Updated statistics from the Chief Medical Officer Dr John Lee also show that 191 persons have fully recovered.
Of the 470 COVID-19 tests carried out in the last 24 hours, one was positive.
The individual was identified through the screening programme and is asymptomatic.
An ongoing intensified testing programme has to date resulted in 23,750 persons being screened.
There has only been one death in Cayman associated with the pandemic. That fatality in March, a visiting cruise ship passenger, was also the first confirmed case of the disease here.
Cayman is credited with having the third highest rate of testing globally based on population size.
However, the 200 cases which have been confirmed here put the territory among the highest in the Caribbean, ahead of larger countries such as the Bahamas, Barbados, Trinidad and Curacao, as well the other British Overseas Territories.
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