The Cayman Islands, which lie to the northwest of Jamaica and south of Cuba, also felt the effects of Hurricane Dean, but little damage was reported. There were high waves along the coast and flooded roads, but no injuries were reported. There were localized power outages and the water supply was shut off as a precautionary measure, but both should be restored by Tuesday.

All health infrastructure withstood the effects of Hurricane Dean. There were approximately 2,000 people in temporary shelters.