In the first round of CONCACAF, the 20 lowest-ranked teams played home-and-away matches to determine the 10 teams who would progress to the second round of competition.
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Grenada won 8–1 on aggregate and advanced to the second round.----
Bermuda won 20–0 on aggregate and advanced to the second round.----
Haiti won 7–0 on aggregate and advanced to the second round.----
St. Lucia won 10–0 on aggregate and advanced to the second round.----
Cuba won 5–1 on aggregate and advanced to the second round.----
Suriname won 10–2 on aggregate and advanced to the second round.----
Netherlands Antilles won 3–2 on aggregate and advanced to the second round.
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Dominica won 4–2 on aggregate and advanced to the second round.----
Saint Kitts and Nevis won 11–0 on aggregate and advanced to the second round.----
Dominican Republic won 6–0 on aggregate and advanced to the second round.