The Panama Caribbean Coast port area integrated by the ports of Cristobal, Colon Container Terminal (CCT) and Manzanillo (MIT), handled 4.91m teu in 2021, with an increase of 10.3%. In second position was the Port of Santos (Brazil) -which integrates Santos and DP World- with 4,44m teu. Both Colon and the Brazilian entity maintained their 2020 first and second place.

The third place was again obtained by the Panama Pacific Coast ports which, adding Balboa and Rodman-PSA, moved 3.56m teu, up 12.7% compared to 2020. Cartagena, Colombia, also keeps its fourth place with 3.44m teu, up 7.55% and Manzanillo (Mexico), remains in fifth position with 3.37m teu, with an increase of 15.9% when compared to 2020.

The public-use terminals located in El Callao (Peru) werein sixth place, with 2.48m teu, up 10.5% and all the terminals of Guayaquil (Ecuador), that grew 4.4% to 2.6m teu.

The Port of Kingston, Jamaica. once again managed to secure eighth place with 1.97m teu  increasing 22.6%. Maintaining the ninth place was the only Chilean port that grew by 18.2% to 1.55m teu.