183 | 459 |
| 5 | Martinique | 69 | 85 | 109 | 263 |
| 6 | Grenada | 53 | 57 | 68 | 178 |
| 7 | Guadeloupe | 45 | 58 | 75 | 178 |
| 8 | Antigua and Barbuda | 28 | 12 | 20 | 60 |
| 9 | Bermuda | 22 | 35 | 40 | 97 |
| 10 | Guyana | 16 | 16 | 15 | 47 |
| 11 | Cayman Islands | 10 | 13 | 23 | 46 |
| 12 | Saint Lucia | 10 | 22 | 18 | 50 |
| 13 | Dominica | 7 | 11 | 10 | 28 |
| 14 | British Virgin Islands | 7 | 6 | 9 | 22 |
| 15 | French Guiana | 6 | 6 | 10 | 22 |
| 16 | Turks and Caicos Islands | 5 | 4 | 6 | 15 |
| 17 | Saint Kitts and Nevis | 4 | 11 | 10 | 25 |
| 18 | U.S. Virgin Islands | 3 | 4 | 9 | 17 |
| 19 | Anguilla | 2 | 1 | 5 | 8 |
| 20 | Netherlands Antilles | 0 | 5 | 6 | 11 |
| 21 | Saint Vincent and the Grenadines | 0 | 4 | 0 | 4 |
| 22 | Aruba | 0 | 2 | 2 | 4 |
| 23 | Suriname | 0 | 2 | 1 | 3 |
| 24 | Curaçao | 0 | 1 | 3 | 4 |
| 25 | Belize | 0 | 1 | 1 | 2 |
| 26 | Haiti | 0 | 0 | 1 | 1 |
| Total | 1,420 | 1,422 | 1,395 | 4,237 |
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