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.
| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
Grenada  | 8–1 |  Guyana | 5–0 | 3–1 |
Bermuda  | 20–0 |  Montserrat | 13–0 | 7–0 |
Haiti  | 7–0 |  Turks and Caicos Islands | 5–0 | 2–0 |
British Virgin Islands  | 0–10 |  Saint Lucia | 0–1 | 0–9 |
Cayman Islands  | 1–5 |  Cuba | 1–2 | 0–3 |
Aruba  | 2–10 |  Suriname | 1–2 | 1–8 |
Antigua and Barbuda  | 2–3 |  Netherlands Antilles | 2–0 | 0–3 |
Dominica  | 4–2 |  Bahamas | 1–1 | 3–1 |
U.S. Virgin Islands  | 0–11 |  Saint Kitts and Nevis | 0–4 | 0–7 |
Dominican Republic  | 6–0 |  Anguilla | 0–0 | 6–0 |
Grenada won 8–1 on aggregate and advanced to the second round.
| Bermuda | 13–0 | Montserrat |
|---|---|---|
Ming  5', 20', 50'Nusum 15', 54', 60'Smith 36'Bean 41', 52'Steede 43'Wade 77'Simons 83'Burgess 87' | Report |
Bermuda won 20–0 on aggregate and advanced to the second round.
| Haiti | 5–0 | Turks and Caicos Islands |
|---|---|---|
| Peguero 6' Descouines 43', 45', 50'Wadson 71' | Report |
| Turks and Caicos Islands | 0–2 | Haiti |
|---|---|---|
| Report | Lormera 10' (pen.) Harvey 41' (o.g.) |
Haiti won 7–0 on aggregate and advanced to the second round.
| British Virgin Islands | 0–1 | Saint Lucia |
|---|---|---|
| Report | Elva 55' |
| Saint Lucia | 9–0 | British Virgin Islands |
|---|---|---|
| Emmanuel 13' (pen.), 66' Joseph 26'Jean 28', 52'Skeete 49', 55'Elva 69'Baptiste 90' | Report |
St. Lucia won 10–0 on aggregate and advanced to the second round.
| Cayman Islands | 1–2 | Cuba |
|---|---|---|
| Elliot 72' | Report | Moré 53' Marten 89' |
| Cuba | 3–0 | Cayman Islands |
|---|---|---|
| Moré 7', 50', 66' | Report |
Cuba won 5–1 on aggregate and advanced to the second round.
| Aruba | 1–2 | Suriname |
|---|---|---|
| Escalona 89' | Report | Felter 54' (pen.) Zinhagel 63' |
| Suriname | 8–1 | Aruba |
|---|---|---|
| Kinsaini 6', 49' Loswijk 14'Felter 18', 65', 66'Sandvliet 42'Zinhagel 90' | Report | Escalona 24' |
Suriname won 10–2 on aggregate and advanced to the second round.
| Antigua and Barbuda | 2–0 | Netherlands Antilles |
|---|---|---|
| Roberts 39' Clarke 89' | Report |
| Netherlands Antilles | 3–0 | Antigua and Barbuda |
|---|---|---|
| Siberie 27' Martha 46'Hosé 48' | Report |
Netherlands Antilles won 3–2 on aggregate and advanced to the second round.
Dominica won 4–2 on aggregate and advanced to the second round.
| U.S. Virgin Islands | 0–4 | Saint Kitts and Nevis |
|---|---|---|
| Report | Higgins 26' Lake 50', 64'Isaac 62' |
| Saint Kitts and Nevis | 7–0 | U.S. Virgin Islands |
|---|---|---|
| Lake 8', 38', 46', 56', 77' Isaac 80', 90' | Report |
Saint Kitts and Nevis won 11–0 on aggregate and advanced to the second round.
| Dominican Republic | 0–0 | Anguilla |
|---|---|---|
| Report |
| Anguilla | 0–6 | Dominican Republic |
|---|---|---|
| Report | Zapata 15' Severino 38', 61' (pen.)Contrera 57', 90'Casquez 77' |
Dominican Republic won 6–0 on aggregate and advanced to the second round.
There were 92 goals scored in 20 matches, for an average of 4.6 goals per match.
7 goals
5 goals
4 goals
3 goals
2 goals
1 goal
Quentin Clarke Winston Roberts Damani Horton Nesley Jean Shannon Burgess Clevon Hill Rohann Simons Otis Steede Meshach Wade Thomas Elliot Luis Marten Kelly Peters Luis Casquez Omar Zapata Anthony Augustine Nigel Bishop Byron Bubb Ricky Charles Anthony Modeste Kennedy Phillip Dennis Rennie Jason Roberts Carey Harris Roody Lormera Jean-Philippe Peguero Corriolan Wadson Brutil Hosé Eugene Martha Rocky Siberie Austin Huggins Andy Baptiste Elijah Joseph Carlos Loswijk Clifton Sandvliet 1 own goal
Lawrence Harvey (against Haiti)
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